Psychological outcomes and culturally relevant moderators associated with events of discrimination among Asian American adults

OBJECTIVES

Incidents of discrimination against Asian Americans have increased in the United States during the COVID-19 pandemic. The aims of this study are to (a) examine the overall psychological impact of incidents of discrimination on Asian Americans adults, (b) identify whether East Asians experience worse psychological outcomes following experiences of discrimination compared to other Asian Americans, and (c) identify culturally relevant factors that moderate the relationship between incidents of discrimination and psychological outcomes.

METHOD

Two hundred eighty-nine participants who identified racially as Asian American (Mage = 33.1 years, ±10.5 SD, 57.1% male, and 54.3% East Asian) completed an online survey including measures of demographics, psychological outcomes, culturally relevant factors (e.g., acculturative stress, collective self-esteem), and racial discrimination.

RESULTS

We found that, overall, experiencing increased frequency of discrimination related to more depressive symptoms and alcohol use (ps < .05). When comparing Asian subgroups (East Asian vs. other Asian), there were no significantly different relationships between discrimination frequency and attribution to race on psychological outcomes (ps > .098). Collective self-esteem (p = .041) weakened, while acculturative stress strengthened (p < .001) the relationship between discrimination frequency and alcohol use; collective self-esteem weakened the relationship between attribution to race and social anxiety (p = .021); and internalized racism weakened the relationship between discrimination frequency and depression (p = .038).

CONCLUSIONS

We identified moderators of the relationship between experiences of discrimination and psychological outcomes in Asian Americans. Because the moderators held for all Asian groups under study, they are strong candidates for points of intervention to mitigate the harmful effects of discrimination for Asian Americans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Reproducibility Movement in Psychology: Does Researcher Gender Affect How People Perceive Scientists With a Failed Replication?

The reproducibility movement in psychology has resulted in numerous highly publicized instances of replication failures. The goal of the present work was to investigate people’s reactions to a psychology replication failure vs. success, and to test whether a failure elicits harsher reactions when the researcher is a woman vs. a man. We examined these questions in a pre-registered experiment with a working adult sample, a conceptual replication of that experiment with a student sample, and an analysis of data compiled and posted by a psychology researcher on their public weblog with the stated goal to improve research replicability by rank-ordering psychology researchers by their “estimated false discovery risk.” Participants in the experiments were randomly assigned to read a news article describing a successful vs. failed replication attempt of original work from a male vs. female psychological scientist, and then completed measures of researcher competence, likability, integrity, perceptions of the research, and behavioral intentions for future interactions with the researcher. In both working adult and student samples, analyses consistently yielded large main effects of replication outcome, but no interaction with researcher gender. Likewise, the coding of weblog data posted in July 2021 indicated that 66.3% of the researchers scrutinized were men and 33.8% were women, and their rank-ordering was not correlated with researcher gender. The lack of support for our pre-registered gender-replication hypothesis is, at first glance, encouraging for women researchers’ careers; however, the substantial effect sizes we observed for replication outcome underscore the tremendous negative impact the reproducibility movement can have on psychologists’ careers. We discuss the implications of such negative perceptions and the possible downstream consequences for women in the field that are essential for future study.

Examining the effects of implicit and explicit racial identity on psychological distress and substance use among Black young adults

Racial identity is an aspect of self-concept that is important to the mental and behavioral health of Black individuals. Yet, much of the current research on racial identity is based on self-report measures which may impact findings due to reporting biases. One way to alleviate some of the measurement concerns is to use implicit measures to assess racial identity. The purpose of the present study was to examine whether an implicit assessment of racial identity, specifically racial centrality, provided a unique contribution to the understanding of risk for psychological distress and substance use among Black young adults above potential effects observed from an explicit measurement of racial identity. Additionally, the potential moderating effect of implicit racial identity, controlling for explicit racial identity, on the association between racial discrimination and these health outcomes was also examined. One hundred and forty-seven Black young adults participated in this study. Contrary to our hypothesis, there was no significant main effect of implicit racial centrality on depressive symptoms or substance use after accounting for explicit racial centrality. However, after controlling for explicit racial centrality, a significant moderating effect of implicit racial centrality on the relationship between racial discrimination and substance use was observed. Although support for all of our hypotheses was not definitively found, our findings can be added to this emerging area of study. Additionally, potential explanations for the findings are provided that can be used to inform future research in this area to better understand the utility of assessing for implicit racial identity among Black young adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Black lives matter…still: moving beyond acknowledging the problem toward effective solutions in graduate training and education

Purpose

The aim of the study is to revisit the importance of Black Lives Matter (BLM) and to encourage more attention to White supremacy in the academy, especially with regards to the development and mentoring of graduate students.

Design/methodology/approach

The study reflects on the urgency of the BLM movement given the death of George Floyd and others.

Findings

The article highlights the ways in which the training and development of graduate students can reinforce systems of exclusion and marginalization while reinforcing existing systems of privilege and the status quo. The essay concludes with recommendations for creating greater systems of inclusion for programs, departments and higher education institutions.

Practical implications

Recommendations are given to initiate culture change.

Originality/value

This is a follow-up to the 2017 special issue.

Meta-Analytic Use of Balanced Identity Theory to Validate the Implicit Association Test

This meta-analysis evaluated theoretical predictions from balanced identity theory (BIT) and evaluated the validity of zero points of Implicit Association Test (IAT) and self-report measures used to test these predictions. Twenty-one researchers contributed individual subject data from 36 experiments (total N = 12,773) that used both explicit and implicit measures of the social-cognitive constructs. The meta-analysis confirmed predictions of BIT's balance-congruity principle and simultaneously validated interpretation of the IAT's zero point as indicating absence of preference between two attitude objects. Statistical power afforded by the sample size enabled the first confirmations of balance-congruity predictions with self-report measures. Beyond these empirical results, the meta-analysis introduced a within-study statistical test of the balance-congruity principle, finding that it had greater efficiency than the previous best method. The meta-analysis's full data set has been publicly archived to enable further studies of interrelations among attitudes, stereotypes, and identities.

An experimental investigation of the relationships among race, prayer, and pain

Background and aims Compared to White individuals, Black individuals demonstrate a lower pain tolerance. Research suggests that differences in pain coping strategies, such as prayer, may mediate this race difference. However, previous research has been cross-sectional and has not determined whether prayer in and of itself or rather the passive nature of prayer is driving the effects on pain tolerance. The aim of this study was to clarify the relationships among race, prayer (both active and passive), and pain tolerance. Methods We randomly assigned 208 pain-free participants (47% Black, 53% White) to one of three groups: active prayer ("God, help me endure the pain"), passive prayer ("God, take the pain away"), or no prayer ("The sky is blue"). Participants first completed a series of questionnaires including the Duke University Religion Index, the Coping Strategies Questionnaire-Revised (CSQ-R), and the Pain Catastrophizing Scale. Participants were then instructed to repeat a specified prayer or distractor coping statement while undergoing a cold pressor task. Cold pain tolerance was measured by the number of seconds that had elapsed while the participant's hand remained in the cold water bath (maximum 180 s). Results Results of independent samples t-tests indicated that Black participants scored higher on the CSQ-R prayer/hoping subscale. However, there were no race differences among other coping strategies, religiosity, or catastrophizing. Results of a 2 (Race: White vs. Black)×3 (Prayer: active vs. passive vs. no prayer) ANCOVA controlling for a general tendency to pray and catastrophizing in response to prayer indicated a main effect of prayer that approached significance (p=0.06). Pairwise comparisons indicated that those in the active prayer condition demonstrated greater pain tolerance than those in the passive (p=0.06) and no prayer (p=0.03) conditions. Those in the passive and no prayer distractor conditions did not significantly differ (p=0.70). There was also a trending main effect of race [p=0.08], with White participants demonstrating greater pain tolerance than Black participants. Conclusions Taken together, these results indicate that Black participants demonstrated a lower pain tolerance than White participants, and those in the active prayer condition demonstrated greater tolerance than those in the passive and no prayer conditions. Furthermore, Black participants in the passive prayer group demonstrated the lowest pain tolerance, while White participants in the active prayer group exhibited the greatest tolerance. Results of this study suggest that passive prayer, like other passive coping strategies, may be related to lower pain tolerance and thus poorer pain outcomes, perhaps especially for Black individuals. On the other hand, results suggest active prayer is associated with greater pain tolerance, especially for White individuals. Implications These results suggest that understanding the influence of prayer on pain may require differentiation between active versus passive prayer strategies. Like other active coping strategies for pain, active prayer may facilitate self-management of pain and thus enhance pain outcomes independent of race. Psychosocial interventions may help religiously-oriented individuals, regardless of race, cultivate a more active style of prayer to improve their quality of life.

Obstetrical Providers' Management of Chronic Pain in Pregnancy: A Vignette Study

Objective

Describe obstetrical providers' management of a hypothetical case on chronic pain in pregnancy and determine whether practices differ based on patient race.

Design and Setting

This was a self-administered survey at a clinical conference.

Subjects

Seventy-six obstetrician-gynecologists and one nurse practitioner were surveyed.

Methods

A case-vignette described a pregnant patient presenting with worsening chronic lower back pain, requesting an opioid refill and increased dosage. We varied patient race (black/white) across two randomly assigned identical vignettes. Providers indicated their likelihood of prescribing opioids, drug testing, and referring on a 0 (definitely would not) to 10 (definitely would) scale; rated their suspicions/concerns about the patient on a 0-10 VAS scale; and ranked those concerns in order of importance. We calculated correlation coefficients, stratifying analyses by patient race.

Results

Providers were not inclined to refill the opioid prescription (median = 3.0) or increase the dose (median = 1.0). They were more likely to conduct urine drug tests on white than black patients ( P = 0.008) and more likely to suspect that white patients would divert the medication ( P =0.021). For white patients, providers' highest-ranked concern was the patient's risk of abuse/addiction, whereas, for black patients, it was harm to the fetus. Suspicion about symptom exaggeration was more closely related to decisions about refilling the opioid prescriptions and increasing the dose for black patients (r = -0.357, -0.439, respectively), whereas these decisions were more closely correlated with concerns about overdose for white patients (r = -0.406, -0.494, respectively).

Conclusions

Provider suspicion and concerns may differ by patient race, which may relate to differences in pain treatment and testing. Further study is warranted to better understand how chronic pain is managed in pregnancy.

Race and the Psychological Health of African Americans

This study examined an array of race-related factors pertaining to psychological well-being and distress among 300 African American participants. Findings obtained via structural equation modeling pointed to the importance of having positive implicit ingroup attitudes for psychological health and underscored the significance of Black cultural immersion, particularly in shaping implicit attitudes. Support was obtained for three models: ingroup identity as an antecedent to perceived prejudice, which, in turn, was negatively associated with psychological health; ingroup identity as a consequence of perceived prejudice with positive implications for psychological health; and ingroup identity as a moderator of perceived prejudice, with stronger identity providing a buffer from prejudice. Findings illustrate the consequential and complex role of racial variables in African Americans' psychological health.

Evidence of Prejudice-Related Conflict and Associated Affect Beyond the College Setting

Previous research has shown that many college students are prone to prejudice-related discrepancies (i.e. their responses to stereotyped group members are more prejudiced than their personal standards suggest is appropriate), and they feel guilty as a result. Although there are reasons to suspect that this prejudice with compunction may be observed only among college students, the present findings suggest that this is not the case. White participants varying in educational attainment (from completed grade school or less to completed graduate school), age, and income completed prejudice, discrepancy, and affect measures. Replicating findings obtained with college participants, participants reported having discrepancies, and low-prejudice participants felt guilty as a result of detecting their discrepancies. The results generalized across all levels of education, age, and income. Implications for the potential success of prejudice reduction strategies are discussed.

The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model

Although the Hispanic population is a burgeoning ethnic group in the United States, little is known about their pain-related experience. To address this gap, we critically reviewed the existing literature on pain experience and management among Hispanic Americans (HAs). We focused our review on the literature on nonmalignant pain, pain behaviors, and pain treatment seeking among HAs. Pain management experiences were examined from HA patients' and health care providers' perspectives. Our literature search included variations of the term "Hispanic" with "AND pain" in PubMed, Embase, Web of Science, ScienceDirect, and PsycINFO databases. A total of 117 studies met our inclusion criteria. We organized the results into a conceptual model with separate categories for biological and/or psychological and sociocultural and/or systems-level influences on HAs' pain experience, response to pain, and seeking and receiving pain care. We also included information on health care providers' experience of treating HA patients with pain. For each category, we identified future areas of research. We conclude with a discussion of limitations and clinical implications.

PERSPECTIVE

In this critical review of the literature we examined the pain and management experiences of the HA population. We propose a conceptual model, which highlights findings from the existing literature and future areas of research.

The interaction of patient race, provider bias, and clinical ambiguity on pain management decisions

Although racial disparities in pain care are widely reported, much remains to be known about the role of provider and contextual factors. We used computer-simulated patients to examine the influence of patient race, provider racial bias, and clinical ambiguity on pain decisions. One hundred twenty-nine medical residents/fellows made assessment (pain intensity) and treatment (opioid and nonopioid analgesics) decisions for 12 virtual patients with acute pain. Race (black/white) and clinical ambiguity (high/low) were manipulated across vignettes. Participants completed the Implicit Association Test and feeling thermometers, which assess implicit and explicit racial biases, respectively. Individual- and group-level analyses indicated that race and ambiguity had an interactive effect on providers' decisions, such that decisions varied as a function of ambiguity for white but not for black patients. Individual differences across providers were observed for the effect of race and ambiguity on decisions; however, providers' implicit and explicit biases did not account for this variability. These data highlight the complexity of racial disparities and suggest that differences in care between white and black patients are, in part, attributable to the nature (ie, ambiguity) of the clinical scenario. The current study suggests that interventions to reduce disparities should differentially target patient, provider, and contextual factors.

PERSPECTIVE

This study examined the unique and collective influence of patient race, provider racial bias, and clinical ambiguity on providers' pain management decisions. These results could inform the development of interventions aimed at reducing disparities and improving pain care.

Dimensions of Black Identity Predict System Justification

What explains variability in African Americans’ sociopolitical attitudes? System justification theory implicates both high- and low-status groups in the maintenance of the socioeconomic and political system, postulating that individuals are motivated to justify the system. Self-interest offers a simple explanation for system justification among high-status groups. However, system justification among African Americans is less well-understood. Using a socioeconomically diverse sample of 275 Black undergraduates, including traditional as well as older students, the current survey and quantitative analyses further understanding of attitudes toward the system and institutions by linking attitudes with Black identity. Findings revealed that highly identifying as Black negatively predicted system justification but not if one rejects a Black nationalist ideology. Endorsing an assimilation ideology positively predicted system justification. An oppressed minority ideology did not predict system justification but positively predicted trust across institutions (police and local and national government). Finally, the Black nationalist ideology negatively predicted trust in police. These findings reveal the utility of a multidimensional model of Black identity in shedding light on attitudes toward the system and institutions.

Implicit and explicit stigma of mental illness: attitudes in an evidence-based practice

The extent to which explicit and implicit stigma are endorsed by mental health practitioners using evidence-based practices is unknown. The purposes of the current study were to a) examine implicit and explicit biases among Assertive Community Treatment (ACT) staff and b) explore the extent to which biases predicted the use of treatment control mechanisms. Participants were 154 ACT staff from nine states. Overall, the participants exhibited positive explicit and implicit attitudes toward people with mental illness. When modeled using latent factors, greater implicit, but not explicit, bias significantly predicted greater endorsement of restrictive or controlling clinical interventions. Thus, despite overall positive attitudes toward those with mental illness for the sample as a whole, individual differences in provider stigma were related to clinical care. Mental health professionals, and specifically ACT clinicians, should be educated on types of bias and ways in which biases influence clinical interventions.

Testing the “Black Code”

The present experiment examined identity denial and reduced empathy for in-group (vs. out-group) targets as a function of the racial composition of their social networks. Black participants rated in-group (Black) targets as more weakly racially identified and expressed less empathy for in-group targets with cross-race close friends versus same-race close friends or no friends. Furthermore, the effect of social network composition on empathy was mediated by perceived racial identity. These findings were limited to the in-group target. Although the out-group (White) target was rated as more weakly identified when shown with cross-race close friends versus same-race close friends or no friends, neither social network composition nor perceived racial identity predicted empathy for the out-group target. These findings extend previous research on identity denial and suggest that, for Blacks, closely associating with Whites undermines the usually robust pattern of in-group empathy.

Individual Differences in Discrimination Expectations Moderate the Impact of Target Stereotypically Black Physical Features on Racism-Related Responses in Blacks

Two experiments assess the extent that targets’ stereotypically Black physical features and individual differences in perceiver discrimination expectations influence racism-related responses. In Experiment 1, a total of 115 Black college students read about an ambiguously racist workplace situation. Participants reported their hostile emotions and racism attributions. In Experiment 2, a total of 121 Black college students read about two White police officers who physically harm a Black male. Participants reported their experience of empathy for the Black target. In both experiments, stereotypically Black physical features of the Black target were experimentally manipulated, and individual differences in discrimination expectations were assessed. More stereotypically Black physical features elicited greater racism attributions, greater hostile emotions, and more empathy for the target; and in all cases, the impact was stronger for Blacks with low discrimination expectations relative to those with high discrimination expectations. When person-related variables are especially salient, the influence of situational factors is necessarily reduced. Specifically, our findings demonstrate the insensitivity to racism-related situational cues that may be most pervasive for Blacks with high discrimination expectations.

The self-regulation of prejudice: Toward understanding its lived character

Survey and laboratory studies provide support for the self-regulation of prejudice, but it is unclear whether people similarly self-regulate in“real life. Using a phenomenological approach, 153 non-Black participants recalled racial experiences in which they responded in ways they later wished had been different. Participants internally motivated to control prejudice reported discrepancies regardless of their external motivation, but even participants low on internal motivation reported prejudice-related discrepancies if they were externally motivated. Content analysis results are presented to summarize participants discrepancy experiences. Also, most participants discrepancies produced negative self-directed affect and the self-regulation of prejudice in the future. Findings suggest that self-regulation generalizes beyond the laboratory and occurs even among people who are not internally motivated to control their prejudice.

Priming Media Stereotypes Reduces Support for Social Welfare Policies: The Mediating Role of Empathy

Two experiments involving White participants tested the influence of media-based priming of Black stereotypes on support for government policy that assisted Black versus White persons-in-need. Experiment 1 showed that priming the “Black criminal” stereotype through exposure to photographs of Blacks looting after Hurricane Katrina reduced policy support for Black evacuees-in-need but did not influence support responses toward White evacuees-in-need. Experiment 2 showed that priming the “promiscuous Black female” stereotype through exposure to sexual rap music reduced policy support for a Black pregnant woman-in-need but did not influence support responses toward a White pregnant woman-in-need. Further tests of mediated moderation demonstrated that in both experiments, the interactive influence of priming Black stereotypes and race of persons-in-need on policy support was mediated by empathic responding.

Black College Students' Extropunitive and Intropunitive Responses to Prejudice: Implications for Concrete Attitudes Toward School in a Predominantly White Institution

The present research examined whether individual differences in extropunitive (i.e., distrust, dislike, and discriminatory expectations of Whites) and intropunitive (i.e., internalization of society's disparaging views) responses to prejudice account for African Americans' concrete attitudes toward school (i.e., experience-based doubts about extrinsic rewards for scholastic effort), above and beyond or in conjunction with racial centrality. Seventy Black college students at a predominantly White urban institution completed measures of concrete attitudes, extropunitive and intropunitive responses to prejudice, and racial centrality. Results indicated that the more participants expected discrimination from Whites—especially when such prejudice was not internalized— the more negative their concrete attitudes toward school. Intropunitive responses were less important for concrete attitudes, especially for participants who were high in racial centrality.

Putting the brakes on prejudice: on the development and operation of cues for control

A model concerning the establishment and operation of cues for control was developed and tested to understand how control can be exerted over (automatic) prejudiced responses. Cues for control are stimuli that are associated with prejudiced responses and the aversive consequences of those responses (e.g., guilt). In Experiments 1 and 2, 3 events critical to the establishment of cues occurred: behavioral inhibition, the experience of guilt, and retrospective reflection. In Experiment 3, the presentation of already-established cues for control did, as expected, produce behavioral inhibition. In Experiment 4, participants were provided with an experience in which cues could be established. Later presentation of those cues in a different task resulted in behavioral inhibition and less racially biased responses.

Putting the brakes on prejudice: on the development and operation of cues for control

A model concerning the establishment and operation of cues for control was developed and tested to understand how control can be exerted over (automatic) prejudiced responses. Cues for control are stimuli that are associated with prejudiced responses and the aversive consequences of those responses (e.g., guilt). In Experiments 1 and 2, 3 events critical to the establishment of cues occurred: behavioral inhibition, the experience of guilt, and retrospective reflection. In Experiment 3, the presentation of already-established cues for control did, as expected, produce behavioral inhibition. In Experiment 4, participants were provided with an experience in which cues could be established. Later presentation of those cues in a different task resulted in behavioral inhibition and less racially biased responses.

Implicit associations as the seeds of intergroup bias: how easily do they take root?

Three experiments provided evidence that intergroup bias occurs automatically under minimal conditions, using the Implicit Association Test (IAT). In Experiment 1, participants more readily paired in-group names with pleasant words and out-group names with unpleasant words, even when they were experienced only with the in-group and had no preconceptions about the out-group. Participants in Experiment 2 likewise showed an automatic bias favoring the in-group, even when in-group/out-group exemplars were completely unfamiliar and identifiable only with the use of a heuristic. In Experiment 3, participants displayed a pro-in-group IAT bias following a minimal group manipulation. Taken together, the results demonstrate the ease with which intergroup bias emerges even in unlikely conditions.

Implicit associations as the seeds of intergroup bias: how easily do they take root?

Three experiments provided evidence that intergroup bias occurs automatically under minimal conditions, using the Implicit Association Test (IAT). In Experiment 1, participants more readily paired in-group names with pleasant words and out-group names with unpleasant words, even when they were experienced only with the in-group and had no preconceptions about the out-group. Participants in Experiment 2 likewise showed an automatic bias favoring the in-group, even when in-group/out-group exemplars were completely unfamiliar and identifiable only with the use of a heuristic. In Experiment 3, participants displayed a pro-in-group IAT bias following a minimal group manipulation. Taken together, the results demonstrate the ease with which intergroup bias emerges even in unlikely conditions.