Longitudinal Effects of Negative Ethnic-Racial Identity Affect on Internalizing Symptoms in Youth of Latiné Background Exposed to Interpersonal Trauma.

IF 4.5 2区 医学 Q1 PSYCHIATRY
Sunita M Stewart, Nazan Aksan, Andrea Bancroft, Jeffrey D Shahidullah, Savannah M Krantz, Madelyn Guerra, Jessica Sandoval, Cynthia Garza, Andres G Viana, Myesha Morgan, Cecilia DeVargas, Justin F Rousseau, D Jeffrey Newport, Karen Dineen Wagner, Charles B Nemeroff
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引用次数: 0

Abstract

Objectives: Latiné youth in the US are at elevated risk for trauma exposure, but factors that contribute to their symptoms are not well studied. We examined the effects of interpersonal trauma (IPT) burden and negative affect about ethnic-racial identity (NERI-A) on internalizing symptoms following trauma exposure.

Method: Participants were 1,006 US-born youth of Latiné background (mean age 15.4 years, 60% female at birth, and 70% identified as White) from the Childhood Trauma Research Network, a research consortium examining long-term outcomes of childhood trauma in Texas. Participants were enrolled between October 2020 and February 2024. Analyses controlled for sex, age, race, non-interpersonal trauma, whether parents were of the immigrant generation, and mental health treatment received.

Results: Greater IPT burden and higher baseline NERI-A were associated with greater baseline anxiety (P < .001, P = .026) and depressive (P < .001, P = .040) symptoms. The effect of baseline IPT burden on direction and magnitude of longitudinal change in anxiety (0.038) and depression (0.002) differed for those with high NERI-A vs low NERI-A. In the context of low NERI-A, IPT burden showed steady or decreasing associations with symptoms over time. In contrast, for those reporting high NERI-A, IPT burden showed strengthening associations with both anxiety and depression over time.

Conclusion: Our study highlights the vulnerability of youth who experience IPT and report NERI-A. Further research is needed to determine how NERI-A develops, changes, and is moderated in the diverse groups of individuals of Latiné descent.

目标:美国拉美裔青少年遭受创伤的风险较高,但对导致其症状的因素却没有进行深入研究。我们研究了人际创伤(IPT)负担和对民族-种族身份的负面影响(NERI-A)对创伤暴露后内化症状的影响:参与者为 1006 名在美国出生的拉美裔青少年(平均年龄 15.4 岁,60% 出生时为女性,70% 被认定为白人),他们来自儿童创伤研究网络(Childhood Trauma Research Network),这是一个研究德克萨斯州儿童创伤长期结果的研究联盟。参与者的注册时间为 2020 年 10 月至 2024 年 2 月。分析控制了性别、年龄、种族、非人际创伤、父母是否为移民一代以及所接受的心理健康治疗等因素:结果:更大的 IPT 负担和更高的基线 NERI-A 与更大的基线焦虑(P < .001,P = .026)和抑郁症状(P < .001,P = .040)相关。基线 IPT 负担对焦虑(0.038)和抑郁(0.002)纵向变化方向和幅度的影响在高 NERI-A 和低 NERI-A 患者中有所不同。在 NERI-A 值低的情况下,IPT 负担与症状的相关性随着时间的推移呈稳定或递减趋势。相反,对于那些报告 NERI-A 值高的人,IPT 负担与焦虑和抑郁的相关性随着时间的推移而增强:我们的研究强调了经历过 IPT 并报告 NERI-A 的青少年的脆弱性。结论:我们的研究强调了经历过 IPT 并报告 NERI-A 的青少年的脆弱性,需要进一步研究来确定 NERI-A 在拉美裔不同群体中是如何发展、变化和调节的。
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来源期刊
Journal of Clinical Psychiatry
Journal of Clinical Psychiatry 医学-精神病学
CiteScore
7.40
自引率
1.90%
发文量
0
审稿时长
3-8 weeks
期刊介绍: For over 75 years, The Journal of Clinical Psychiatry has been a leading source of peer-reviewed articles offering the latest information on mental health topics to psychiatrists and other medical professionals.The Journal of Clinical Psychiatry is the leading psychiatric resource for clinical information and covers disorders including depression, bipolar disorder, schizophrenia, anxiety, addiction, posttraumatic stress disorder, and attention-deficit/hyperactivity disorder while exploring the newest advances in diagnosis and treatment.
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