RESUMEN
OBJECTIVE: To describe childhood trauma and depressive symptoms in Mexican women and to explore the relationships between number and type of childhood traumatic events and depressive symptoms. METHODS: A community-based sample of 100 women was interviewed using a demographic questionnaire, the Life Stressor Checklist-Revised (LSC-R), and the Center for Epidemiologic Studies Depression Scale (CES-D). Childhood trauma (trauma at or before 16 years of age) and depressive symptoms were described, and logistic and linear regressions were used to analyze the relationship between childhood traumatic events and current depressive symptoms. RESULTS: Participants reported a mean of 9.46 (standard deviation (SD): 4.18) lifetime traumas and 2.76 (SD: 2.34) childhood traumas. The mean CES-D score was 18.9 (SD: 12.0) and 36.0% of participants had clinically significant depression (CES-D > 24). Depression scores were correlated with lifetime trauma, childhood trauma, education level, employment status, and number of self-reported current medical conditions. Depression scores were not significantly correlated with age, marital status, number of children, or socioeconomic status. For every additional childhood trauma experienced, the odds of clinically significant depressive symptoms (CES-D > 24) increased by 50.0% (adjusted odds ratio (OR): 1.50; 95% confidence interval: 1.14-1.96), after controlling for number of children, age, education level, employment status, and number of self-reported medical conditions. CONCLUSIONS: The results indicated that the number of childhood trauma exposures is associated with current depression among urban Mexican women, suggesting a need for trauma-informed care in this setting.
Asunto(s)
Depresión/epidemiología , Trastorno Depresivo/epidemiología , Trastornos Relacionados con Traumatismos y Factores de Estrés/epidemiología , Adolescente , Adulto , Edad de Inicio , Anciano , Anciano de 80 o más Años , Quiebra Bancaria , Aflicción , Niño , Preescolar , Depresión/etiología , Trastorno Depresivo/etiología , Desastres , Femenino , Humanos , Lactante , México/epidemiología , Persona de Mediana Edad , Factores Socioeconómicos , Trastornos Relacionados con Traumatismos y Factores de Estrés/psicología , Población Urbana , ViolenciaRESUMEN
Our purpose in this study was to examine the relationship between interpersonal violence and background traumas and symptom distress in a community sample of Colombian women (N = 217). We utilized the Life Stressor Checklist-Revised (LSC-R) to measure lifetime interpersonal violence (IPV) and background trauma exposure and the Brief Symptom Inventory (BSI) to measure current symptom distress. Although both exposures were common in this sample, IPV was strongly correlated with current symptom distress; background traumas made no unique contribution to the variance in current symptom distress. Based on our findings, it is suggested that interpersonal events may be particularly distressing.
Asunto(s)
Mujeres Maltratadas/psicología , Violencia Doméstica/psicología , Relaciones Interpersonales , Trastornos por Estrés Postraumático/psicología , Estrés Psicológico/psicología , Adolescente , Anciano , Colombia , Estudios Transversales , Violencia Doméstica/etnología , Femenino , Estado de Salud , Humanos , Acontecimientos que Cambian la Vida , Salud Mental , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Características de la Residencia , Factores Socioeconómicos , Trastornos por Estrés Postraumático/diagnóstico , Salud de la Mujer , Adulto JovenRESUMEN
This article describes the efforts of the University of California, San Francisco, School of Nursing to develop the Spanish language and cultural competency skills of advanced practice nursing students by establishing an elective course, Communicating with the Latino Patient. The need for this training is reflected in the literature, which has shown that language barriers decrease patient satisfaction and quality of care and increase the likelihood of medical error. Fifty-seven first-year master's students participated in this course. The effectiveness of the training was monitored during and after each course by self-assessment surveys of the participants' language acquisition. The data suggest that the most successful outcomes result from limiting class size, emphasizing high interactivity, and incorporating clinical experiences in the instruction, as well as focusing exclusively on intermediate-level speakers when resources are limited. Training can be time consuming and costly, yet graduates agreed that the training was imperative and valuable.