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Hagiwara N, Shipman-Lacewell J, Smith D, Jones HA, Green TL, Belgrave F, Valrie C. Personal- vs. Group-Level Discrimination and Physical and Mental Health Outcomes Among Black Adolescents. J Racial Ethn Health Disparities 2023:10.1007/s40615-023-01758-4. [PMID: 37624537 DOI: 10.1007/s40615-023-01758-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 08/07/2023] [Accepted: 08/10/2023] [Indexed: 08/26/2023]
Abstract
BACKGROUND The negative health consequences of personal experiences of racial discrimination (personal-level discrimination) has been well-documented across developmental stages, including adolescence, in Black individuals. There is also some evidence suggesting perceiving other Black individuals experiencing racial discrimination (group-level discrimination) can protect one's health in Black adults. METHODS This study examined the role of personal- and group-level discrimination in Black adolescent health. The study was a secondary analysis of survey data collected from 186 Black adolescents that included reports of discrimination, physical function, anxiety, and depression. RESULTS Black adolescents who reported greater, as opposed to lower, personal-level discrimination were more likely to experience poorer physical and mental health outcomes. While group-level discrimination was also associated with physical health outcomes, it was not directly associated with mental health outcomes. Importantly, across all three health outcomes, awareness of group-level discrimination mitigated the negative health consequences of personal-level discrimination. Among adolescents who reported low levels of group-level discrimination, personal-level discrimination was associated negatively with physical function and positively with anxiety and depressive symptoms. Among adolescents who reported high levels of group-level discrimination, there was no association between personal-level discrimination and any of the health outcomes. DISCUSSION Consistent with prior research with Black adults, awareness of high group-level discrimination may protect Black adolescents from the negative health consequences of personal-level discrimination. The pattern of the results is also consistent with the literature of the personal-group discrimination discrepancy (PGDD) and psychological wellbeing. Future research should investigate the psychological mechanisms implicated in PGDD (e.g., external attribution of discrimination and intragroup comparison) as potential coping strategies for Black adolescents against the negative health consequences of personal-level discrimination.
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Affiliation(s)
- Nao Hagiwara
- University of Virginia, Charlottesville, VA, USA.
| | | | - Danyel Smith
- University of Virginia, Charlottesville, VA, USA
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Josiah N, Shoola H, Rodney T, Arscott J, Ndzi M, Bush AD, Wilson PR, Jacques K, Baptiste DL, Starks S. Addressing systemic racism and intergenerational transmission of anxiety using Bowenian family therapy with African American populations: A Discursive paper. J Adv Nurs 2023; 79:1714-1723. [PMID: 36825628 DOI: 10.1111/jan.15610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 12/23/2022] [Accepted: 02/10/2023] [Indexed: 02/25/2023]
Abstract
AIM To examine the intergenerational impact of systemic racism on mental health, depicting the evolution and patterns of anxiety symptoms and the application of the Bowenian family therapy to understand the interrelatedness and long-standing impact of intergenerational trauma in African American families. This article highlights interventions that increase awareness of and promotes physical and mental health for African American populations. DESIGN Discursive Paper. METHOD Searching literature published between 2012 and 2022 in PubMed, SCOPUS, EBSCO Host and Google Scholar, we explored factors associated with systemic racism and generational anxiety. DISCUSSION Evidence-based literature supports the application of the Bowenian family therapy theoretical framework to understand the intergenerational impact of systemic racism and to address the transmission of anxiety symptoms in African American populations. CONCLUSION Culturally appropriate interventions are needed to decrease anxiety symptoms in an attempt to heal intergenerational trauma and to improve family dynamics in African American populations. IMPACT TO NURSING PRACTICE Nurses play an integral role in providing holistic quality patient-centred care for African American populations who have experienced racial trauma. It is critical for nurses to implement culturally responsive and racially informed care with patients that focuses on self-awareness, health promotion, prevention and healing in efforts to address racial trauma. Application of Bowenian family therapy can aid in the reduction of both intergenerational transmission of racial trauma and generational anxiety. NO PATIENT OR PUBLIC CONTRIBUTION There was no patient or public involvement in the design or drafting of this discursive paper. The authors reviewed the literature to develop a discussion.
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Affiliation(s)
- Nia Josiah
- Columbia University School of Nursing, New York, New York, USA
| | - Hakeem Shoola
- Columbia University School of Nursing, New York, New York, USA
| | - Tamar Rodney
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
| | - Joyell Arscott
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Maureen Ndzi
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
| | - Ashley D Bush
- Department of Defense, Department of Human Resources, Fort Detrick, Maryland, USA
| | - Patty R Wilson
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
| | - Keilah Jacques
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | | | - Shaquita Starks
- Emory Nell Hodgson Woodruff, School of Nursing, Atlanta, Georgia, USA
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Delli Colli C, Borgi M, Poggini S, Chiarotti F, Cirulli F, Penninx BWJH, Benedetti F, Vai B, Branchi I. Time moderates the interplay between 5-HTTLPR and stress on depression risk: gene x environment interaction as a dynamic process. Transl Psychiatry 2022; 12:274. [PMID: 35821204 PMCID: PMC9276704 DOI: 10.1038/s41398-022-02035-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 06/13/2022] [Accepted: 06/27/2022] [Indexed: 12/02/2022] Open
Abstract
The serotonin-transporter-linked promoter region (5-HTTLPR) has been widely investigated as contributing to depression vulnerability. Nevertheless, empirical research provides wide contrasting findings regarding its involvement in the etiopathogenesis of the disorder. Our hypothesis was that such discrepancy can be explained considering time as moderating factor. We explored this hypothesis, exploiting a meta analytic approach. We searched PubMed, PsychoINFO, Scopus and EMBASE databases and 1096 studies were identified and screened, resulting in 22 studies to be included in the meta-analyses. The effect of the 5-HTTLPR x stress interaction on depression risk was found to be moderated by the following temporal factors: the duration of stress (i.e. chronic vs. acute) and the time interval between end of stress and assessment of depression (i.e. within 1 year vs. more than 1 year). When stratifying for the duration of stress, the effect of the 5-HTTLPR x stress interaction emerged only in the case of chronic stress, with a significant subgroup difference (p = 0.004). The stratification according to time interval revealed a significant interaction only for intervals within 1 year, though no difference between subgroups was found. The critical role of time interval clearly emerged when considering only chronic stress: a significant effect of the 5-HTTLPR and stress interaction was confirmed exclusively within 1 year and a significant subgroup difference was found (p = 0.01). These results show that the 5-HTTLPR x stress interaction is a dynamic process, producing different effects at different time points, and indirectly confirm that s-allele carriers are both at higher risk and more capable to recover from depression. Overall, these findings expand the current view of the interplay between 5-HTTLPR and stress adding the temporal dimension, that results in a three-way interaction: gene x environment x time.
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Affiliation(s)
- Claudia Delli Colli
- grid.416651.10000 0000 9120 6856Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy ,grid.7841.aPhD program in Pharmacology and Toxicology, Department of Physiology and Pharmacology “Vittorio Erspamer”, Sapienza University of Rome, Rome, Italy
| | - Marta Borgi
- grid.416651.10000 0000 9120 6856Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Silvia Poggini
- grid.416651.10000 0000 9120 6856Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Flavia Chiarotti
- grid.416651.10000 0000 9120 6856Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Francesca Cirulli
- grid.416651.10000 0000 9120 6856Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Brenda W. J. H. Penninx
- grid.12380.380000 0004 1754 9227Department of Psychiatry, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands
| | - Francesco Benedetti
- grid.18887.3e0000000417581884Psychiatry & Clinical Psychobiology, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy ,grid.15496.3f0000 0001 0439 0892Università Vita-Salute San Raffaele, Milan, Italy
| | - Benedetta Vai
- grid.18887.3e0000000417581884Psychiatry & Clinical Psychobiology, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy ,grid.15496.3f0000 0001 0439 0892Università Vita-Salute San Raffaele, Milan, Italy
| | - Igor Branchi
- Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy.
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Su J, Trevino AD, Kuo SIC, Aliev F, Williams CD, Guy MC, Dick D, Amstadter A, Lilley E, Gelzinis R, Morris A, Bountress K, Adkins A, Thomas N, Neale Z, Pedersen K, Bannard T, Cho S, Barr P, Byers H, Berenz E, Caraway E, Clifford J, Cooke M, Do E, Edwards A, Goyal N, Hack L, Halberstadt L, Hawn S, Kuo S, Lasko E, Lent J, Lind M, Long E, Martelli A, Meyers J, Mitchell K, Moore A, Moscati A, Nasim A, Opalesky J, Overstreet C, Pais C, Raldiris T, Salvatore J, Savage J, Smith R, Sosnowski D, Su J, Walker C, Walsh M, Willoughby T, Woodroof M, Yan J, Sun C, Wormley B, Riley B, Aliev F, Peterson R, Webb B, Dick DM. Racial Discrimination and Alcohol Problems: Examining Interactions with Genetic Risk and Impulsivity among African American Young Adults. J Youth Adolesc 2022; 51:1552-1567. [DOI: 10.1007/s10964-022-01609-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 03/24/2022] [Indexed: 11/30/2022]
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Butler-Barnes ST, Martin PP, Hope EC, Copeland-Linder N, Lawrence Scott M. Religiosity and Coping: Racial Stigma and Psychological Well-Being among African American Girls. JOURNAL OF RELIGION AND HEALTH 2018; 57:1980-1995. [PMID: 29860644 DOI: 10.1007/s10943-018-0644-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study examined how having a relationship with God served as a protective factor between racial stigma beliefs and psychological well-being. A church sample of African American adolescent girls (N = 117, Mage= 15) completed measures on racial stigma, psychological well-being, and reports on having a relationship with God. After controlling for adolescent age, family income, and church attendance, positive racial beliefs and having a relationship with God were associated with a healthier psychological well-being. Findings also revealed that having a relationship with God and internalizing healthier racial beliefs were associated with a healthier psychological well-being, whereas reporting higher levels of having a relationship with God served as a protective factor for African American girls when internalizing moderate levels of racial stigma. Overall, results suggest that having a relationship with God can serve as a coping mechanism and promote a healthier psychological well-being for African American adolescent girls.
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Affiliation(s)
- Sheretta T Butler-Barnes
- George Warren Brown School of Social Work, Washington University, One Brookings Drive, Campus Box 1196, St. Louis, MO, 63130, USA.
| | | | - Elan C Hope
- North Carolina State University, Raleigh, USA
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Benner AD, Wang Y, Shen Y, Boyle AE, Polk R, Cheng YP. Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review. ACTA ACUST UNITED AC 2018; 73:855-883. [PMID: 30024216 DOI: 10.1037/amp0000204] [Citation(s) in RCA: 345] [Impact Index Per Article: 57.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This meta-analytic study systematically investigates the relations between perceived racial/ethnic discrimination and socioemotional distress, academics, and risky health behaviors during adolescence, and potential variation in these relations. The study included 214 peer-reviewed articles, theses, and dissertations, with 489 unique effect sizes on 91,338 unique adolescents. Random-effects meta-analyses across 11 separate indicators of well-being identified significant detrimental effects. Greater perceptions of racial/ethnic discrimination were linked to more depressive and internalizing symptoms; greater psychological distress; poorer self-esteem; lower academic achievement and engagement; less academic motivation; greater engagement in externalizing behaviors, risky sexual behaviors, and substance use; and more associations with deviant peers. Metaregression and subgroup analyses indicated differences by race/ethnicity, Gender × Race/Ethnicity interactions, developmental stage, timing of retrospective measurement of discrimination, and country. Overall, this study highlights the pernicious effects of racial/ethnic discrimination for adolescents across developmental domains and suggests who is potentially at greater risk. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Affiliation(s)
| | - Yijie Wang
- Department of Human Development and Family Studies
| | - Yishan Shen
- Department of School of Family and Consumer Sciences
| | | | | | - Yen-Pi Cheng
- Department of Human Development and Family Sciences
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New developments in prejudice research: from its neural basis and impact on well-being to prejudice reduction. Curr Opin Psychol 2016. [DOI: 10.1016/j.copsyc.2016.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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