居住在加利福尼亚州洛杉矶县的黑人妇女与种族主义有关的压力和心理健康：产后情绪和焦虑症筛查量表的比较。

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2024-04-02 DOI:10.1007/s00737-024-01458-w

Kortney Floyd James, Keren Chen, Sasha S. Hindra, Sydney Gray, Milllicent N. Robinson, Courtney S. Thomas Tobin, Kristen Choi, Denise Saint Arnault

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引用次数: 0

摘要

目的：评估黑人妇女在产后期间接触和评价与种族主义有关的压力的情况，并区分其对产后情绪和焦虑障碍（PMADs）症状的三个指标的影响：方法：黑人母亲心理健康研究（N = 231）的数据和线性回归模型估计了与种族主义有关的压力与产后情绪和焦虑症指标之间的关联：3项爱丁堡产后抑郁量表（EPDS-3）、8项患者健康问卷（PHQ-8）和PHQ-15：大多数参与者（80.5%，N = 186）每年都会遇到几次或更多次种族主义问题，其中 37.1%（N = 69）有些困扰，19.3%（N = 36）非常困扰。与种族主义相关的压力、收入、教育水平和心理健康诊断史解释了以 PHQ-8 评分衡量的 PMAD 症状的更大差异（R2 = 0.58，P = 2 = 0.46，P = 2 = 0.14，P = 0.035）：种族主义是生活在加利福尼亚州洛杉矶县的黑人妇女的一种压力源。与种族主义相关的压力和 PMAD 症状的情绪表达是本研究中黑人妇女产后心理健康的突出问题。本研究的结果表明，应使用 PHQ-8 来评估种族主义对黑人妇女产后心理健康的影响。

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查看原文本刊更多论文

Racism-related stress and mental health among black women living in Los Angeles County, California: A comparison of postpartum mood and anxiety disorder screening scales

Purpose

To assess Black women’s exposure to and appraisal of racism-related stress during the postpartum period and to distinguish its impact on three indicators of postpartum mood and anxiety disorders (PMADs) symptoms.

Methods

Data from the Black Mothers’ Mental Wellness Study (N = 231) and linear regression models estimated the associations between racism-related stress and the PMAD indicators: 3-item Edinburgh Postnatal Depression Scale (EPDS-3), 8-item Patient Health Questionnaire (PHQ-8), and PHQ-15.

Results

The majority of participants (80.5%, N = 186) experienced racism a few times a year or more, of which 37.1% (N = 69) were bothered somewhat and 19.3% (N = 36) a lot. Racism-related stress, income, level of education, and history of mental health diagnosis explained greater variance in PMAD symptoms as measured by the PHQ-8 score (R² = 0.58, p = < 0.001) compared to the EPDS-3 (R² = 0.46, p = < 0.001) or the PHQ-15 (R² = 0.14, p = 0.035).

Conclusions

Racism is a stressor for Black women living in Los Angeles County, California. Racism-related stress and emotional expression of PMAD symptoms were salient to the postpartum mental health of the Black women in this study. Findings from this study suggest that the PHQ-8 should be used to assess how racism impacts Black women’s postpartum mental health.

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.