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Interpersonal Trauma and Posttraumatic Stress Disorder among Black Women: Does Racial Discrimination Matter?
Journal of Trauma & Dissociation ( IF 3.649 ) Pub Date : 2021-01-18
Yara Mekawi, Sierra Carter, Brittney Brown, Ana Martinez de Andino, Negar Fani, Vasiliki Michopoulos, Abigail Powers

ABSTRACT

There is evidence that the more frequent, severe, and chronic posttraumatic stress disorder (PTSD) symptomatology experienced by Black compared to White individuals cannot be explained by disparities in socioeconomic status or trauma exposure. One factor that may be important to consider is racial discrimination, which is associated with numerous negative mental health outcomes yet has not been studied in the context of interpersonal traumas for Black women. This study aims to fill this gap by examining the independent and interactive roles of racial discrimination and interpersonal trauma in predicting PTSD symptoms in a community sample of trauma-exposed, Black women (n = 292). Consistent with the previous literature, we found that more frequent experiences of racial discrimination were associated with more severe PTSD symptoms overall (r = .34) and by symptom cluster. Furthermore, we found a significant interaction between experiences of racial discrimination and experiences of interpersonal trauma (b = .46, 95%CI[.04, .88], SE = .28; ΔR 2 = .01, p = .03) such that the association between PTSD symptoms and interpersonal trauma was stronger at higher (+1 SD above the mean) levels of racial discrimination. This pattern was replicated for most PTSD symptom clusters. These results suggest that racial discrimination experiences exacerbate the association between interpersonal traumatic experiences and PTSD symptoms among Black women.



中文翻译:

黑人女性的人际创伤和创伤后应激障碍:种族歧视是否重要?

摘要

有证据表明,与白人相比,黑人所经历的更为频繁,严重和慢性的创伤后应激障碍(PTSD)症状无法用社会经济状况或外伤暴露的差异来解释。种族歧视是一个可能要考虑的重要因素,种族歧视与许多负面的心理健康结果有关,但尚未针对黑人妇女的人际关系进行研究。本研究旨在通过检查创伤暴露,黑人女性的社区样本预测PTSD症状种族歧视和人际创伤的独立和互动的角色来填补这一空白(ñ= 292)。与先前的文献一致,我们发现种族歧视的更频繁经历与更严重的PTSD症状总体相关(r = 0.34)和症状簇。此外,我们发现种族歧视经历和人际交往经历之间存在显着的相互作用(b = .46,95%CI [.04,.88],SE  = .28; ΔR 2  = .01,p = .03 ),使得PTSD症状与人际创伤之间的关联在较高(+1 SD高于平均水平)的种族歧视水平。对于大多数PTSD症状群集,都重复了此模式。这些结果表明,种族歧视经历加剧了黑人女性的人际交往经历与PTSD症状之间的联系。

更新日期:2021-01-18
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