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Prior differences in previous trauma exposure primarily drive the observed racial/ethnic differences in posttrauma depression and anxiety following a recent trauma.
Harnett, N G; Dumornay, N M; Delity, M; Sanchez, L D; Mohiuddin, K; Musey, P I; Seamon, M J; McLean, S A; Kessler, R C; Koenen, K C; Beaudoin, F L; Lebois, L A M; van Rooij, S J H; Sampson, N A; Michopoulos, V; Maples-Keller, J L; Haran, J P; Storrow, A B; Lewandowski, C; Hendry, P L; Sheikh, S; Jones, C W; Punches, B E; Kurz, M C; Swor, R A; McGrath, M E; Hudak, L A; Pascual, J L; House, S L; An, X; Stevens, J S; Neylan, T C; Jovanovic, T; Linnstaedt, S D; Germine, L T; Datner, E M; Chang, A M; Pearson, C; Peak, D A; Merchant, R C; Domeier, R M; Rathlev, N K; O'Neil, B J; Sergot, P; Bruce, S E; Miller, M W; Pietrzak, R H; Joormann, J; Barch, D M; Pizzagalli, D A.
Afiliação
  • Harnett NG; Division of Depression and Anxiety, McLean Hospital, Belmont, MA 02478, USA.
  • Dumornay NM; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
  • Delity M; Division of Depression and Anxiety, McLean Hospital, Belmont, MA 02478, USA.
  • Sanchez LD; Division of Depression and Anxiety, McLean Hospital, Belmont, MA 02478, USA.
  • Mohiuddin K; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
  • Musey PI; Department of Emergency Medicine, Harvard Medical School, Boston, MA 02115, USA.
  • Seamon MJ; Department of Emergency Medicine, Einstein Medical Center, Philadelphia, PA 19141, USA.
  • McLean SA; Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
  • Kessler RC; Department of Surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Pennsylvania, PA 19104, USA.
  • Koenen KC; Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559, USA.
  • Beaudoin FL; Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559, USA.
  • Lebois LAM; Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
  • van Rooij SJH; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.
  • Sampson NA; Department of Emergency Medicine & Department of Health Services, Policy, and Practice, The Alpert Medical School of Brown University, Rhode Island Hospital and The Miriam Hospital, Providence, RI 02930, USA.
  • Michopoulos V; Division of Depression and Anxiety, McLean Hospital, Belmont, MA 02478, USA.
  • Maples-Keller JL; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
  • Haran JP; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30332, USA.
  • Storrow AB; Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
  • Lewandowski C; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30332, USA.
  • Hendry PL; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30332, USA.
  • Sheikh S; Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA.
  • Jones CW; Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
  • Punches BE; Department of Emergency Medicine, Henry Ford Health System, Detroit, MI 48202, USA.
  • Kurz MC; Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL 32209, USA.
  • Swor RA; Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL 32209, USA.
  • McGrath ME; Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.
  • Hudak LA; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
  • Pascual JL; College of Nursing, University of Cincinnati, Cincinnati, OH 45221, USA.
  • House SL; Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL 35294, USA.
  • An X; Department of Surgery, Division of Acute Care Surgery, University of Alabama School of Medicine, Birmingham, AL 35294, USA.
  • Stevens JS; Center for Injury Science, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
  • Neylan TC; Department of Emergency Medicine, Oakland University William Beaumont School of Medicine, Rochester, MI 48309, USA.
  • Jovanovic T; Department of Emergency Medicine, Boston Medical Center, Boston, MA 02118, USA.
  • Linnstaedt SD; Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA 30329, USA.
  • Germine LT; Department of Surgery, Department of Neurosurgery, University of Pennsylvania, Pennsylvania, PA 19104, USA.
  • Datner EM; Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA 19104, USA.
  • Chang AM; Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO 63130, USA.
  • Pearson C; Department of Anesthesiology, Institute for Trauma Recovery, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559, USA.
  • Peak DA; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30329, USA.
  • Merchant RC; Departments of Psychiatry and Neurology, University of California San Francisco, San Francisco, CA 94143, USA.
  • Domeier RM; Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI 48202, USA.
  • Rathlev NK; Department of Anesthesiology, Institute for Trauma Recovery, University of North Carolina at Chapel Hill, Chapel Hill, NC 27559, USA.
  • O'Neil BJ; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
  • Sergot P; Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA 02478, USA.
  • Bruce SE; Department of Emergency Medicine, Einstein Healthcare Network, Pennsylvania, PA 19141, USA.
  • Miller MW; Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Pennsylvania, PA 19107, USA.
  • Pietrzak RH; Department of Emergency Medicine, Jefferson University Hospitals, Pennsylvania, PA 19107, USA.
  • Joormann J; Department of Emergency Medicine, Wayne State University, Detroit, MA 48202, USA.
  • Barch DM; Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Pizzagalli DA; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Psychol Med ; 53(6): 2553-2562, 2023 04.
Article em En | MEDLINE | ID: mdl-35094717
BACKGROUND: Racial and ethnic groups in the USA differ in the prevalence of posttraumatic stress disorder (PTSD). Recent research however has not observed consistent racial/ethnic differences in posttraumatic stress in the early aftermath of trauma, suggesting that such differences in chronic PTSD rates may be related to differences in recovery over time. METHODS: As part of the multisite, longitudinal AURORA study, we investigated racial/ethnic differences in PTSD and related outcomes within 3 months after trauma. Participants (n = 930) were recruited from emergency departments across the USA and provided periodic (2 weeks, 8 weeks, and 3 months after trauma) self-report assessments of PTSD, depression, dissociation, anxiety, and resilience. Linear models were completed to investigate racial/ethnic differences in posttraumatic dysfunction with subsequent follow-up models assessing potential effects of prior life stressors. RESULTS: Racial/ethnic groups did not differ in symptoms over time; however, Black participants showed reduced posttraumatic depression and anxiety symptoms overall compared to Hispanic participants and White participants. Racial/ethnic differences were not attenuated after accounting for differences in sociodemographic factors. However, racial/ethnic differences in depression and anxiety were no longer significant after accounting for greater prior trauma exposure and childhood emotional abuse in White participants. CONCLUSIONS: The present findings suggest prior differences in previous trauma exposure partially mediate the observed racial/ethnic differences in posttraumatic depression and anxiety symptoms following a recent trauma. Our findings further demonstrate that racial/ethnic groups show similar rates of symptom recovery over time. Future work utilizing longer time-scale data is needed to elucidate potential racial/ethnic differences in long-term symptom trajectories.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Depressão Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Depressão Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article