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Communal mastery and associations with depressive and PTSD symptomatology among urban trauma-exposed women.
Cultural Diversity & Ethnic Minority Psychology ( IF 4.035 ) Pub Date : 2021-07-22 , DOI: 10.1037/cdp0000473
Michelle L Miller 1 , Natalie R Stevens 1 , Gina S Lowell 2 , Stevan E Hobfoll 3
Affiliation  

Objective: Racial and ethnic minority women from low-resource urban communities experience disproportionately high rates of trauma exposure. Higher rates of lifetime trauma exposure are strongly associated with subsequent psychological sequela, specifically depression and posttraumatic stress disorder (PTSD). Communal mastery is the ability to cope with challenges and achieve goals by being closely interconnected with friends, family, and significant others. Yet, it is unknown if communal mastery is protective specifically against PTSD and depressive symptoms. Method: Participants (N = 131) were Black and Latina women (88.5% Black, mean monthly income: < $750) recruited from an urban outpatient obstetric-gynecological clinic at an academic medical center. Participants completed an online questionnaire that assessed trauma history, PTSD and depressive symptoms, types of individualistic coping, social support, and communal mastery. Results: Hierarchical multiple regression models demonstrated that communal mastery is uniquely associated with fewer PTSD symptoms (β = -.23, p = .003). More severe trauma history, more use of passive coping skills, and poorer social support were also significantly associated with PTSD symptoms, explaining over half of the variance in PTSD symptoms. Although significantly correlated, communal mastery was not uniquely associated with fewer depressive symptoms (β = -.13, p = .201). Conclusions: These findings suggest that connectedness as assessed through communal mastery serves as an important shield against the effects of traumatic stress for Black and Latina women. Future research would benefit by exploring interventions that aim to increase communal mastery in order to help highly trauma-exposed racial and ethnic minority women in low-resource environments. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

城市遭受创伤的女性的公共掌握以及与抑郁和创伤后应激障碍症状的关联。

目标:来自资源匮乏的城市社区的少数族裔妇女遭受创伤的比例极高。终生创伤暴露率较高与随后的心理后遗症密切相关,特别是抑郁症和创伤后应激障碍(PTSD)。社区掌握是指通过与朋友、家人和其他重要的人密切联系来应对挑战和实现目标的能力。然而,尚不清楚公共掌握是否能专门预防创伤后应激障碍和抑郁症状。方法:参与者(N = 131)是从学术医疗中心的城市门诊妇产科诊所招募的黑人和拉丁裔女性(88.5% 黑人,平均月收入:< 750 美元)。参与者完成了一份在线调查问卷,评估创伤史、创伤后应激障碍和抑郁症状、个人应对类型、社会支持和社区掌控能力。结果:分层多​​元回归模型表明,群体掌握与较少的 PTSD 症状独特相关(β = -.23,p = .003)。更严重的创伤史、更多地使用被动应对技巧以及较差的社会支持也与 PTSD 症状显着相关,这解释了超过一半的 PTSD 症状差异。尽管显着相关,但群体掌控力与较少的抑郁症状并非唯一相关(β = -.13,p = .201)。结论:这些研究结果表明,通过社区掌控评估的连通性是黑人和拉丁裔女性抵御创伤性压力影响的重要屏障。未来的研究将受益于探索旨在提高社区掌控力的干预措施,以帮助资源匮乏环境中遭受高度创伤的少数族裔妇女。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2021-07-22
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