Влияние статуса национального меньшинства и социального контекста на развитие депрессии и тревоги: лонгитюдное исследование на примере молодежи пуэрториканского происхождения
Всемирная психиатрия. №3 2019
Влияние статуса национального меньшинства и социального контекста на развитие депрессии и тревоги: лонгитюдное исследование на примере молодежи пуэрториканского происхождения
Margarita Alegria1-3, Patrick E. Shrout4, Glorisa Canino5, Kiara Alvarez1,3, Ye Wang1, Hector Bird6, Sheri Lapatin Markle1, Maria Ramos-Olazagasti7, Doryliz Vila Rivera5, Benjamin Lк Cook2, George J. Musa6, Irene Falgas-Bague1, Amanda NeMoyer1,8, Georgina Dominique1, Cristiane Duarte6
1Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA; 2Department of Psychiatry, Harvard Medical School, Boston, MA,USA; 3Department of Medicine, Harvard Medical School, Boston, MA, USA; 4Department of Psychology, New York University, New York, NY, USA; 5Behavioral Sciences Research Institute, University of Puerto Rico Medical School, San Juan, Puerto Rico; 6New York State Psychiatric Institute, Columbia University Medical Center, New York, NY, USA; 7Child Trends, Bethesda, MD, USA; 8Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Стр. 306-316
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Опубликовано: 24 октября 2019
Аннотация / Abstract
a:2:{s:4:"TEXT";s:65528:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:76934:"Перевод: Т.И. Шишковская (Москва)
Редактура: к.м.н. В.В. Руженкова (Белгород)
Alegria M. et al. The effect of minority status and social context on the development of depression and anxiety: a longitudinal study of Puerto Rican descent youth //World Psychiatry. 2019;18(3):298-307.
На сегодняшний день существует не так много лонгитюдных исследований, посвященных вопросу влияния статуса национального меньшинства, проживающего в неблагополучном районе, на риск неблагоприятном исхода при психических расстройствах. Не изучены механизмы, которые могут привести к такому риску. Мы исследовали, как статус меньшинства влияет на течение и исход четырех психических расстройств в этнически гомогенной выборке молодых пуэрториканцев. Мы изучили модели риска для большого депрессивного расстройства (БДР), генерализованного тревожного расстройства (ГТР), симптомов тревоги и депрессии (СТД) и психологического дистресса у пуэрториканских детей и подростков (5-13 лет), а затем у них же в более взрослом возрасте (15-29 лет). Исследование проводилось в двух городах: в одном из них (на острове Пуэрто-Рико) дети воспитывались в качестве национального большинства, а в другом (Нью-Йорк, район Южный Бронкс) – в статусе национального меньшинства. Исходно исследование проводилось на стратифицированной выборке из 2491 молодых пуэрториканцев из двух городов. После первичной оценки (Волна 1), каждый из юных участников вместе с опекуном ежегодно обследовались в течение двух лет, таким образом, были получены результаты для трех временных точек (Волны 1-3). С апреля 2013 по август 2017 участников приглашали на интервью в рамках Волны 4, таким образом, в исследовании приняли участие 2004 человека в возрасте от 15 до 29 лет (чувствительность с поправкой на пригодность = 82,8%). Влияние статуса национального меньшинства на течение БДР, ГТР, СТД и психологического дистресса оценивалось с помощью квази-экспериментального...
Перевод: Т.И. Шишковская (Москва)
Редактура: к.м.н. В.В. Руженкова (Белгород)
Alegria M. et al. The effect of minority status and social context on the development of depression and anxiety: a longitudinal study of Puerto Rican descent youth //World Psychiatry. 2019;18(3):298-307.
На сегодняшний день существует не так много лонгитюдных исследований, посвященных вопросу влияния статуса национального меньшинства, проживающего в неблагополучном районе, на риск неблагоприятном исхода при психических расстройствах. Не изучены механизмы, которые могут привести к такому риску. Мы исследовали, как статус меньшинства влияет на течение и исход четырех психических расстройств в этнически гомогенной выборке молодых пуэрториканцев. Мы изучили модели риска для большого депрессивного расстройства (БДР), генерализованного тревожного расстройства (ГТР), симптомов тревоги и депрессии (СТД) и психологическо...
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