{"title":"社论:从环境压力暴露的角度理解青少年心理健康差异。","authors":"Ran Barzilay, Nadine Michel","doi":"10.1016/j.jaac.2024.07.909","DOIUrl":null,"url":null,"abstract":"<p><p>Increasing evidence suggests that, as in other medical fields, there are pronounced pediatric mental health disparities with greater burden among marginalized racial and ethnic youth. The reasons for these disparities are not fully understood. One way to explain pediatric mental health disparities is through the lens of environmental stress as a driver of mental health burden, given that marginalized populations are exposed to more structural and individual stress. Although traditionally stress has been linked to specific psychiatric disorders that fall under the umbrella of \"stress-related disorders\" such as acute/post-traumatic stress disorder or adjustment disorder, broader conceptual frameworks include depression (including suicidality) and anxiety as stress related. More recently, there has been growing recognition of the contribution of early life stressful exposures (ie, childhood adversity) to psychosis spectrum disorders. As such, recognition of the role of stress exposure in psychotic presentations and the fact that exposure to adverse social determinants of health and stressful environments is more common among youth of color can serve as a potential mechanism to explain pediatric disparities in psychosis risk.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2000,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Editorial: Understanding Adolescent Mental Health Disparities Through the Lens of Environmental Stress Exposure.\",\"authors\":\"Ran Barzilay, Nadine Michel\",\"doi\":\"10.1016/j.jaac.2024.07.909\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Increasing evidence suggests that, as in other medical fields, there are pronounced pediatric mental health disparities with greater burden among marginalized racial and ethnic youth. The reasons for these disparities are not fully understood. One way to explain pediatric mental health disparities is through the lens of environmental stress as a driver of mental health burden, given that marginalized populations are exposed to more structural and individual stress. Although traditionally stress has been linked to specific psychiatric disorders that fall under the umbrella of \\\"stress-related disorders\\\" such as acute/post-traumatic stress disorder or adjustment disorder, broader conceptual frameworks include depression (including suicidality) and anxiety as stress related. More recently, there has been growing recognition of the contribution of early life stressful exposures (ie, childhood adversity) to psychosis spectrum disorders. As such, recognition of the role of stress exposure in psychotic presentations and the fact that exposure to adverse social determinants of health and stressful environments is more common among youth of color can serve as a potential mechanism to explain pediatric disparities in psychosis risk.</p>\",\"PeriodicalId\":17186,\"journal\":{\"name\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":9.2000,\"publicationDate\":\"2024-07-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jaac.2024.07.909\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Academy of Child and Adolescent Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jaac.2024.07.909","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Editorial: Understanding Adolescent Mental Health Disparities Through the Lens of Environmental Stress Exposure.
Increasing evidence suggests that, as in other medical fields, there are pronounced pediatric mental health disparities with greater burden among marginalized racial and ethnic youth. The reasons for these disparities are not fully understood. One way to explain pediatric mental health disparities is through the lens of environmental stress as a driver of mental health burden, given that marginalized populations are exposed to more structural and individual stress. Although traditionally stress has been linked to specific psychiatric disorders that fall under the umbrella of "stress-related disorders" such as acute/post-traumatic stress disorder or adjustment disorder, broader conceptual frameworks include depression (including suicidality) and anxiety as stress related. More recently, there has been growing recognition of the contribution of early life stressful exposures (ie, childhood adversity) to psychosis spectrum disorders. As such, recognition of the role of stress exposure in psychotic presentations and the fact that exposure to adverse social determinants of health and stressful environments is more common among youth of color can serve as a potential mechanism to explain pediatric disparities in psychosis risk.
期刊介绍:
The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families.
We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings.
In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health.
At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.