In the United States, Black residents exposed to a traumatic event are at an increased risk of developing posttraumatic stress disorder (PTSD) and experiencing more severe symptoms compared to their non-Hispanic White counterparts. Although previous work has suggested a link between racial discrimination and PTSD symptoms, no studies have assessed this association in a sample of traumatic injury survivors. The current study investigated whether (a) past racial discrimination was associated with acute posttraumatic stress symptoms (PTSS) and (b) discrimination prospectively contributed to the prediction of future PTSD symptoms. African American and/or Black patients (N = 113) were recruited from an emergency department in southeastern Wisconsin. Patients in the acute postinjury phase (i.e., 2 weeks posttrauma) completed self-report measures, with PTSD symptoms assessed using the Clinician-Administered PTSD Scale at 6-month follow-up. Bivariate associations indicated past racial discrimination was significantly related to acute PTSS. A multiple regression analysis revealed that pretrauma exposure to racial discrimination significantly predicted PTSD symptoms at follow-up, even after controlling for age, gender, previous psychiatric diagnosis, social support, and lifetime trauma history. Our results suggest that experiences of racial discrimination add significant additional risk for PTSD symptom development following traumatic injury, R² = .16, F(6, 106) = 3.25, p = .006. Broadly, these findings add to the body of empirical evidence and personal testimonies of Black individuals in White-centric societies asserting that racial discrimination affects mental health and overall well-being and further highlight the recent call for racism to be classified as a public health crisis.

中文翻译：

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种族歧视与急性创伤后压力症状相关，并预测美国受创伤的黑人成年人未来创伤后压力障碍症状的严重程度

在美国，与非西班牙裔白人相比，遭受创伤事件的黑人居民患创伤后应激障碍 (PTSD) 和出现更严重症状的风险增加。尽管以前的工作表明种族歧视与 PTSD 症状之间存在联系，但没有研究在创伤幸存者样本中评估这种关联。目前的研究调查了 (a) 过去的种族歧视是否与急性创伤后应激症状 (PTSS) 相关，以及 (b) 歧视是否前瞻性地有助于预测未来的 PTSD 症状。非裔美国人和/或黑人患者（N= 113）是从威斯康星州东南部的急诊科招募的。处于急性损伤后阶段（即创伤后 2 周）的患者完成了自我报告测量，并在 6 个月的随访中使用临床医生管理的 PTSD 量表评估了 PTSD 症状。双变量关联表明过去的种族歧视与急性 PTSS 显着相关。多元回归分析显示，即使在控制了年龄、性别、先前的精神病诊断、社会支持和终生创伤史之后，种族歧视的创伤前暴露显着预测了随访时的 PTSD 症状。我们的研究结果表明，种族歧视的经历增加了创伤后创伤后应激障碍症状发展的显着额外风险，R ² = .16，F(6, 106) = 3.25, p = .006。从广义上讲，这些发现增加了以白人为中心的社会中黑人个体的经验证据和个人证词，声称种族歧视会影响心理健康和整体福祉，并进一步强调最近呼吁将种族主义归类为公共卫生危机.