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Childhood Sexual Abuse and Depression among American Indians in Adulthood

机译：童年在阿富西华人的美国印第安人中的性虐待和抑郁症

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摘要

The present study investigated distal and proximal factors associated with depression among a sample of 479 American Indian (AI) adults in the Midwest. Distal factors included histories of childhood sexual abuse (CSA) and other childhood adversities. Proximal factors included levels of health self-efficacy and treatment for alcohol problems. The study also examined the moderating effect of treatment for alcohol problems on the relationship between CSA and depression. In model 1, results indicate that CSA was positively related to depression after controlling for demographic and background variables. In model 2, childhood adversities and treatment for alcohol problems were associated with increased depression in AI adults; CSA became nonsignificant. As a protective factor, level of health self-efficacy was negatively associated with depression. In model 3, treatment for alcohol problems magnified the effect of CSA on depression. These findings suggest that early traumatic experiences may have persistent, harmful effects on depression among AIs; one mechanism exacerbating the impact of CSA on depression is treatment for alcohol problems. Targeted interventions are needed to mitigate the long-term negative health effects of childhood trauma in this population and to strengthen proximal protective factors, such as health self-efficacy.
机译：本研究调查了中西部479名美国印第安人（AI）成年人样本中的抑郁症的远端和近端因素。远端因素包括儿童性虐待（CSA）和其他童年逆境的历史。近端因素包括健康自我效能和治疗酒精问题的水平。该研究还研究了治疗酒精问题对CSA和抑郁关系的调节效果。在型号1中，结果表明CSA在控制人口统计和背景变量之后与抑郁症呈正相关。在2型中，儿童逆境和酒精问题的治疗与AI成年人的抑郁症增加有关; CSA变得不显着。作为一种保护因素，卫生水平与抑郁有关。在型号3中，酒精问题的治疗放大了CSA对抑郁症的影响。这些研究结果表明，早期创伤性经验可能对AIS之间的抑郁症具有持续的，有害影响;一种加剧CSA对抑郁症的影响的一种机制是对酒精问题的治疗。需要有针对性的干预措施来减轻这种人群儿童创伤的长期负健康影响，并加强近端保护因素，例如健康自我效能。

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