Multiple forms of discrimination and obsessive-compulsive disorder: a prospective cohort study.

IF 3.4 3区医学 Q1 PEDIATRICS

Child and Adolescent Psychiatry and Mental Health Pub Date : 2025-02-18 DOI:10.1186/s13034-025-00864-x

Jason M Nagata, Jonanne Talebloo, Thang Diep, Joan Shim, Abubakr A A Al-Shoaibi, Kyle T Ganson, Alexander Testa, Jinbo He, Jason M Lavender, Fiona C Baker

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引用次数: 0

Abstract

Background: Discrimination increases the risk for adverse mental health in minority populations, with studies showing elevated rates of obsessive-compulsive disorder (OCD) in Black adults facing racial discrimination. Yet, there is a lack of longitudinal research on the different forms of discrimination in relation to OCD risk in early adolescence. The objective of this study was to examine the prospective associations between multiple forms of discrimination and OCD in a national sample of U.S. early adolescents.

Methods: We examined prospective cohort data from Year 2 (2018-2020, ages 10-13) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development Study (N = 7,983). Multiple logistic regression models were used to analyze associations between Year 2 past 12-month experiences of discrimination (based on race and ethnicity, country of origin, sexual orientation, weight, and combined multi-discrimination) and Year 3 probable OCD (Child Behavior Checklist; based on dichotomized t-score indicating high risk), adjusting for theoretically relevant covariates including age, sex, sexual orientation, race and ethnicity, country of origin, household income, parent education, depression, body mass index category, study site, and Year 2 probable OCD.

Results: Adjusting for all covariates, multi-discrimination (OR = 1.67; 95% CI 1.23, 2.27), racial discrimination (OR = 2.77; 95% CI 1.32, 5.80), sexual orientation discrimination (OR = 2.51; 95% CI 1.11, 5.64), and weight discrimination (OR = 2.51; 95% CI 1.13, 5.59) at Year 2 were prospectively associated with developing probable OCD at Year 3. There were no significant findings for discrimination based on country of origin.

Conclusions: Early adolescents who have experienced several forms of discrimination have higher odds of developing probable OCD, suggesting the utility of screening for OCD in even younger adolescents who have encountered discrimination. Educators can play a role in guiding adolescents experiencing discrimination to appropriate resources for accessing mental healthcare.

查看原文本刊更多论文

多种形式的歧视与强迫症：一项前瞻性队列研究。

背景：歧视增加了少数民族人群不良心理健康的风险，研究表明，面临种族歧视的黑人成年人患强迫症（OCD）的比例升高。然而，缺乏对不同形式的歧视与青少年早期强迫症风险之间关系的纵向研究。本研究的目的是在美国早期青少年的全国样本中检验多种形式的歧视与强迫症之间的潜在联系。方法：我们检查了青少年大脑认知发展研究2年级（2018-2020年，10-13岁）和3年级（2019-2021年）的前瞻性队列数据（N = 7,983）。多元逻辑回归模型用于分析二年级学生过去12个月的歧视经历（基于种族和民族、原籍国、性取向、体重和综合多重歧视）与三年级学生可能的强迫症(儿童行为检查表；（基于二分类t评分表明高风险），调整了理论相关协变量，包括年龄、性别、性取向、种族和民族、原籍国、家庭收入、父母教育程度、抑郁症、体重指数类别、研究地点和二年级可能的强迫症。结果：经所有协变量调整后，多重辨别(OR = 1.67；95% CI 1.23, 2.27)，种族歧视(OR = 2.77；95% CI 1.32, 5.80)，性取向歧视(OR = 2.51；95% CI 1.11, 5.64)和权重歧视(OR = 2.51；95%可信区间1.13,5.59)与第三年发生可能的强迫症有前瞻性关联。没有关于基于原籍国的歧视的重大发现。结论：经历过多种形式歧视的早期青少年发展为可能的强迫症的几率更高，这表明在经历过歧视的更年轻的青少年中筛查强迫症的效用。教育工作者可以发挥作用，指导遭受歧视的青少年获得获得精神保健的适当资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY

CiteScore

7.00

自引率

3.60%

发文量

审稿时长

16 weeks

期刊介绍： Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.