Abstract：
Asian Americans have been identified as a racial group that is disproportionately affected by childhood trauma. The goal of this study was to assess if religion/spirituality moderate the effects of childhood trauma on adult depressive symptoms among a sample of South Asians in the USA. Our analysis drew from the study on stress, spirituality, and health (SSSH) questionnaire fielded in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study (n = 990) during 2016-2018. A series of regression models with multiplicative interaction terms were conducted. Emotional neglect, emotional abuse, and physical neglect were associated with higher depressive symptoms. Higher religious attendance and negative religious coping techniques were found to exacerbate this relationship. There were two findings conditional on gender. Among men, gratitude and positive religious coping also exacerbated the relationship between childhood trauma and depressive symptoms. Negative religious coping also exacerbated the association between childhood trauma and depressive symptoms for women. This is the first community-based study of US South Asians to consider the association between various forms of childhood trauma and depressive symptom outcomes. South Asians remain an understudied group in the religion and health literature, and this study sheds light on the important differences in the function and effectiveness of religion/spirituality for those faced with early life trauma.
摘要：
亚裔美国人已被确定为受童年创伤影响较大的种族群体。这项研究的目的是评估宗教/灵性是否减轻了美国南亚人样本中儿童创伤对成人抑郁症状的影响。我们的分析来自对压力的研究，灵性,2016-2018年期间，在居住在美国的南亚人动脉粥样硬化介质（MASALA）研究（n=990）中进行了健康（SSSH）问卷调查。进行了一系列具有乘法交互项的回归模型。情感上的忽视，情感虐待,身体忽视与较高的抑郁症状有关。发现更高的宗教出勤率和消极的宗教应对技巧加剧了这种关系。有两个以性别为条件的发现。在男性中,感恩和积极的宗教应对也加剧了童年创伤和抑郁症状之间的关系。消极的宗教应对也加剧了童年创伤与女性抑郁症状之间的联系。这是美国南亚人的第一个基于社区的研究，以考虑各种形式的童年创伤与抑郁症状结果之间的关联。在宗教和健康文献中，南亚人仍然是一个研究不足的群体，这项研究揭示了面临早期生活创伤的人在宗教/灵性功能和有效性方面的重要差异。
