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Williams M, Zare M. A Psychometric Investigation of Racial Trauma Symptoms Using a Semi-Structured Clinical Interview With a Trauma Checklist (UnRESTS). CHRONIC STRESS (THOUSAND OAKS, CALIF.) 2022; 6:24705470221145126. [PMID: 36578698 PMCID: PMC9791291 DOI: 10.1177/24705470221145126] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 11/29/2022] [Indexed: 12/24/2022]
Abstract
The term racial trauma is used to describe the cumulative distressing and traumatizing effects of racism in all of its forms, and it closely resembles the construct of posttraumatic stress disorder (PTSD). This investigation aims to increase our understanding of racial trauma by comparing the characteristics of those with a clinically-relevant diagnosis of racial trauma to those without, based on the findings of a clinical semi-structured interview and symptom checklist for assessing racial trauma, the University of Connecticut Racial Ethnic Stress and Trauma Survey (UnRESTS), administered to a diverse group of adults (N = 97). This paper extends prior work on racial trauma by examining the correlations between racial trauma and validated self-report measures of discriminatory distress, controlling for racialization. We examine the correlation between a clinically-relevant diagnosis of racial trauma and racial/ethnic identity. We also compare racism-related PTSD symptoms in those with and without racial trauma to inform clinical assessment. Finally, we examine the factor structure of racial trauma symptoms using the 24 items from the UnRESTS PTSD symptom checklist and compare these to current DSM-5 models. The structure of racial trauma symptoms differed from the DSM-5 4-factor model, as do other PTSD models in the research literature. Clinical and research implications are discussed.
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Affiliation(s)
- Monnica Williams
- School of Psychology, University of Ottawa, Ottawa, Canada,Monnica T. Williams, School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Vanier Hall, Ottawa, Ontario, Canada K1N 6N5.
| | - Manzar Zare
- School of Psychology, University of Ottawa, Ottawa, Canada
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102
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Bayne HB, Mejia J, Mosley DV. The Social Justice Consultation Corps: An interdisciplinary training initiative. COUNSELOR EDUCATION AND SUPERVISION 2022. [DOI: 10.1002/ceas.12256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Hannah B. Bayne
- Department of Counselor Education University of Florida Gainesville Florida USA
| | - Jeannette Mejia
- Department of Counseling Psychology University of Florida Gainesville Florida USA
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103
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Keum BT, Li X. Online Racism, Rumination, and Vigilance: Impact on Distress, Loneliness, and Alcohol Use. COUNSELING PSYCHOLOGIST 2022. [DOI: 10.1177/00110000221143521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
We examined the potential anticipatory response (rumination, vigilance) associated with online racism and its impact on psychological distress, loneliness, and alcohol use severity. With a sample of 407 racial minority adults, we conducted a path analysis to examine the indirect relation of online racism on our outcome variables via online racism-related rumination and offline racism-related vigilance. Online racism was significantly linked to psychological distress, alcohol use severity, and loneliness. Rumination and vigilance explained significant indirect relations between online racism and psychological distress and loneliness. Only rumination explained the significant indirect relation between online racism and alcohol use severity. Posthoc multigroup analysis suggested that the path model estimates for the full sample applied equivalently to the African American/Black, Asian/Asian American, and Latinx/Hispanic American groups. Online racism is likely an unjust burden for racial minority individuals that may give rise to prolonged rumination and anticipation about facing racial discrimination in their offline world.
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Affiliation(s)
- Brian TaeHyuk Keum
- Department of Social Welfare, University of California Los Angeles, Los Angeles, CA, USA
| | - Xu Li
- Department of Educational Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
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104
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Keum BT, Li X. Coping with online racism: Patterns of online social support seeking and anti-racism advocacy associated with online racism, and correlates of ethnic-racial socialization, perceived health, and alcohol use severity. PLoS One 2022; 17:e0278763. [PMID: 36459527 PMCID: PMC9718414 DOI: 10.1371/journal.pone.0278763] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 11/22/2022] [Indexed: 12/03/2022] Open
Abstract
Given the emerging public health concerns of online racism, we examined potential coping approaches for racial/ethnic minority adults. Using a latent class regression model (N = 407), we examined patterns of online social support seeking and anti-racism advocacy engagements that were associated with online racism among racial/ethnic minority adults. We also examined whether these patterns were associated with ethnic-racial socialization messages (cultural socialization, promotion of mistrust, preparation for racial bias), perceived health, and alcohol use severity. Three distinct latent groups were identified with meaningful group differences: triggered/reactive (alcohol use risk, higher promotion of mistrust), moderate engagement (no risk), disengaged/non-reactive (higher promotion of mistrust, higher cultural socialization, alcohol use risk) groups. Online social support seeking and advocacy engagement may have both benefits and costs in coping with online racism. Those who engage at optimal/balanced levels appear to report better well-being. Implications for research and practice are discussed.
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Affiliation(s)
- Brian TaeHyuk Keum
- Department of Social Welfare, University of California, Los Angeles, Los Angeles, California, United States of America
- * E-mail:
| | - Xu Li
- Department of Educational Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States of America
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105
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Grasser LR, Jovanovic T. Neural Impacts of Stigma, Racism, and Discrimination. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2022; 7:1225-1234. [PMID: 35811064 DOI: 10.1016/j.bpsc.2022.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 05/28/2022] [Accepted: 06/28/2022] [Indexed: 12/13/2022]
Abstract
Racism is a chronic stressor fueled by stigma that can result in significant distress and dysfunction as well as negatively affect emotions, behavior, quality of life, and brain health. The effects of stigma and discrimination emerge early in life and have long-term consequences. In this review, we sought to use neuroscience research to describe how stigma, racism, and discrimination can impact brain and mental health. Societal stigmas may be encoded by associative fear learning and pattern completion networks, and experiences of racial discrimination may similarly affect threat-responsive regions and circuits. Race-related differences in brain function and structure supporting threat circuitry are largely attenuated when negative life experiences and discrimination are taken into account. Downstream, chronic activation of the hypothalamic-pituitary-adrenal axis and the sympathetic-adrenal-medullary axis in the context of discrimination and stigma can contribute to physical health disparities in minoritized and marginalized groups. Finally, we discuss models that provide a framework for interventions and societal-level strategies across ecologic systems to build resilience and foster posttraumatic growth.
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Affiliation(s)
- Lana Ruvolo Grasser
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan
| | - Tanja Jovanovic
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan.
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106
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Keum BT, Choi AY. COVID-19 Racism, Depressive Symptoms, Drinking to Cope Motives, and Alcohol Use Severity Among Asian American Emerging Adults. EMERGING ADULTHOOD (PRINT) 2022; 10:1591-1601. [PMID: 38603255 PMCID: PMC9353315 DOI: 10.1177/21676968221117421] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The COVID-19 pandemic has incited widespread anti-Asian racism, which is linked to numerous behavioral health consequences including depressive symptoms. As racism-induced depressive symptoms are linked to coping-related alcohol use and because alcohol-related problems represent a significant public health concern in this population, we investigated whether COVID-19 racism predicted alcohol use severity through depressive symptoms and drinking to cope motives among Asian American emerging adults (N = 139; Mage = 23.04; 50% women, 50% men). We conducted a serial mediation wherein COVID-19 racism predicted alcohol use severity sequentially through depressive symptoms and drinking to cope motives. COVID-19 racism directly and significantly predicted alcohol use severity. The indirect effect via depressive symptoms and drinking to cope motives was also significant, suggesting that COVID-19 racism is likely a risk factor for alcohol-related problems. Results inform intervention science and highlight the need for policy and behavioral health services to curb COVID-19 racism.
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Affiliation(s)
- Brian TaeHyuk Keum
- Department of Social Welfare, University of California, Los Angeles, CA, USA
| | - Andrew Young Choi
- Counseling and Student Development Center, University of Hawaiʻi at Mānoa, HI, USA
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107
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Lockwood S, Farrell A, Cuevas CA, Robles J. Bias Crime and Victimization Among Latinx Adults: Formal and Informal Help Seeking. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP22600-NP22626. [PMID: 35195467 DOI: 10.1177/08862605211072175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Latinx adults have become increasingly vulnerable to bias motivated victimization. The impact of such incidents on Latinx communities is severely understudied, particularly concerning whether or not victims will seek help as a result of such events. Evidence within other victimization contexts demonstrate Latinx populations may be less likely to seek formal help from police, medical providers, and other formal authorities, relying instead on informal support networks such as family and friends. The current study sought to understand formal and informal help-seeking behavior among Latinx adults who experienced bias motivated victimization. The Understanding and Measuring Bias Victimization against Latinos study obtained rates of bias victimization and subsequent help-seeking behavior among Latinx adults who reported experiencing bias victimization (n = 315, 34.6% of full sample of 910). Those who experience bias victimization seek formal help at much lower rates than informal forms of support. Logistic regression analyses controlling the type of victimization demonstrated that participants who experienced a victimization constituting a hate crime were more likely to seek formal help compared to experiencing non-criminal bias events. Implications include addressing barriers to Latinx bias victims seeking forms of help, in addition to understanding the potential polyvictimization histories that predict why Latinx adults may decide to seek help.
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Affiliation(s)
- Sarah Lockwood
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Amy Farrell
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Carlos A Cuevas
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
| | - Jesenia Robles
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, 1848Northeastern University, Boston, MA, USA
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108
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Felter JM, DiDonato S, Johnson N, Moh YS, Richardson A, Czerny A. Creating sanctuay: A programmatic approach for trauma integration in counselor education. COUNSELOR EDUCATION AND SUPERVISION 2022. [DOI: 10.1002/ceas.12249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- Jeanne M. Felter
- Department of Counseling and Behavioral Health Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Stephen DiDonato
- College of Nursing Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Nicole Johnson
- Department of Counseling and Behavioral Health Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Yoon Suh Moh
- Department of Counseling and Behavioral Health Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Angelle Richardson
- Department of Counseling and Behavioral Health Thomas Jefferson University Philadelphia Pennsylvania USA
| | - Astra Czerny
- School of Counseling and Human/Community Service Lenoir Rhyne University at Hickory Hickory North Carolina USA
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109
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Zhang E, Hyun S, Yip T, Hahm HC, Liu CH. Learning about discrimination during childhood: Implications for racial trauma among Asians and Asian Americans during the pandemic. Asian J Psychiatr 2022; 77:103250. [PMID: 36116394 DOI: 10.1016/j.ajp.2022.103250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 08/16/2022] [Accepted: 08/29/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Although the COVID-19 pandemic has led to a sharp rise in anti-Asian hate crimes, limited data exist on racial trauma and its effects on Asian Americans. The current study investigated how racial discrimination and parental ethnic-racial socialization (cultural socialization, preparation for bias, and promotion of mistrust) were associated with racial trauma among Asian Americans in young adulthood. Increased cultural socialization and preparation for bias in childhood were hypothesized to be associated with lower levels of racial trauma, whereas increased racial discrimination and promotion of mistrust were hypothesized to predict higher levels of racial trauma. METHODS Based on a retrospective report of young adults during the COVID-19 pandemic, this longitudinal nationwide study within the United States examined 133 Asian and Asian American young adults ages 18-30 who participated in an online survey regarding ethnic identity, childhood ethnic-racial socialization practices, racial discrimination-related experiences, and racial trauma. RESULTS Lifetime discrimination, but not COVID-19-related discrimination, was associated with higher levels of racial trauma. Greater levels of preparation for bias during childhood predicted lower levels of racial trauma in young adulthood. Contrary to the hypothesis, greater levels of cultural socialization predicted higher levels of racial trauma. Promotion of mistrust was not associated with later racial trauma outcomes. CONCLUSION The current study underscores the long-term impacts of parent-child discussions about racism (i.e., preparation for bias) to address racial trauma in young adulthood. Future research should further examine cultural socialization to determine its effects on racial trauma among Asian Americans.
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Affiliation(s)
- Emily Zhang
- Boston College Lynch School of Education and Human Development, United States; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, United States
| | - Sunah Hyun
- Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, United States; Jonathan M. Tisch College of Civic Life, Tufts University, United States; Harvard Medical School, United States
| | - Tiffany Yip
- Department of Psychology, Fordham University, United States
| | | | - Cindy H Liu
- Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, United States; Harvard Medical School, United States; Department of Psychiatry, Brigham and Women's Hospital, United States.
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110
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Moody MD, Tobin CST, Erving CL. Vicarious Experiences of Major Discrimination and Psychological Distress among Black Men and Women. SOCIETY AND MENTAL HEALTH 2022; 12:175-194. [PMID: 36277676 PMCID: PMC9581462 DOI: 10.1177/21568693221116631] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Racism-related stress frameworks posit that the discriminatory experiences of one's loved ones may threaten one's well-being, but relatively few studies have examined how they may impact mental health beyond childhood and adolescence. Using data from the Nashville Stress and Health Study (N = 1,252), the present study assessed the prevalence of vicarious experiences of discrimination among subsamples of Black men (n = 297) and women (n = 330), examined the association between vicarious experiences of discrimination and psychological distress among Black men and women, and evaluated the impact of vicarious discrimination on psychological distress in the context of other stressors. Results suggest that Black women report more vicarious exposure to specific types of discrimination. Furthermore, vicariously experienced discrimination was associated with higher levels of psychological distress among Black women, but not among Black men. Our findings extend the literature on racism-related stress and offer new insights for interventions aimed at reducing racial disparities in mental health.
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Affiliation(s)
- Myles D. Moody
- The University of Alabama at Birmingham, Birmingham, AL, USA
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111
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Perceived racial discrimination and suicidal behaviors among racial and ethnic minority adolescents in the United States: Findings from the 2021 adolescent behaviors and experiences survey. Psychiatry Res 2022; 317:114877. [PMID: 36244159 DOI: 10.1016/j.psychres.2022.114877] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/29/2022] [Accepted: 09/30/2022] [Indexed: 01/05/2023]
Abstract
The objectives of this study were to investigate: (1) the prevalence of perceived racial discrimination (PRD) in school, among racial/ethnic minority adolescents, and (2) the association between PRD and suicidal behaviors among racial/ethnic minority adolescents in the United States. Data from a sample of 3241 racial/ethnic minority adolescents (53.7% female) from the 2021 Adolescent Behaviors and Experiences Survey were analyzed using binary logistic regression. Controlling for other factors, racial/ethnic minority adolescents who experienced PRD had 1.57 times higher odds of experiencing suicidal ideation (adjusted odds ratio (AOR) = 1.57, 95% Confidence Intervals (CI) = 1.09-2.25), 1.64 times higher odds of making a suicide plan (AOR = 1.64, 95% CI = 1.09-2.49), and 1.67 times higher odds of attempting suicide (AOR = 1.67, 95% CI = 1.04-2.68) during the past year. Other factors associated with suicidal behaviors included self-identifying as lesbian/gay, bisexual, or other/questioning; experiencing cyberbullying; feeling sad or hopeless; and poor mental health during the pandemic. The findings of this study extend past research and demonstrate that racial/ethnic minority adolescents who experienced PRD were more likely to report suicidal behaviors over and above other well-established risk factors for suicidal behaviors. Future studies that employ longitudinal designs are needed to elucidate mechanisms underlying these associations.
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112
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Cénat JM. Complex Racial Trauma: Evidence, Theory, Assessment, and Treatment. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2022; 18:675-687. [PMID: 36288462 DOI: 10.1177/17456916221120428] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Racial trauma refers to experiences related to threats, prejudices, harm, shame, humiliation, and guilt associated with various types of racial discrimination, either for direct victims or witnesses. In North American, European, and colonial zeitgeist societies, Black, Indigenous, and people of color (BIPOC) experience racial microaggressions and interpersonal, institutional, and systemic racism on a repetitive, constant, inevitable, and cumulative basis. Although complex trauma differs from racial trauma in its origin, the consistency of racist victimization beyond childhood, and the internalized racism associated with it, strong similarities exist. Similar to complex trauma, racial trauma surrounds the victims’ life course and engenders consequences on their physical and mental health, behavior, cognition, relationships with others, self-concept, and social and economic life. There is no way to identify racial trauma other than through a life-course approach that captures the complex nature of individual, collective, historical, and intergenerational experiences of racism experienced by BIPOC communities in Western society. This article presents evidence for complex racial trauma (CoRT), a theoretical framework of CoRT, and guidelines for its assessment and treatment. Avenues for future research, intervention, and training are also presented.
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Affiliation(s)
- Jude Mary Cénat
- School of Psychology, University of Ottawa
- Interdisciplinary Centre for Black Health, University of Ottawa
- University of Ottawa Research on Black Health, University of Ottawa
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113
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Watson LB, Henderson J. The Relation Between Gendered Racial Microaggressions and Traumatic Stress Among Highly Educated Black Women. COUNSELING PSYCHOLOGIST 2022. [DOI: 10.1177/00110000221133104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study examined the relations among gendered racial microaggressions, resilience, individual and collective self-esteem, and traumatic stress among Black women. Personal self-esteem significantly mediated the positive relation between gendered racial microaggressions and traumatic stress. Resilience was also directly negatively related to traumatic stress and positively related to personal and collective self-esteem. Resilience moderated the positive relation between gendered racial microaggressions and membership identity/esteem. That is, at high levels of resilience, membership identity/esteem remained high, regardless of the frequency of gendered racial microaggressions. However, at low and average levels of resilience, membership identity/esteem was higher when experiencing more frequent gendered racial microaggressions. Mental health providers are encouraged to consider the deleterious role of gendered racial microaggressions in Black women’s traumatic stress. In addition, mental health providers should also consider the role of resilience in potentially mitigating traumatic stress and fostering Black women’s personal and collective self-esteem.
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114
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Walker JH, Cuervo M, Venta A. Familismo neutralizes the effects of discrimination on suicide-related thoughts and behaviors in Latinx young adults. J Affect Disord 2022; 315:57-63. [PMID: 35908605 DOI: 10.1016/j.jad.2022.07.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 07/21/2022] [Accepted: 07/22/2022] [Indexed: 12/12/2022]
Abstract
In recent years, there has been a significant increase in rates of suicide-related thoughts and behaviors among Latinx young adults. Given Latinx young adults are one of the fastest growing subgroups in the United States, this raises significant public health concern. Perceived discrimination has consistently been identified as a risk factor and has been positively associated with depressive symptoms, further exacerbating risk for the development of suicide-related thoughts and behaviors. Critical to understanding Latinx mental health is familismo, a core cultural value that entails connectedness, dedication, commitment, and loyalty to family. Moreover, it involves seeking family for advice and support. The current study sought to examine depressive symptoms as mediator for the relation between perceived discrimination and suicide-related thoughts and behaviors while investigating familismo as a moderator in attenuating these relations within a college aged Latinx sample (N = 1037, 75.3% female, Mage = 21, SD = 4.49). Across models, depressive symptoms explained the relation between perceived discrimination and suicide-related thoughts and behaviors (p ≤0.001-0.024) with familismo significantly acting as moderator (p = .009). In exploring the protective effects of an important Latinx cultural value on a growing public health disparity, the current study provides novel insight that may be used to tailor and adapt current intervention and prevention efforts for Latinx young adults at risk for suicide-related thoughts and behaviors.
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Affiliation(s)
- Jesse H Walker
- Department of Psychology, University of Houston, Houston, TX, United States of America
| | - Maria Cuervo
- Department of Psychology, University of Houston, Houston, TX, United States of America
| | - Amanda Venta
- Department of Psychology, University of Houston, Houston, TX, United States of America.
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115
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Ponce NA, Adia AC, Banawa RA, Tan S, Sabado-Liwag MD. Measuring Asian hate: Discordant reporting of race-based hate incidents and unfair treatment and association with measures of wellbeing. Front Public Health 2022; 10:958857. [PMID: 36299752 PMCID: PMC9589279 DOI: 10.3389/fpubh.2022.958857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 08/31/2022] [Indexed: 01/24/2023] Open
Abstract
Background During COVID-19, anti-Asian discrimination increased in attention. Hate and unfair treatment are related but do not completely overlap. We expect those who report a hate incident would also report race-based unfair treatment, yet feelings of social desirability or self-blame may lead to under-reporting of unfair treatment. Objectives To describe reporting of an experience of race-based hate but not an experience of race-based unfair treatment among Asians in California and explore the association between this reporting discordance with (1) serious psychological distress, (2) forgoing needed medical care, (3) increased household interpersonal conflict, and (4) feeling unsafe in their neighborhood. Methods We used the 2020 California Health Interview Survey's AANHPI COVID Module, conducted weighted descriptive and multivariate analyses, and computed adjusted relative risks (RR). The multivariate models controlled for Asian subgroup, age, gender, immigrant status, education level, poverty, and English proficiency. Results Among Asians who reported race-based hate (6.9% overall), 62.4% reported not experiencing race-based unfair treatment. Compared to Asians not reporting a hate incident, this "discordant" group was more likely to experience serious psychological distress (RR = 6.9), forgo necessary medical care (RR = 2.4), increased household interpersonal conflicts (RR = 2.7), and feel unsafe in their neighborhoods (RR = 3.0). The "concordant" group did not post significant effects for severe psychological distress nor forgoing necessary medical care. Discussion Most Asians reporting hate did not report race-based unfair treatment, and this group is most affected by the consequences of a hate incident. We indicate future directions for research and policy.
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Affiliation(s)
- Ninez A. Ponce
- UCLA Center for Health Policy Research, Los Angeles, CA, United States,Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States,Filipinx/a/o Community Health Association, Los Angeles, CA, United States,*Correspondence: Ninez A. Ponce
| | - Alexander C. Adia
- Filipinx/a/o Community Health Association, Los Angeles, CA, United States
| | - Rachel A. Banawa
- UCLA Center for Health Policy Research, Los Angeles, CA, United States,Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States,Filipinx/a/o Community Health Association, Los Angeles, CA, United States
| | - Sean Tan
- UCLA Center for Health Policy Research, Los Angeles, CA, United States
| | - Melanie D. Sabado-Liwag
- Filipinx/a/o Community Health Association, Los Angeles, CA, United States,Department of Public Health, California State University, Los Angeles, CA, United States
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116
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Galán CA, Meza JI, Ridenour TA, Shaw DS. Racial Discrimination Experienced by Black Parents: Enduring Mental Health Consequences for Adolescent Youth. J Am Acad Child Adolesc Psychiatry 2022; 61:1251-1261. [PMID: 35513191 DOI: 10.1016/j.jaac.2022.04.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 12/19/2021] [Accepted: 04/25/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Despite evidence linking experiences of racial discrimination by Black parents and problem behaviors in youth, little is known about the mechanisms that explain this link. To elucidate these developmental pathways, a serial mediation model was tested, in which Black parents' experiences of racial discrimination were hypothesized to predict increased parental depression and parent-child conflict in early adolescence, which in turn would be associated with youth depression, anxiety, and conduct problems in early to mid-adolescence. METHOD Participants were 252 Black parent-child dyads. Youth (56% female) were on average 11.98 years old at study entry (wave 1). Parents and youth completed questionnaires during a home-based assessment at wave 1 and were assessed again 1 and 2 years later (waves 2 and 3). RESULTS Black parents' experiences of racial discrimination at wave 1 were linked to higher levels of parent-child conflict at wave 2 (0.20; 95% CI [0.05, 0.33]), which in turn predicted greater youth-reported depression at wave 3 (0.30; 95% CI [0.15, 0.47]). There was a significant indirect effect of racial discrimination on youth-reported depression via parent-child conflict (indirect effect: 0.06, 95% CI [0.02, 0.10]). Findings were replicated across multiple outcomes (ie, depression, anxiety, conduct problems) and multiple informants (ie, youth report, parent report). There was no evidence to support a serial mediation model via parental depression and then parent-child conflict. CONCLUSION This study identified a developmental pathway from Black parents' experiences of racial discrimination to adolescent problem behaviors via parent-child conflict. Findings may inform interventions aimed at promoting resilience in parents and youth faced with pervasive racism. CLINICAL TRIAL REGISTRATION INFORMATION Substance Use Screening and Prevention for Adolescents in Pediatric Primary Care (SKY); https://clinicaltrials.gov/; NCT03074877.
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117
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Datta RP, Nakhaie R. Suicidal ideation and social integration in three Canadian provinces: The importance of social support and community belonging. CANADIAN REVIEW OF SOCIOLOGY = REVUE CANADIENNE DE SOCIOLOGIE 2022; 59:74-97. [PMID: 36043805 DOI: 10.1111/cars.12396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Extending recent developments in the neo-Durkheimian analysis of suicidality as an indicator of social pathology, this paper analyses individual level survey data on suicidal ideation, perceptions of social support, and the sense of belonging from three Canadian provinces drawn from the Canadian Community Health Survey (2015-16). We ask whether or not social support and a sense of belonging affect suicide ideation differently. In answering this question, we pay attention to both subjective and objective indicators of integration, and how subjective indicators independently affect suicide ideation. Results show that a higher level of social support had the largest effect on suicidal ideation and that the effect of a sense of belonging disappeared when measures of social support are accounted for. These findings are consistent with Durkheim's general theory of suicide and previous studies on mental health, highlighting the importance of regular, proximate social interaction as a prophylactic against suicidality.
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Affiliation(s)
- Ronjon Paul Datta
- Sociology and Criminology, University of Windsor, Windsor, Ontario, Canada
| | - Reza Nakhaie
- Sociology and Criminology, University of Windsor, Windsor, Ontario, Canada
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118
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King RU, Este DC, Yohani S, Duhaney P, McFarlane C, Liu JKK. Actions needed to promote health equity and the mental health of Canada's Black refugees. ETHNICITY & HEALTH 2022; 27:1518-1536. [PMID: 34392754 DOI: 10.1080/13557858.2021.1955092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 07/07/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVES The overall goal was to synthesize knowledge on actions that need to be taken to promote health equity and the mental health of Black refugees in Canada. DESIGN Group concept mapping systems were applied to generate and organize action-oriented statements related to the different social determinants of health. A total of 174 participants from the cities of Calgary and Edmonton with experience working with Black Canadians participated in four focus groups: (a) 2 focus groups that engaged 123 participants in brainstorming 84 statements guided by the following focus prompt: 'A specific action that would improve the mental health equity of Black refugees living in Canada is … ' and (b) 2 focus groups of 51 participants who sorted the generated statements and rated them by order of 'importance' and 'ideas seen in action.' Data was further computed and analysed by the research team and a select advisory group from the participants. RESULTS A 10-cluster map generated included the following clusters: (1) promoting cultural identity, (2) promoting ways of knowing, (3) addressing discrimination and racism, (4) addressing the criminalization of Black Canadians, (5) investing in employment for equity, (6) promoting equity in housing, (7) facilitating self-determination, (8) improving (public) services, (9) promoting appropriate and culturally relevant mental health services, and (10) working with and addressing faith and belief related issues. Clusters 4 and 9 ranked as the most important clusters in promoting health equity and the mental health of Black Canadians. CONCLUSIONS Addressing the criminalization of Black Canadians through a range of rehumanizing interventions at institutional levels will provide a platform from which they can participate and engage others in developing appropriate and culturally relevant mental health services.
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Affiliation(s)
| | | | - Sophie Yohani
- Department of Educational Psychology, University of Alberta, Edmonton, Canada
| | - Patrina Duhaney
- Faculty of Social Work, University of Calgary, Calgary, Canada
| | - Christine McFarlane
- Master of Christian Studies (MCS) Candidate, Christian Studies, Ambrose University, Calgary, Canada
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119
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Chou S, Han C, Ouyang JX, Yan Li AS. East Asian Population. Child Adolesc Psychiatr Clin N Am 2022; 31:745-763. [PMID: 36182222 DOI: 10.1016/j.chc.2022.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This article explores the ways East Asian American (EAA) children and adolescents have experienced disparities in the United States throughout the COVID-19 pandemic. The history of racism toward Asian American and Pacific Islanders (AAPI) and the complexities of acculturation are reflected through this contemporary lens. Traditional East Asian (EA) values were disrupted during this period. Implications for children and families are discussed. Persistent underlying xenophobia and racism, such as the model minority myth or perpetual foreigner stereotype, rose to new prominence, furthering emotional distress in EA and EAA youths beyond those already experienced universally by AAPI families during the pandemic.
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Affiliation(s)
- Shinnyi Chou
- University of Pittsburgh Medical Center, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.
| | - Crystal Han
- University of Maryland Medical Center, 701 West Pratt Street, Baltimore, MD 21201, USA
| | - Jessica Xiaoxi Ouyang
- Georgetown University School of Medicine, MedStar Georgetown University Hospital, 2115 Wisconsin Avenue Northeast, Suite 200, Washington, DC 20002, USA
| | - Annie Sze Yan Li
- NYU Grossman School of Medicine, NYU Langone Health, NYC Health + Hospital-Bellevue Medical Center, NYU Child Study Center, One Park Avenue, 7th Floor, New York, NY 10016, USA
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120
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Cureton JL, Leslie M, McMahon B, Lowe HE, Tovey B, Rumrill PD. Anxiety and employment discrimination: Implications for counseling and return to work practice. Work 2022; 73:1091-1102. [DOI: 10.3233/wor-223649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: The most prevalent mental health diagnosis is anxiety disorder, which remains largely undertreated. OBJECTIVE: This investigation considered differences in workplace discrimination against adults with anxiety disorders during two eras of legal history: the original Americans with Disabilities Act (ADA, 1990-2008) and the ADA Amendments Act (ADAAA, 2009-present). METHOD: Research questions addressed differential (a) numbers and types of allegations (b) case resolutions, and (c) demographic characteristics of the charging parties. RESULTS: Results indicated substantially more allegations and merit-based resolutions filed by charging parties with anxiety disorders post-ADAAA. Furthermore, the post-ADAAA era revealed increases in allegations from women and people from non-white racial groups. CONCLUSION: These findings can inform advocacy and counseling and rehabilitation services for clients who experience anxiety.
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Affiliation(s)
- Jenny L. Cureton
- Department of Counselor Education and Supervision, Kent State University, Kent, OH, USA
| | - Mykal Leslie
- Department of Counselor Education and Supervision, Kent State University, Kent, OH, USA
| | - Brian McMahon
- Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA
| | - Hannah E. Lowe
- Department of Counselor Education and Supervision, Kent State University, Kent, OH, USA
| | - Bridget Tovey
- Department of Counselor Education and Supervision, Kent State University, Kent, OH, USA
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121
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Layug A, Krishnamurthy S, McKenzie R, Feng B. The Impacts of Social Media Use and Online Racial Discrimination on Asian American Mental Health: Cross-sectional Survey in the United States During COVID-19. JMIR Form Res 2022; 6:e38589. [PMID: 36121698 PMCID: PMC9488547 DOI: 10.2196/38589] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 07/13/2022] [Accepted: 08/25/2022] [Indexed: 11/13/2022] Open
Abstract
Background
During the COVID-19 pandemic, increased social media usage has led to worsened mental health outcomes for many people. Moreover, due to the sociopolitical climate during the pandemic, the prevalence of online racial discrimination has contributed to worsening psychological well-being. With increases in anti-Asian hate, Asian and Asian American social media users may experience the negative effects of online racial discrimination in addition to the reduced psychological well-being resulting from exposure to online COVID-19 content.
Objective
This study aims to investigate the impact of COVID-19–related social media use and exposure to online racial discrimination during the pandemic on the mental health outcomes (ie, anxiety, depression, and secondary traumatic stress [STS]) of Asian Americans compared with those of non-Asian Americans. In addition, this study explores the mediating role of negative affect and the moderating role of racial/ethnic identification.
Methods
An online survey was conducted through Amazon Mechanical Turk and a university-wide research portal from March 3 to March 15, 2021. A total of 1147 participants took the survey. Participants’ social media usage related to COVID-19 and exposure to 2 online forms of racial discrimination (individual and vicarious), mental health outcomes (anxiety, depression, and STS), racial/ethnic identification, negative affect, and demographics were assessed.
Results
Our results showed that COVID-19–related social media use, individual discrimination, and vicarious discrimination were predictors of negative mental health outcomes (anxiety, depression, and STS). Asian Americans reported higher vicarious discrimination than Latinx and White Americans, but Asian Americans’ mental health outcomes did not differ substantially from those of the other racial/ethnic groups. Racial/ethnic identification moderated the relationship between both types of discrimination and STS, and negative affect served as a mediator between both types of discrimination and all 3 mental health outcomes.
Conclusions
These results suggest that social media exposure continues to have a dire effect on mental health during the COVID-19 pandemic. This study helps to contextualize the rise of anti-Asian American hate and its impact on mental health outcomes in the United States.
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Affiliation(s)
- Alyan Layug
- Department of Asian American Studies, University of California, Davis, Davis, CA, United States
- Department of Psychology, University of California, Davis, Davis, CA, United States
| | | | - Rachel McKenzie
- Department of Communication, University of California, Davis, Davis, CA, United States
| | - Bo Feng
- Department of Communication, University of California, Davis, Davis, CA, United States
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Acuña MA, Franke TM, Lipscomb AE. Coping and Resilience: PTSD Screening and Brief Intervention for Underrepresented Students at a Public University. SOCIAL WORK 2022; 67:321-330. [PMID: 35856686 DOI: 10.1093/sw/swac029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 02/13/2021] [Accepted: 02/22/2021] [Indexed: 06/15/2023]
Abstract
The undetected and untreated PTSD symptoms (difficulty paying attention, nightmares and difficulty sleeping, irritability or aggression, flashbacks, diminished interest in activities, self-destructive behavior, and feeling isolated) of college students may interfere with their relationships, well-being, learning, and academic success. To examine the feasibility, acceptability, and impact of providing a short-term trauma-specific evidence-based group intervention, Coping & Resilience (C&R), an adaptation of Cognitive Behavioral Intervention for Trauma in Schools (CBITS) was implemented at a large urban public university. Fifty college students (54 percent male, 90 percent students of color), with a mean PTSD symptom score of 34 at pretest (considered in the moderate range of symptom severity) participated in C&R groups. As expected, student PTSD symptoms improved after group participation. A Quade test showed a significant decrease in the scores from pretest to follow-up for PTSD and two subscales (intrusion and avoidance). Large public universities serving underrepresented students are uniquely positioned to become trauma- and resilience-informed systems and to provide trauma support services to promote student well-being.
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Affiliation(s)
- M Alejandra Acuña
- PhD, LCSW, PPSC, is associate professor, Department of Social Work, College of Social and Behavioral Sciences, California State University, Northridge, 18111 Nordhoff Street, Northridge, CA 91330, USA
| | - Todd M Franke
- PhD, is professor, University of California, Los Angeles, Los Angeles, CA, USA
| | - Allen E Lipscomb
- PsyD, LCSW, is associate professor, California State University, Northridge, Northridge, CA, USA
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123
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Leath S, Butler-Barnes S, Haynes-Thoby L. "They Just Keep Coming": A Study of How Anti-Black Racial Violence Informs Racial Grief and Resistance Among Black Mothers. JOURNAL OF CHILD AND FAMILY STUDIES 2022; 31:3450-3467. [PMID: 36105272 PMCID: PMC9461437 DOI: 10.1007/s10826-022-02421-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/15/2022] [Indexed: 06/15/2023]
Abstract
Scholars have begun to address how exposure to vicarious racial violence influences stress and coping processes among Black families in the U.S. Yet, fewer scholars have considered the importance of racial grief as a component of the coping process. The current study drew upon semi-structured interview data from 31 Black mothers in the U.S. (25-52 years; M age = 35 years) to explore how mothers processed and responded to vicarious anti-Black racial violence. We used consensual qualitative research methods and identified the following themes: (a) recognizing the endemic nature of racial violence, (b) feeling frozen in fear after a new case of racial violence, and (c) transforming grief into grievance as a route to racial justice. The findings contextualize Black mothers' concerns about the racial violence that they and their children might experience during their lifetime, and how they channel this grief into actionable change against racial injustice. Authors discuss strengths-based ways to frame the role of grief and loss in the context of racism.
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Affiliation(s)
- Seanna Leath
- Psychological and Brain Sciences Department, Washington University in St. Louis, St. Louis, MO USA
| | - Sheretta Butler-Barnes
- School of Social Work, Brown School, Washington University in St. Louis, St. Louis, MO USA
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124
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Woodberry-Shaw D, Akiva T, Lewis SS. Youth Development Staff Experiences During the COVID-19 Pandemic: a Mixed Methods Study. CHILD & YOUTH CARE FORUM 2022; 52:829-853. [PMID: 36092528 PMCID: PMC9449270 DOI: 10.1007/s10566-022-09711-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 06/27/2022] [Accepted: 08/16/2022] [Indexed: 11/26/2022]
Abstract
Background Youth-serving organizations in the United States provide programs, activities, and opportunities for young people before school, during school, after school, in summer, and on weekends. At the core of youth-serving organizations are the adults; that is, youth development staff. Objective In this explanatory sequential mixed methods study we explored youth development staff's stress and worries, their compassion satisfaction, and whether stress and compassion satisfaction varied by race/ethnicity and gender during the early months of the COVID-19 pandemic - a collective trauma event. Methods We surveyed 283 youth development staff and interviewed a subset of 25. Results Results suggest that youth development staff experienced stress and compassion satisfaction during the COVID-19 pandemic. Conclusion We recommend organizational leaders provide youth development staff with support before a collective trauma event. They can work to change, add, or remove policies, practices, and routines to help decrease stress and increase compassion satisfaction. In addition, based on our results from this study our primary recommendation specific to collective trauma events, after taking care of their own personal wellness, is for youth development staff to focus on what is in their control and work to do those things for as many young people as they can.
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Affiliation(s)
| | - Thomas Akiva
- School of Education, University of Pittsburgh, Pittsburgh, USA
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125
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Exploring the associations between discrimination, coping, skin tone, and the psychosocial health of young adults of color. Proc Natl Acad Sci U S A 2022; 119:e2119587119. [PMID: 36037339 PMCID: PMC9459310 DOI: 10.1073/pnas.2119587119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Although valuable strides have been made in linking racial and ethnic discrimination to health outcomes, scholars have primarily used between-person methodological approaches, which assess the implications of reporting high or low mean levels of discrimination. Alternatively, within-person approaches assess the implications of intraindividual variation, or acute changes, in an individual's exposure to discrimination. These approaches pose two fundamentally different questions about the association between discrimination and health, and empirical work that disaggregates these effects remains scarce. Scholars have also called for research exploring whether sociocultural factors-such as race-related coping and skin tone-contour these associations. To address gaps in extant literature, the current study examined 1) how an individual's average level of exposure to discrimination (between-person) and weekly fluctuations in these encounters (within-person) relate to psychosocial health and 2) whether race-related coping (confrontational and passive coping) and skin tone moderate these associations. Analyses were conducted using weekly diary data from African American and Latinx young adults (n = 140). Findings indicated that reporting higher mean levels of exposure to discrimination and encountering more discrimination than usual on a given week were both associated with poorer psychosocial health. Results also suggest that the efficacy of young adults' coping mechanisms may depend on their skin tone and the nature of the discriminatory events encountered.
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126
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Alvarez K, Cervantes PE, Nelson KL, Seag DEM, Horwitz SM, Hoagwood KE. Review: Structural Racism, Children's Mental Health Service Systems, and Recommendations for Policy and Practice Change. J Am Acad Child Adolesc Psychiatry 2022; 61:1087-1105. [PMID: 34971730 PMCID: PMC9237180 DOI: 10.1016/j.jaac.2021.12.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 11/26/2021] [Accepted: 12/21/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Racism is a public health crisis that impacts on children's mental health, yet mental health service systems are insufficiently focused on addressing racism. Moreover, a focus on interpersonal racism and on individual coping with the impacts of racism has been prioritized over addressing structural racism at the level of the service system and associated institutions. In this paper, we examine strategies to address structural racism via policies affecting children's mental health services. METHOD First, we identify and analyze federal and state policies focused on racism and mental health equity. Second, we evaluate areas of focus in these policies and discuss the evidence base informing their implementation. Finally, we provide recommendations for what states, counties, cities, and mental health systems can do to promote antiracist evidence-based practices in children's mental health. RESULTS Our analysis highlights gaps and opportunities in the evidence base for policy implementation strategies, including the following: mental health services for youth of color, interventions addressing interpersonal racism and bias in the mental health service system, interventions addressing structural racism, changes to provider licensure and license renewal, and development of the community health workforce. CONCLUSION Recommendations are provided both within and across systems to catalyze broader systems transformation.
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Affiliation(s)
- Kiara Alvarez
- Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
| | | | - Katherine L Nelson
- Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania; Merck & Co., Inc., Kenilworth, New Jersey
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127
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Fleming E, Smith CS, Ware TK, Gordon NB. Can academic dentistry become an anti-racist institution?: Addressing racial battle fatigue and building belonging. J Dent Educ 2022; 86:1075-1082. [PMID: 36165246 DOI: 10.1002/jdd.13025] [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: 04/07/2022] [Revised: 05/23/2022] [Accepted: 06/03/2022] [Indexed: 11/07/2022]
Abstract
Racism, oppression, and marginalization are unfortunate hallmarks that Black individuals face in the United States. While dental schools serve as institutions of both learning and patient care, applying humanistic principles, they are not immune to racism, specifically anti-Black racism. In this paper, the theoretical framework of racial battle fatigue is applied to academic dentistry to consider how it may impact faculty who have experiences with racism and discrimination. The framework of racial battle fatigue allows for a critique of academic dentistry as an institution that may be toxic, neither welcoming Black faculty members nor supporting their professional and career advancement, despite accreditation standards that call on these institutions to be humanistic environments for diversity and inclusion. Black faculty members may face unique challenges in academic dentistry because of racial battle fatigue. The cumulative stress may warrant unique strategies to both recruit and retain them in academic dental institutions. Specifically, pathways may need to be funded to insure that they have support and time allocations for professional development and career promotion. With understanding the effects of racial battle fatigue, dental schools may want to adopt policies and practices that support the professional and personal well-being and success of faculty, especially those faculty members who are Black.
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Affiliation(s)
- Eleanor Fleming
- University of Maryland School of Maryland, Baltimore, Maryland, USA
| | - Carlos S Smith
- Department of Dental Public Health and Policy, VCU School of Dentistry, Richmond, Virginia, USA.,Oral Health Equity Core, Institute for Inclusion, Inquiry and Innovation, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Tawana K Ware
- Indiana University of School of Dentistry, Indianapolis, Indiana, USA
| | - Nicholas B Gordon
- Tufts University School of Dental Medicine, School of Dental Medicine, Public Health and Community Service, Boston, Massachusetts, USA
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128
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Lazaridou FB, Schubert SJ, Ringeisen T, Kaminski J, Heinz A, Kluge U. Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism. Eur Arch Psychiatry Clin Neurosci 2022:10.1007/s00406-022-01468-8. [PMID: 36001139 PMCID: PMC9400567 DOI: 10.1007/s00406-022-01468-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 08/02/2022] [Indexed: 11/30/2022]
Abstract
Black people and People of Color are disproportionately affected by racism and show increased rates of psychosis. To examine whether racialized migrant groups are particularly exposed to racism and therefore have higher risks for psychosis, this paper (1) systematically assesses rates of psychosis among racialized migrant groups concerning the country of origin, and (2) analyzes interviews regarding the association of racism experiences with psychosis-related symptoms in racialized Black people and People of Color populations in Germany. We present an umbrella review of meta-analyses that report the incidence of positive symptoms (e.g., hallucinations and delusions) and negative symptoms (e.g., apathy and incoherent speech) of diagnosed schizophrenia, other non-affective psychotic disorders (e.g., schizoaffective disorder) or first-episode psychosis among migrants by country of origin. We also report 20 interviews with first- and second-generation migrants racialized as Black and of Color in Germany to capture and classify their experiences of racism as well as racism-associated mental health challenges. In the umbrella review, psychosis risk was greatest when migration occurred from developing countries. Effect size estimates were even larger among Caribbean and African migrants. In the qualitative study, the application of the constant comparative method yielded four subordinate themes that form a subclinical psychosis symptomatology profile related to experiences of racism: (1) a sense of differentness, (2) negative self-awareness, (3) paranoid ideation regarding general persecution, and (4) self-questioning and self-esteem instability. We here provide converging evidence from a quantitative and qualitative analysis that the risk of poor mental health and psychotic experiences is related to racism associated with minority status and migration.
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Affiliation(s)
- Felicia Boma Lazaridou
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany. .,National Discrimination and Racism Monitor, German Institute for Integration and Migration Research - DeZIM, Berlin, Germany. .,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany.
| | | | | | - Jakob Kaminski
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany
| | - Andreas Heinz
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany ,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany ,Department of Psychiatry and Psychotherapy, Charité University Medicine, Alexianer St. Hedwig-Hospital, Berlin, Germany
| | - Ulrike Kluge
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany ,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany
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129
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Koslouski JB, Skubel A, Zaff JF, Porche MV. “My Story Started When I was Younger. . .”: A Qualitative Analysis of Youth’s Differential Journeys Away From School. JOURNAL OF ADOLESCENT RESEARCH 2022. [DOI: 10.1177/07435584221115893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Adverse childhood experiences (ACEs) increase youths’ risk for leaving high school before graduating. However, to our knowledge, no one has examined how youth themselves conceptualize the role of ACEs in their journeys away from school. In this exploratory qualitative study, we used narrative analysis to examine (1) whether youth (n = 27) described ACEs leading them away from school, (2) how early these trajectories began, from youth’s own perspectives, and (3) if this varied by elements of identity and social position. Focus groups were conducted with youth ages 18-25 from 13 communities across the U.S. We found that youth described their journeys away from school as starting with early ACEs. We also found that youths’ narratives reflected intersectional gender differences in the pathways away from school that youth described. Girls articulated how ACEs influenced subsequent non-academic priorities; they eventually left or were kicked out due to a lack of credits. Boys expressed that early ACEs were followed by risk behaviors, punishment, and dropout. Implications for healing-centered engagement across settings and targeted dropout prevention are discussed.
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130
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Jemal A, Caliste S. Work-in-progress: Focus groups evaluate and inform revisions of a socio-behavioral health intervention. EVALUATION AND PROGRAM PLANNING 2022; 93:102079. [PMID: 35751913 PMCID: PMC10148963 DOI: 10.1016/j.evalprogplan.2022.102079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 11/24/2021] [Accepted: 03/13/2022] [Indexed: 05/03/2023]
Abstract
African American men and women are disproportionately impacted by HIV/STI risk. Particularly, African American women are more likely to be infected with HIV from heterosexual sex. Yet, much of the intervention research has focused on men who have sex with men. This article describes the development and feasibility study of a six-session socio-behavioral health intervention that utilized sociodrama to reduce substance use and HIV/STI risk among heterosexual, African American men and women who have multiple sex partners. The intervention was developed based on theories and models of critical consciousness, social scripts, and group work practice. Content and delivery were informed by qualitative data collection with a range of stakeholders including service providers and members of the target population. The resulting intervention was six group sessions, delivered by two licensed social workers, with one of the facilitators trained in sociodrama. The results of the qualitative study explored the feasibility of conducting this six-week intervention and evaluated a trial run of the intervention. The data was obtained through focus group interviews and observations. Findings revealed that the intervention could be delivered with fidelity and was acceptable to participants and indicated that the intervention's innovative components of sociodrama and critical consciousness resonated with the participants and has potential to reduce HIV/STI risk and substance use. Reported barriers and suggested revisions need to be examined further and addressed to develop and implement a sustainable program that can be delivered in community-based settings. A future randomized control trial of the revised intervention will evaluate the intervention's efficacy.
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131
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Ermis-Demirtas H, Luo Y, Huang YJ. The Trauma of COVID-19–Fueled Discrimination: Posttraumatic Stress in Asian American Adolescents. PROFESSIONAL SCHOOL COUNSELING 2022; 26:2156759X221106814. [PMID: 36118908 PMCID: PMC9465285 DOI: 10.1177/2156759x221106814] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
With the emergence of COVID-19 in China, East and Southeast Asian American (ESEAA) students have reported increased incidents of COVID-19–fueled discrimination in online and offline (in-person) settings. Given the recency of this situation, there is a scarcity of research investigating the impact of COVID-19–related discrimination on ESEAA adolescents’ mental health, especially posttraumatic stress disorder (PTSD). In the current study, therefore, we provide evidence regarding the relations of COVID-19–fueled online and offline discrimination to PTSD symptoms in a sample of ESEAA high school students. We discuss study limitations; future recommendations; and implications for school leaders, school counselors, and other educators.
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Affiliation(s)
| | - Ye Luo
- University of North Texas, Denton, TX, USA
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132
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Jiwani Z, Raval VV, Steele M, Goldberg SB. Caste and COVID-19: Psychosocial disparities amongst rural Indian women during the coronavirus pandemic. THE JOURNAL OF SOCIAL ISSUES 2022; 79:JOSI12532. [PMID: 35945958 PMCID: PMC9353364 DOI: 10.1111/josi.12532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 06/28/2022] [Accepted: 06/28/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic has exacerbated preexisting mental health disparities. In India, marginalization based on caste membership, gender, and rural residence are critical determinants of inequity across the lifespan. Guided by the theoretical frameworks of minority stress and intersectionality, this study examined caste-based disparities in fear of coronavirus (FOC), mental health symptoms, and perceived loneliness amongst rural women in north India during the COVID-19 pandemic. Participants (N = 316) completed self-report measures and were classified into three groups based on their responses: General caste (GC, n = 124), other backward castes (OBC, n = 122), and scheduled caste or tribe (SC/ST, n = 71). Using a three-way ANOVA and Tukey t-tests, women in SC/ST and OBC groups reported greater FOC (OBC d = .37; SC/ST d = .40) and greater mental health symptoms (OBC d = .58; SC/ST d = .43) relative to the GC group. OBC, but not SC/ST, group also reported higher perceived loneliness (d = .32). The results were consistent after adjusting for demographic variables such as wealth and highlight caste as an important social determinant for well-being during the COVID-19 pandemic amongst rural Indian women.
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133
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Lockwood S, Cuevas CA. Hate Crimes and Race-Based Trauma on Latinx Populations: A Critical Review of the Current Research. TRAUMA, VIOLENCE & ABUSE 2022; 23:854-867. [PMID: 33325321 DOI: 10.1177/1524838020979688] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Traditionally, the literature has sought to understand the impact of racial minority status and trauma as it relates to interpersonal violence, domestic violence, and sexual assault. What has not been as extensively reviewed and summarized is how racially or ethnically motivated hate crimes impact the mental health of minorities-particularly Latinx/Hispanic groups. This review aims to summarize the current body of literature on the intersection of race-motivated hate crime and trauma responses within Latinx community. To do so, the theoretical foundation for this inquiry will build from a race-based trauma perspective. Specifically, this review connects existing frameworks for race and trauma and integrates literature that examines Latinx or Hispanic populations that have experienced discrimination, bias, or hate crime as a result of their identity or perceived identity. The importance of situating bias or hate events within the trauma literature stems from a lack of overall formal evaluation of these events, and how these occurrences are historically overlooked as a traumatic stressor. The findings of this review suggest that (1) experiencing racially motivated victimization can cause adverse mental and physical health outcomes in Latinxs and (2) currently, there is only one study that has examined the impact of hate crime on Latinxs in the United States. This leaves the field with unanswered questions about the impact of hate crime victimization among Latinxs, which is an ever-growing area in need of attention.
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Affiliation(s)
- Sarah Lockwood
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, Northeastern University, Boston, MA, USA
| | - Carlos A Cuevas
- Violence and Justice Research Laboratory, School of Criminology and Criminal Justice, Northeastern University, Boston, MA, USA
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134
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Díaz-Faes DA, Pereda N. Is There Such a Thing as a Hate Crime Paradigm? An Integrative Review of Bias-Motivated Violent Victimization and Offending, Its Effects and Underlying Mechanisms. TRAUMA, VIOLENCE & ABUSE 2022; 23:938-952. [PMID: 33357116 DOI: 10.1177/1524838020979694] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Despite the growing number of bias-motivated violence studies, the evidence available remains limited, and there are several gaps in our understanding of the complex relationship between negative attitudes and biased violence. In addition, the literature on this topic has many facets and nuances and is often contradictory, so it is difficult to obtain a clear overall picture. Research has made good progress in this area, but it still suffers from a lack of systematization and from a highly segmented approach to victimization and offending. To contribute to a more comprehensive understanding of the subject, this integrative narrative review provides a critical reappraisal of the theoretical, methodological, and empirical research from a systemic perspective. To this end, 134 academic publications on personality and social psychology, clinical psychology, sociology, criminology, and related disciplines were examined. The evidence suggests that although bias-motivated violence shares characteristics with other types of offensive behavior, it is actually a unique phenomenon due to its background rooted in prejudice, identity, and attitudes in which the intersection of individual, psychosocial, and ecological factors is especially relevant. The impact on the victim and their community is diverse, but it has a series of distinctive severe psychological consequences that significantly reduce the probability that incidents will be reported. Here, we present a series of findings and reflections on bias-motivated violence and provide recommendations for research, practice, and policy.
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135
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Debesay J, Arora S, Fougner M. Organisational culture and ethnic diversity in nursing homes: a qualitative study of healthcare workers' and ward nurses' experiences. BMC Health Serv Res 2022; 22:843. [PMID: 35773681 PMCID: PMC9248104 DOI: 10.1186/s12913-022-08184-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 06/14/2022] [Indexed: 11/24/2022] Open
Abstract
Background The increase in care needs that comes with an ageing population, in combination with a shortage of healthcare workers, has made ethnic diversity among healthcare workers (HCW) an evident reality across many countries. This article aims to explore how a multicultural workplace is experienced, through the accounts of HCWs and leaders in nursing homes. Methods This article reports on the findings from qualitative interviews with 16 HCWs and managers from nursing homes in Oslo. The interviews were conducted from August to September 2021. We analysed the data using a reflective thematic analysis informed by a hermeneutic-phenomenological approach. Results Six themes emerged from the interview data: (1) understanding diversity through shared norms and multicultural experiences, (2) greater flexibility in a multicultural workforce, (3) challenging traditional norms in a multicultural workforce, (4) language proficiency and exclusionary practices at work, (5) perceptions of the role of the ward nurse, and (6) prejudices among and harassment from patients. Conclusions To ensure the effective organisation and wellbeing of HCWs in a multicultural workforce, managers must develop an inclusive organisational culture. They must be able to engage with difficult topics and conflicts that may arise in the working environment.
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Affiliation(s)
- Jonas Debesay
- Faculty of Health, Department of Nursing, Oslo Metropolitan University, PO box 4 St. Olavs plass, NO-0130, Oslo, Norway.
| | - Sanjana Arora
- Faculty of Science and Technology, Department of Safety, Economics and Planning, University of Stavanger, PO box 8600, 4036, Stavanger, Norway
| | - Marit Fougner
- Faculty of Health, Department of Physiotherapy, Oslo Metropolitan University, PO box 4 St. Olavs plass, NO-0130, Oslo, Norway
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136
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Crossing AE, Gumudavelly D, Watkins N, Logue C, Anderson RE. A Critical Race Theory of Psychology as Praxis: Proposing and Utilizing Principles of PsyCrit. JOURNAL OF ADOLESCENT RESEARCH 2022. [DOI: 10.1177/07435584221101930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Historically, psychological science has contributed to maintaining the hegemony of white normativity and a fallacious belief in objective science that speaks to one singular truth about race. Due to a widespread unfamiliarity with critical theories and research methods in the field, novel approaches to psychological scientific inquiry are warranted to support scholars in pursuing racially-just empirical inquiries with socially-just implications. This manuscript aims to (1) introduce an evolution from critical race theory in psychology to a set of principles to guide research praxis: PsyCrit and (2) demonstrate its utility through use in an exemplar qualitative study. Qualitative coding analysis of semi-structured interviews with four Black mothers and one Black father ( n = 5) participating in the Engaging, Managing, and Bonding through Race intervention was conducted to model the use of PsyCrit in practice and deepen our understanding of parent factors in Black families. This manuscript unpacks four aspects of the exemplar study utilizing four of the seven tenets of PsyCrit. The depth of analysis provided by the framework suggests that these principles may serve in guiding psychological researchers toward more nuanced investigations, especially as they relate to issues of race or racism.
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137
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Ross BZ, DeShields W, Edwards C, Livingston JN. Behind Black Women’s Passion: An Examination of Activism Among Black Women in America. JOURNAL OF BLACK PSYCHOLOGY 2022. [DOI: 10.1177/00957984221084779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Black women in America have consistently been at the forefront of almost every civil, political, and cultural activist movement. Within the past two decades, Black women have created movements such as Black Lives Matter, the Black Youth Project 100, the Black Alliance for Just Immigration, Say Her Name, and Black Girls Vote. Considering these trends, there is a need to understand what factors influence Black women’s commitment to activist movements. Thus, the purpose of the present study was to identify factors that contribute to activism among Black women. To do this, 107 Black women from a mid-sized, Southeastern city were sampled for primary data analysis. Regression analyses were used to assess associations between activism, perceived racism, psychological empowerment, and spirituality. The results indicated significant positive relationships between activism, perceived racism, and psychological empowerment; such that perceived racism and psychological empowerment were both significantly related to increases in activism. Contrary to expectations, spirituality and activism were not related in the present study. These results have implications for future researchers, mental health professionals, and policymakers.
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138
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Marks LR, Schimmel-Bristow A, Harrell-Williams LM, Hargons C. Racial Discrimination and Risky Sex: Examining Cognitive-Emotional Factors in Black College Students. COUNSELING PSYCHOLOGIST 2022. [DOI: 10.1177/00110000221092662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Using the lifespan biopsychosocial model of cumulative vulnerability and minority health as a theroretical lens, the present study proposed two models to test the relationships among racial discrimination, cognitive–emotional factors, and risky sexual behaviors in a sample of 302 Black college students in the United States. Our models provided support for some of the hypothesized direct and indirect pathways. As expected, overt racial discrimination and subtle racial discrimination (i.e., racial microaggression) were both positively related to cognitive–emotional factors (i.e., anxiety, depression, hopelessness, and hostility). Racial microaggressions were significantly positively related to risky sexual behaviors, but overt racial discrimination was not. Hostility was the only cognitive–emotional factor that facilitated an indirect, significant effect from racial microaggressions to risky sexual behaviors. Potential implications are discussed for practice, training programs, and future counseling psychology research with Black college students using the lifespan biopsychosocial model of cumulative vulnerability and minority health.
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Affiliation(s)
- Laura Reid Marks
- Florida State University, Department of Educational Psychology and Research, Combined Counseling and School Psychology Program, Tallahassee, FL, USA
- University of Memphis, Department of Counseling, Educational Psychology, and Research, Memphis, TN, USA
| | - Allison Schimmel-Bristow
- University of Memphis, Department of Counseling, Educational Psychology, and Research, Memphis, TN, USA
| | - Leigh M. Harrell-Williams
- University of Memphis, Department of Counseling, Educational Psychology, and Research, Memphis, TN, USA
| | - Candice Hargons
- University of Kentucky, Department of Educational, School, and Counseling Psychology, Lexington, KY, USA
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139
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Affiliation(s)
- Scott T Meier
- Department of Counseling, School and Educational Psychology, The State University of New York at Buffalo, Buffalo, NY, United States of America.
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140
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Galán CA, Auguste EE, Smith NA, Meza JI. An Intersectional-Contextual Approach to Racial Trauma Exposure Risk and Coping Among Black Youth. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2022; 32:583-595. [PMID: 35441500 PMCID: PMC9324932 DOI: 10.1111/jora.12757] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 03/25/2022] [Accepted: 03/29/2022] [Indexed: 06/14/2023]
Abstract
Black youth experience racial discrimination at higher rates than other racial/ethnic groups in the United States. To identify how racism can simultaneously serve as a risk factor for adverse childhood experience (ACE) exposure, a discrete type of ACE, and a post-ACE mental health risk factor among Black youth, Bernard and colleagues (2021) proposed the culturally informed ACEs (C-ACE) model. While an important addition to the literature, the C-ACE model is framed around a single axis of race-based oppression. This paper extends the model by incorporating an intersectional and ecodevelopmental lens that elucidates how gendered racism framed by historical trauma, as well as gender-based socialization experiences, may have implications for negative mental health outcomes among Black youth. Clinical and research implications are discussed.
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Affiliation(s)
- Chardée A. Galán
- University of Southern CaliforniaUniversity of Southern CaliforniaLos AngelesUnited States
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141
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Sosoo EE, MacCormack JK, Neblett EW. Psychophysiological and affective reactivity to vicarious police violence. Psychophysiology 2022; 59:e14065. [PMID: 35543565 DOI: 10.1111/psyp.14065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 03/01/2022] [Accepted: 03/10/2022] [Indexed: 01/09/2023]
Abstract
Little is known about how vicarious police violence, or instances of police violence observed but not directly experienced, impacts health among Black individuals. Using a lab-based paradigm in a sample of young adults (N = 101), this study examined: (a) psychophysiological reactivity to instances of vicarious police violence, particularly the assault and shooting of Black individuals; (b) affective reactivity to instances of vicarious police violence; and (c) how racial identity, one important moderator, influences psychophysiological and affective responses to vicarious police violence. Using electrocardiography and impedance cardiography, participants' cardiac sympathetic and parasympathetic physiological responses were continuously monitored. Three sets of high-quality color photographs (neutral, non-violent distress, violence) were viewed on a computer. Participants rated their affect after each set using the Positive and Negative Affect Schedule (PANAS). Following this task, racial identity was assessed using the Multidimensional Inventory of Black Identity-Short Form. Findings indicated that vicarious police violence was associated with greater sympathetic reactivity and negative affect relative to the neutral and non-violent distress conditions. Additionally, higher levels of racial centrality exacerbated the association between vicarious police violence and negative affect. Findings suggest that Black individuals may wish to limit their consumption of media depicting the assault and shooting of other Black individuals, with the caveat that the best solution is ultimately the cessation of police violence.
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Affiliation(s)
- Effua E Sosoo
- Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.,Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Jennifer K MacCormack
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.,Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Enrique W Neblett
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
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142
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Galán CA, Tung I, Tabachnick AR, Sequeira SL, Novacek DM, Kahhale I, Jamal-Orozco N, Gonzalez JC, Bowdring MA, Boness CL, Bekele BM. Combating the Conspiracy of Silence: Clinician Recommendations for Talking About Racism-Related Events With Youth of Color. J Am Acad Child Adolesc Psychiatry 2022; 61:586-590. [PMID: 35026407 PMCID: PMC9884110 DOI: 10.1016/j.jaac.2022.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 11/30/2021] [Accepted: 01/03/2022] [Indexed: 01/31/2023]
Abstract
Graphic videos of race-based violence, including police brutality toward Black people and anti-Asian hate crimes, have exploded over the past year. While documentation of these horrific acts has brought visibility to the pervasiveness of racial discrimination, it has also resulted in youth of color being exposed to racial stressors more than ever before across numerous social media and news platforms.1-3 Beyond the significant race-related stress already experienced by youth in school contexts,4 this increased exposure to racism via media is concerning, as both direct and vicarious exposure to racial discrimination can compromise psychological well-being of youth and cause trauma-like symptoms, such as intrusive thoughts, vigilance, and depression.3,5.
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143
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Duchschere JE, Reznik SJ, Shanholtz CE, O’Hara KL, Gerson N, Beck CJ, Lawrence E. Addressing a Mental Health Intervention Gap in Juvenile Detention: A Pilot Study. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2022; 8:236-251. [PMID: 37637190 PMCID: PMC10449374 DOI: 10.1080/23794925.2022.2042873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Research suggests that 60-70% of adolescents detained in the juvenile justice system meet criteria for a mental health disorder compared to 20% of the general adolescent population; however, the vast majority do not receive services. Unfortunately, mental health symptoms often worsen during detainment, and detainment is linked to lower levels of educational attainment and increased risk of adult recidivism. Thus, not only are these adolescents unlikely to receive needed mental health care, but also the lack of interventions in detention may exacerbate inequities of contact with the criminal justice system in adulthood. In addition to these youth being an underserved population broadly, youth of color are also disproportionately incarcerated compared to their white counterparts. The current paper describes results of a pilot study of an Acceptance and Commitment Therapy (ACT)-based behavioral skills intervention, aimed at providing evidence-based mental health treatment for an adolescent population at risk of long-term adverse mental health outcomes. The study included 128 males aged 14-17 who resided in juvenile detention. Results demonstrated that the intervention was acceptable to participants, feasible to provide in detention, and could be implemented with fidelity and competency. Intervention participants demonstrated declines in symptoms of mental health, and ACT-specific constructs of experiential avoidance, cognitive fusion, and perceived barriers to moving toward their values. These results have important implications for the possibility of an effective intervention that could disrupt systemic inequity in youth mental health, and thus support further testing of this intervention in a randomized controlled trial.
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Affiliation(s)
| | | | | | | | | | - Connie J. Beck
- The University of Arizona
- University of Washington, Tacoma
| | - Erika Lawrence
- The University of Arizona
- The Family Institute at Northwestern University
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144
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Montagno MJ, Garrett-Walker JJ. LGBTQ+ Engagement in Activism: An Examination of Internalized Heterosexism and LGBTQ+ Community Connectedness. JOURNAL OF HOMOSEXUALITY 2022; 69:911-924. [PMID: 33764263 DOI: 10.1080/00918369.2021.1898802] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Participation in activist groups has been demonstrated to have myriad benefits for LGBTQ+ individuals, including decreasing the negative mental health effects of discrimination. In this brief report, we present results from an exploratory study examining two factors that impact individuals' involvement in activist groups: internalized heterosexism and connection to LGBTQ+ community. Participants (N = 1999) were LGBTQ+ adults aged 18-80 who were recruited online. Results revealed that participants who engaged in activist groups reported more connection to the LGBTQ+ community and less internalized heterosexism when compared to participants who did not engage in activist groups.
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Affiliation(s)
- Michelle J Montagno
- Doctoral Program in Clinical Psychology, University of San Francisco, San Francisco, California, USA
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145
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Abstract
Much has been written about the multifaceted significance of food and eating from an anthropological perspective; the same can be said about the role of food in collective identity construction and nation building. In contrast, the nexus of food, memory, psychological trauma, and disordered eating has been less explored. The aim of this interdisciplinary article is to synthesize available knowledge on this topic by engaging with research literature in fields such as food history, anthropology, sociology, and psychiatry as well as autobiographical works, cookbooks, etc. One main section of the article focuses on the role of food and cooking in exile and refuge. Another section deals with the role of food in the aftermath of historical trauma, whereas a final section discusses various works on disordered eating in the wake of traumatic experiences. In sum, the dual nature of food and cooking-at once concrete and abstract, material and symbolic-offers an arena in which ambivalent memories of trauma can take on tangible form. The concept of postmemory may be useful in understanding how food and cooking can function both as a vehicle and as a remedy for intergenerational trauma.
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Affiliation(s)
- Mattias Strand
- Transcultural Centre, Stockholm Health Care Services, Region Stockholm, Solnavägen 4, 113 65, Stockholm, Sweden.
- Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, 171 77, Stockholm, Sweden.
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146
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Examining school ethnic-racial socialization in the link between race-related stress and academic well-being among African American and Latinx adolescents. J Sch Psychol 2022; 91:97-111. [DOI: 10.1016/j.jsp.2022.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 04/16/2021] [Accepted: 01/03/2022] [Indexed: 11/22/2022]
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147
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Bernard DL, Smith Q, Lanier P. Racial discrimination and other adverse childhood experiences as risk factors for internalizing mental health concerns among Black youth. J Trauma Stress 2022; 35:473-483. [PMID: 34800051 PMCID: PMC9035019 DOI: 10.1002/jts.22760] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 08/23/2021] [Accepted: 08/27/2021] [Indexed: 11/06/2022]
Abstract
Adverse childhood experiences (ACEs) have been consistently linked to a reduction in healthy psychological adjustment among youth. Emergent evidence suggests that there are culturally specific ACEs, such as racial discrimination, that are particularly harmful to the mental health of Black youth. However, the psychological impact of racial discrimination on the mental health of Black youth relative to other ACEs remains underexplored. The present study aimed to address this gap by examining the extent to which racial discrimination was associated with other ACEs and elucidating the unique associations between children's experiences of racial discrimination and internalizing problems (i.e., depression, anxiety), after controlling for other ACEs. Data consisted of a subsample of Black children from the National Survey of Children's Health (N = 8,672; Mage = 9.8 years; 51.1% male). Bivariate analyses illustrated that racial discrimination was positively associated with the co-occurrence of all other ACEs measured within the current study. Multivariable analyses using generalized linear mixed models revealed that racial discrimination was significantly associated with youth diagnoses of depression, adjusted odds ratio (aOR) = 1.35, 95% CI [1.23, 1.49], and anxiety, aOR = 1.39, 95% CI [1.31, 1.47], after controlling for other ACEs and sociodemographic covariates. The findings demonstrate that racial discrimination is comparably associated with youth internalizing problems relative to ACEs conventionally examined within the childhood trauma literature. The importance of these results, including how this knowledge can be leveraged to inform clinical practice and policy to promote the positive mental health of Black youth, are also discussed.
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Affiliation(s)
- Donte L. Bernard
- National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Quinton Smith
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Paul Lanier
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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148
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Correia KM, Bierma SR, Houston SD, Nelson MT, Pannu KS, Tirman CM, Cannon RL, Clance LR, Canterbury DN, Google AN, Morrison BH, Henning JA. Education Racial and Gender Disparities in COVID-19 Worry, Stress, and Food Insecurities across Undergraduate Biology Students at a Southeastern University. JOURNAL OF MICROBIOLOGY & BIOLOGY EDUCATION 2022; 23:e00224-21. [PMID: 35496682 PMCID: PMC9053023 DOI: 10.1128/jmbe.00224-21] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 02/20/2022] [Indexed: 05/07/2023]
Abstract
The global spread of the novel coronavirus first reported in December 2019 led to drastic changes in the social and economic dynamics of everyday life. Nationwide, racial, gender, and geographic disparities in symptom severity, mortality, and access to health care evolved, which impacted stress and anxiety surrounding COVID-19. On university campuses, drastic shifts in learning environments occurred as universities shifted to remote instruction, which further impacted student mental health and anxiety. Our study aimed to understand how students from diverse backgrounds differ in their worry and stress surrounding COVID-19 upon return to hybrid or in-person classes during the Fall of 2020. Specifically, we addressed the differences in COVID-19 worry, stress response, and COVID-19-related food insecurity related to race/ethnicity (Indigenous American, Asian/Asian American, black/African American, Latinx/Hispanic, white, or multiple races), gender (male, female, and gender expressive), and geographic origin (ranging from rural to large metropolitan areas) of undergraduate students attending a regional-serving R2 university, in the southeastern U.S. Overall, we found significance in worry, food insecurity, and stress responses with females and gender expressive individuals, along with Hispanic/Latinx, Asian/Asian American, and black/African American students. Additionally, students from large urban areas were more worried about contracting the virus compared to students from rural locations. However, we found fewer differences in self-reported COVID-related stress responses within these students. Our findings can highlight the disparities among students' worry based on gender, racial differences, and geographic origins, with potential implications for mental health of university students from diverse backgrounds. Our results support the inclusion of diverse voices in university decisioning making around the transition through the COVID-19 pandemic.
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Affiliation(s)
- Kelly M. Correia
- Department of Marine Sciences, University of South Alabama, Mobile, Alabama, USA
- Dauphin Island Sea Lab, Dauphin Island, Alabama, USA
| | - Shannon R. Bierma
- Department of Psychiatry, Louisiana State University, New Orleans, Louisiana, USA
| | - Sophia D. Houston
- Department of Leadership and Teacher Education, University of South Alabama, Mobile, Alabama, USA
| | - Madison T. Nelson
- Department of Biology, University of South Alabama, Mobile, Alabama, USA
| | - Khushwant S. Pannu
- Department of Leadership and Teacher Education, University of South Alabama, Mobile, Alabama, USA
| | - Chase M. Tirman
- Department of Biology, University of South Alabama, Mobile, Alabama, USA
| | - Randi L. Cannon
- Department of Marine Sciences, University of South Alabama, Mobile, Alabama, USA
- Dauphin Island Sea Lab, Dauphin Island, Alabama, USA
| | - Lauren R. Clance
- Department of Marine Sciences, University of South Alabama, Mobile, Alabama, USA
- Dauphin Island Sea Lab, Dauphin Island, Alabama, USA
| | - Dawn N. Canterbury
- Department of Biology, University of South Alabama, Mobile, Alabama, USA
| | - Angela N. Google
- Department of Biology, University of South Alabama, Mobile, Alabama, USA
| | - Blair H. Morrison
- Department of Marine Sciences, University of South Alabama, Mobile, Alabama, USA
- Dauphin Island Sea Lab, Dauphin Island, Alabama, USA
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149
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Skinta M, Torres-Harding S. Confronting microaggressions: Developing innovative strategies to challenge and prevent harm. NEW IDEAS IN PSYCHOLOGY 2022. [DOI: 10.1016/j.newideapsych.2021.100921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mekawi Y, Silverstein MW, Walker A, Ishiekwene M, Carter S, Michopoulos V, Stevens JS, Powers A. Examining the psychometric properties of the PCL-5 in a black community sample using item response theory. J Anxiety Disord 2022; 87:102555. [PMID: 35338915 PMCID: PMC9275184 DOI: 10.1016/j.janxdis.2022.102555] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 02/03/2022] [Accepted: 03/02/2022] [Indexed: 10/18/2022]
Abstract
Black Americans are more likely to be exposed to certain types of traumatic events and experience posttraumatic stress disorder (PTSD) compared to other racial groups. Consequently, sound assessment of PTSD in this underserved and understudied population is necessary to develop and accurately answer research questions about etiology and intervention efficacy. However, the item-level psychometric properties of one of the most commonly used assessment tools, the PTSD Checklist for DSM-5 (PCL-5), has yet to be examined among Black Americans. To address this gap, we used item response theory (IRT) to assess item difficulty and discrimination in a sample of Black American adults (n = 307). We employed a graded response model with all 20 items of the PCL-5 loading on to a latent PTSD factor. At clinically significant levels of PTSD, the most discriminating items were flashbacks, inability to experience positive emotions, and nightmares and the least discriminating items were cued emotional distress, diminished interest, and hypervigilance. These results emphasize the importance of flashbacks, inability to experience positive emotions, and nightmares and deemphasize the importance of hypervigilance and sleep difficulties when assessing for clinically significant symptoms of PTSD in Black Americans. Treatment implications include a nuanced approach towards hypervigilance.
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Affiliation(s)
- Yara Mekawi
- University of Louisville, Department of Psychological and Brain Sciences, USA.
| | | | - Aisha Walker
- Georgia State University, Department of Psychology, USA
| | | | - Sierra Carter
- Georgia State University, Department of Psychology, USA
| | | | - Jennifer S Stevens
- Emory School of Medicine, Department of Psychiatry and Behavioral Sciences, USA
| | - Abigail Powers
- Emory School of Medicine, Department of Psychiatry and Behavioral Sciences, USA
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