社论:ABCD 群体中的人际种族-民族歧视和精神病理学。

Kara S Bagot
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引用次数: 0

摘要

歧视以及助长歧视和社会文化不平等的结构性因素是健康的社会决定因素,导致少数群体青年的健康状况较差。歧视包括机构或个人层面的偏见,导致在获取资源方面的差异和不公平。如果个人意识到这些经历及其对自己获取资源或机会的能力的影响,个人可能会自我报告这些事件。事实证明,歧视经历以及个人在个人、社会和/或机构层面上遭受歧视的经历,会导致精神病理的出现和严重程度的增加、治疗机会的减少、积极寻求治疗的可能性降低以及治疗效果的降低,从而导致更糟糕的精神疾病结果。我们对保护性因素以及一级和二级预防策略的了解是有限的,因为我们缺乏对少数族裔青少年早期和持续遭受歧视对发育结果影响的系统研究。利用具有代表性的异质样本进行大型纵向研究,可以对这些关系进行研究。
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Editorial: Interpersonal Racial-Ethnic Discrimination and Psychopathology in the ABCD Cohort.

Discrimination and structural factors that promote discrimination and sociocultural inequities are social determinants of health that contribute to poorer health outcomes among minoritized youth. Discrimination consists of institutional or individual-level biases leading to disparate and unequitable access to resources. If individuals are aware of these experiences and their impact on one's own ability to access resources or opportunities, individuals may self-report these occurrences. Experiences of discrimination, and one's personal experience of discrimination at individual, social, and/or institutional levels have been shown to contribute to worse psychiatric outcomes through the emergence of and increased severity of psychopathology, reduced access to treatment, decreased likelihood of active treatment seeking, and poorer treatment retention.1,2 For youth, early and repeated exposures to discrimination, and perception of discrimination, may contribute to health disparities in psychopathology in adolescence, young adulthood, and beyond. Our understanding of protective factors and primary and secondary prevention strategies is limited, given the lack of systematic research on early and persistent exposure to discrimination on developmental outcomes in minoritized youth. Large longitudinal research studies with representative heterogeneous samples may allow for the study of these relationships.

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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
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 We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive,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.
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