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Objectives: Based on the conceptual overlap between shift-&-persist (S&P) and culturally based strategies (critical civic engagement [CCE] and spiritually based coping), this study tests whether associations between these three previously disparate strategies are attributable to the existence of a higher-order coping construct: culturally informed S&P. Methods: Among 364 diverse minoritized youth (Mage = 18.79, 85.2% female), we tested for the existence of this higher-order factor through confirmatory factor analysis. Results: We found theoretical and empirical support for the existence of a higher-order factor structure and for our higher-order factor-culturally informed S&P. Culturally informed S&P promotes fewer depressive symptoms as a main effect in addition to completely protecting against the negative impact of discrimination on depressive symptoms when culturally informed S&P is high. Conclusions: The current study illustrates relations between three previously distinct coping strategies through their association with culturally informed S&P. Results highlight culturally informed S&P's promotive and protective effects in the face of ethnic-racial discrimination. Implications for subsequent study of culturally based coping are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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... The act of civic engagement has been shown to be a driver of meaning and purpose for those from marginalized groups (Sumner et al., 2018). Similarly, spiritually based coping may also be enacted in a way consistent with S&P with marginalized individuals reappraising and accepting instances of discrimination as part of the plan of a higher power and subsequently finding purpose, optimism, and hope for the future in their relationship with their faith/spiritual community (Christophe et al., 2021). ...
... In the sample of 364 minoritized emerging adults examined in the current study, associations between shift, persist, civic engagement, and spiritually based coping were explained through a higher-order coping factor representing the commonalities among all these ways of coping (Christophe et al., 2021). This factor, coined culturally informed S&P, represents the unobserved way of coping that embodies cognitive reappraisal, acceptance, and purpose in life with the potentially promotive and protective aspects of youth's cultural identities that are expressed through coping. ...
... This factor, coined culturally informed S&P, represents the unobserved way of coping that embodies cognitive reappraisal, acceptance, and purpose in life with the potentially promotive and protective aspects of youth's cultural identities that are expressed through coping. In this sample, greater culturally informed S&P coping was associated with fewer depressive symptoms and, for youth who engaged in high levels of this style of coping, discrimination was no longer a risk factor for depressive symptoms (Christophe et al., 2021). Finally, we found that ERI was no longer negatively associated with depression when controlling for culturally informed S&P, lending credence to the claim that promotive aspects of ERI on depression may be accounted for by assessing the culturally informed S&P construct. ...
Article
This study aims to better understand how racially/ethnically minoritized youth exhibit adaptive psychological functioning (less anxiety) and health behaviors (better sleep and less binge drinking) in the context of discrimination, ethnic-racial identity and coping. Among 364 minoritized emerging adults (Mage = 18.79, 85.2% female), we utilized higher-order factor analysis to examine how culturally informed shift-&-persist (S&P), a higher-order construct explaining associations between coping factors (shift, persist, spiritually based coping, civic engagement), and ethnic-racial identity were related to anxiety, binge drinking, and sleep in the context of discrimination. Culturally informed S&P promoted better sleep and less anxiety controlling for discrimination. No significant effects were observed for binge drinking and no moderated effects were observed across outcomes. The harmful effect of discrimination on sleep was intensified for those with stronger ethnic-racial identities. The promotive and potentially protective effects of culturally informed S&P coping differs across mental health and health behavior outcomes.
... Consistent with theory, shift-&-persist moderated the relation between economic hardship and depressive symptoms in a cross-sectional sample of 175 Latinx youth (M age = 14; 100% Latinx), where the positive relation between economic hardship and depressive symptoms was attenuated for youth high in shift-&-persist, but not those with lower levels of shift-&-persist (Christophe et al., 2019). Another recent cross-sectional study also found that shift-&persist moderated the relation between discrimination and depressive symptoms in a college student sample such that for those highest in shift-&persist the discrimination-depressive link was completely mitigated but not those at mean or below the mean of shift-&-persist (Christophe, Stein, Martin Romero, Patel, & Sircar, 2021). Thus, our team has established cross-sectional studies in different data sets that shift-&-persist confers protective mental health effects in the face of economic stress and discrimination. ...
... Longitudinal work has indicated that the shift-&persist coping strategies protect low-SES youth and youth faced with unfair treatment from poor physical health outcomes (Chen et al., 2011;Lam et al., 2018), and cross-sectional work has indicated that shift-&-persist coping strategies are associated with lower youth depressive symptoms (Christophe et al., 2019(Christophe et al., , 2021. However, the shift-&-persist paradigm has yet to be extended to mental health outcomes longitudinally in adolescence. ...
... Similarly, spiritually based coping also involves shifting away from the stressor and providing deeper meaning and purpose (persist) (Sumner, Burrow, & Hill, 2018). There is emerging evidence from a different sample of college students that shift-&-persist coupled with critical civic engagement and spiritually based coping may mitigate the impact of discrimination on depressive symptoms, indicating that these coping resources may be necessary components needed to overcome the negative mental health impacts of discrimination (Christophe et al., 2021). Future work should consider other constellation of coping resources that are embedded in the daily lives of minoritized youth that can serve as net protective factors in the toxic environment of racism and discrimination (Spencer, 2006). ...
Article
This paper tested whether shift-&-persist coping, or coping involving the combination of cognitive reappraisal, acceptance, and optimism (Chen & Miller, Perspectives on Psychological Science, 2012, 7, 135), attenuates the risks presented by economic hardship and ethnic discrimination for change in depressive symptoms from 9th to 12th grade, in a sample of 674 Mexican American youth (Mage W1 = 10.86; 50% female; 72% US born) and whether this effect depends on ethnic pride. Structural equation modeling indicated that, when accounting for economic hardship, shift-&-persist was associated with fewer concurrent depression symptoms. Youth with lower ethnic pride who endorsed high levels of shift-&-persist were protected against the negative impacts of peer ethnic discrimination on depressive symptoms. Future research on ethnic discrimination should examine patterns of coping and identity that can mitigate risk.
... Prior reliability in a sample of youth was α = .90 for depressive symptoms (Christophe et al., 2021). Our sample demonstrated similar reliability (α overall = .909, ...
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As the research on familism values, or cultural values relating to support, interconnectedness, and obligations has blossomed, scholars are increasingly interested in the applicability and impact of familism values across diverse racial/ethnic youth. However, existing measures of familism tend to be long, posing potential practicality issues and have not been validated for use across youth from different racial/ethnic groups. Through a series of conceptual steps and exploratory and confirmatory factor analyses, we developed the Short Attitudinal Familism Scale, a 6-item, shortened, unidimensional version of Lugo Steidel and Contreras's (2003) 18-item Attitudinal Familism Scale. This measure was created and validated in a sample of 671 Black, Latinx American, Asian American, and Multiracial youth (Mage = 17.23, 73.6% female). Multigroup measurement invariance testing indicated that the Short Attitudinal Familism Scale was almost wholly noninvariant and may be used reliably across racial/ethnic groups. Finally, we established construct validity by demonstrating negative associations with depressive symptoms in all but Asian American youth and positive associations between familism and ethnic-racial identity (ERI) for all youth. In conducting these tests using regressions using observed mean scores and structural equation modeling (SEM) using latent variables, we demonstrated that using a mean score of this scale led to small and negligible amounts of attenuation in estimates and similar statistical conclusions compared to those derived from SEM. Our study adds to the field by introducing a practical, unidimensional measure of familism values that may be used across racial/ethnic groups. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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In the current study, we investigated the emergence of racial-identity latent profiles and the potential for racial-identity profiles to moderate the relationship between race-related stress and trauma symptoms in nontreatment-seeking, trauma-exposed, Black American women ( N = 222). Racial-identity profiles emerged from latent profile analyses and supported a three-class solution: undifferentiated, detached, and nationalist. Analysis of variance revealed that the nationalist profile group experienced significantly higher race-related stress compared with the detached and undifferentiated profiles. Moderation analyses revealed racial-identity profile type predicted both total posttraumatic stress disorder (PTSD) symptoms and each PTSD symptom cluster; specifically, the nationalist profile type buffered the effects of race-related stress on PTSD symptoms. This study illustrates how stress from racial discrimination influences PTSD symptoms and the ways racial identity may mitigate this relationship, which has the capacity to inform the adaptation of PTSD treatments for minoritized groups.
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Shift-&-persist is a coping strategy that has been shown to lead to positive health outcomes in low-SES youth but has not yet been examined with respect to psychological health. This study tests whether the shift-&-persist coping strategy works in tandem with ethnic-racial identity to protect against depressive symptoms in the face of two uncontrollable stressors: economic hardship and peer discrimination. In a sample of 175 Latinx youth (51.4% female; Mage = 12.9), shift-&-persist buffered the positive relation between economic hardship and depressive symptoms. In terms of peer discrimination, among youth who reported little use of shift and persist, discrimination was related to higher depressive symptoms, whereas youth who reported higher amounts of shift and persist (at and above the mean) were protected and did not evidence this association. However, among youth with high ethnic-racial identity, shift-&-persist failed to protect against the deleterious association between peer discrimination and depressive symptoms. These findings suggest that shift-&-persist is protective for Latinx youth, although the context in which it is protective changes based on the racialized/non-racialized nature of the stressor.
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Despite the importance of examining how adolescents and young adults contribute solutions to society's pressing problems, gaps in the literature leave unanswered the question of how young people become politically engaged. Research suggests that youth learn to be political by forming attachments to their communities and accessing opportunities in the settings of their everyday lives. Settings operate as mini‐polities through which youth develop a sense of what it means to be a member of a collective. Meaningful opportunities to practice political skills and behaviors can be fostered in schools and communities, via social media, and through policy change. Historic events, particularly elections, can also influence political attitudes and behaviors in lasting ways. Cultural and contextual variability in experiences, access to opportunities, and reactions to historic events shape youth's political developmental pathways. Research that is developmentally and culturally informed and that uses rigorous study designs can identify more effectively what determines the formation and growth of youth political engagement.
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Scholarship on youth engagement indicates that adolescents address social issues of public concern, but it is not clear how youth challenge racism. This gap in the literature stems from indirect conceptualizations and a lack of quantitative measurement of adolescents’ acts to oppose racism. Correspondingly, this study presents the validation of a measure of youth anti-racism action. Study 1 describes the youth participatory approach used in the development of the Anti-Racism Action Scale and presents the results from an exploratory factor analysis that examined the measure’s initial factor structure and reliability. The factor structure of the 22-item measure was explored with a diverse sample of adolescents (Mage = 16.00, SD = 1.18; 61.7% girls, Black/African American [29.3%], Asian/South Asian [21.1%], White/European American [24.4%], Arab/Middle-Eastern [17.5%], Latino/Hispanic [4.5%], and Multiracial [3.3%]) enrolled in a race dialogue program (n = 249). The results indicated the measure consisted of three subscales: Interpersonal Action, Communal Action, and Political Change Action. In Study 2, a confirmatory factor analysis was conducted with an independent, nationally representative sample of youth (n = 384) from diverse backgrounds (Mage = 17.00, SD = 1.29, 51.0% girls, White/European American [26.1%], Black/African American [25.6%], Latino/Hispanic [19.3%], Asian/Pacific Islander [13.6%], Multiracial [9.9%], Native American [5.2%] and “other” [0.3%]). The results confirmed a three-factor model that resulted in a 16-item measure. Furthermore, tests of convergent validity tests were pursued between the Anti-Racism Action Scale and the Critical Consciousness Scale, a widely used measure of youths’ awareness of the structural causes of various forms of oppression, sense of sociopolitical agency, and social action. This study suggests that youth engagement in anti-racism is multidimensional and that notion of adolescent social action are more diverse than represented in the literature.
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Sociopolitical development (SPD) is the process by which individuals become aware of social inequality, recognize the status of their social identities, and engage in activism. For racially marginalized youth, race is an important aspect of their SPD. Yet few studies have considered the connections between racial factors and youth's SPD. In this article, we introduce an integrative model situating racial sociocultural processes (i.e., racial identity, racial socialization, and experiences of racial discrimination) within current SPD theory. In particular, we look at African American youth as a case study to discuss how sociocultural factors can contribute to youth's awareness of structures of social inequality (i.e., critical social analysis) and engagement in action against social inequality (i.e., sociopolitical action). We conclude with suggestions for research.
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An important aspect of identity development requires adolescents to consider and select the cultural label or labels that best fit with their conception of who they are. Yet, little is known about the longitudinal development of such labeling preferencs and their possible links with adjustment. Using longitudinal data from 180 Asian Americans (60% female; 74% U.S.-born), intra-individual and group-level changes in adolescents’ American label use were tracked. Over time, 48% chose an American label as their “best-fitting” label and 42% chose an American label at least once, but did not include an American label during at least one other time point. American label use was not associated with continuous measures of American identity, but the use of American labels was linked with lower levels of ethnic identity. American identity, whether indicated by label use or continuous scale scores, was generally linked with positive psychological and academic adjustment, with some effects of label use moderated by gender and generational status. Developmental implications of American cultural labels as markers of adolescent identity and broader adjustment are discussed.
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Background Latino adolescents are a subpopulation of youth who are disproportionately at risk for experiencing low levels of hope, which is linked to high levels of anxiety. However, factors such as religion/spirituality (i.e., identifying as a spiritual/religious person), that may buffer this association are not yet clear. Religion/spirituality may serve as a protective factor in this link by fostering positive coping. Objective The current study examined the moderating role of religion/spirituality the link between hope and anxiety in a sample of Latino youth. Religion/spirituality combined with high levels of hope was hypothesized to be associated with the lowest levels of anxiety. Methods 134 Latino adolescents (83.5% Mexican heritage) attending a charter high school in a large Midwestern city (45.5% Male, M = 16.14 years, SD = 1.31) completed a survey that included items measuring religiosity/spirituality, beliefs around goal setting, and self-reported anxiety symptoms. Results A link between hope and anxiety was evident, with higher levels of hope associated with lower levels of anxiety. However, religion/spirituality moderated the association between hope and anxiety. Simple slope plots revealed that a negative association between hope and anxiety was only evident in the presence of religion/spirituality. Hope was unrelated to anxiety in the absence of religion/spirituality. Conclusions Findings did not support a buffering effect of religion/spirituality. Religious/spiritual coping may strengthen the link between high levels of hope and low anxiety levels in this sample.
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Objectives: The current study investigates the utility of political activism as a protective factor against experiences of racial/ethnic (R/E) discrimination that negatively affect stress, anxiety, and depressive symptoms among Black and Latinx college freshmen at predominately White institutions. Method: Data come from the Minority College Cohort Study, a longitudinal investigation of Black and Latinx college students (N = 504; 44% Black). We conducted multiple regression analyses for each mental health indicator and tested for interaction effects. Results: For Black and Latinx students, the relationship between R/E microaggressions and end of freshman year stress varied by political activism. For Black students, the relationship between R/E microaggressions and end of the year anxiety varied by political activism. There was a significant interaction effect for depressive symptoms among Latinx students. Conclusions: Political activism serves as a protective factor to mitigate the negative effect of R/E discrimination on stress and depressive symptoms for Latinx students. For Black students, higher levels of political activism may exacerbate experiences of R/E microaggressions and relate to more stress and anxiety compared with Black students who are less politically involved. Findings point to the need for a deeper understanding of phenomenological variation in experiences of microaggressions among R/E minorities and how students leverage political activism as an adaptive coping strategy to mitigate race-related stress during college. (PsycINFO Database Record
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In recent decades there has been a dramatic increase in the amount of research focused on purpose in life, demonstrating a host of benefits that emerge for individuals committed to a purpose. As with other constructs in the positive youth development framework, there is a paucity of work investigating how experiences of marginalization impact the development of this psychological asset among adolescents. To catalyze research on this front, we draw attention to potential opportunities and obstacles associated with experiences of marginalization and how they might affect an adolescent developing a purpose in life. Like García Coll and colleagues’ (1996) integrative model, our perspective includes sociocultural factors (e.g., social position, adaptive culture), an emphasis on intragroup variability, and discussion of potentially promoting and inhibiting aspects of marginalization. Following a description of existing research on purpose development during adolescence, we discuss how experiences of marginalization could contour the development of self-integrative, strong, and articulated purpose among adolescents. To conclude, specific considerations for future research are outlined, including how existing definitions of and tools for measuring purpose can be adapted to produce a scientific literature that values and includes the normative purpose development of adolescents who experience marginalization.
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The links between low socioeconomic status and poor health are well established, yet despite adversity, some individuals with low socioeconomic status appear to avoid these negative consequences through adaptive coping. Previous research found a set of strategies, called shift-and-persist (shifting the self to stressors while persisting by finding meaning), to be particularly adaptive for individuals with low socioeconomic status, who typically face more uncontrollable stressors. This study tested (a) whether perceived social status, similar to objective socioeconomic status, would moderate the link between shift-and-persist and health, and (b) whether a specific uncontrollable stressor, unfair treatment, would similarly moderate the health correlates of shift-and-persist. A sample of 308 youth ( Meanage = 13.0, range 8–17), physician diagnosed with asthma, completed measures of shift-and-persist, unfair treatment, asthma control, and quality of life in the lab, and 2 weeks of daily diaries about their asthma symptoms. Parents reported on perceived family social status. Results indicated that shift-and-persist was associated with better asthma profiles, only among youth from families with lower (vs. higher) parent-reported perceived social status. Shift-and-persist was also associated with better asthma profiles, only among youth who experienced more (vs. less) unfair treatment. These findings suggest that the adaptive values of coping strategies for youth with asthma depend on the family's perceived social status and on the stressor experienced.
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This meta-analytic study systematically investigates the relations between perceived racial/ethnic discrimination and socioemotional distress, academics, and risky health behaviors during adolescence, and potential variation in these relations. The study included 214 peer-reviewed articles, theses, and dissertations, with 489 unique effect sizes on 91,338 unique adolescents. Random-effects meta-analyses across 11 separate indicators of well-being identified significant detrimental effects. Greater perceptions of racial/ethnic discrimination were linked to more depressive and internalizing symptoms; greater psychological distress; poorer self-esteem; lower academic achievement and engagement; less academic motivation; greater engagement in externalizing behaviors, risky sexual behaviors, and substance use; and more associations with deviant peers. Metaregression and subgroup analyses indicated differences by race/ethnicity, Gender × Race/Ethnicity interactions, developmental stage, timing of retrospective measurement of discrimination, and country. Overall, this study highlights the pernicious effects of racial/ethnic discrimination for adolescents across developmental domains and suggests who is potentially at greater risk.
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In this chapter we use Phenomenological Variant of Ecological Systems Theory (P-VEST) to consider civic engagement as a coping response to systems of inequality faced by racial minority children. After a brief introduction we present a historical and theoretical overview of civic engagement with regard to children and adolescents and racially marginalized communities. We then introduce the P-VEST framework and examine civic engagement as a proactive reactive coping method to counteract the vulnerability and stress of systematic racial injustice. Following a discussion of the current empirical literature we explore the utility of civic engagement programs (e.g., Youth Participatory Action Research) as interventions to support positive development of minority youth. We conclude with policy implications and future directions for research to leverage civic engagement as a coping strategy for the positive development of minority children and their communities.
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Shift-and-persist is a resilience construct hypothesized to be beneficial to physical health among individuals with low socioeconomic status (SES). This shift-and-persist construct entails a combination of reframing stressors more positively while also enduring adversity through finding purpose in life. In this study, we investigated how shift-and-persist relates to key inflammatory processes that are implicated in cardiovascular and other diseases. We also obtained validation information on a new shift-and-persist measure. A sample of 122 adolescents and 122 parents from a diverse range of SES backgrounds completed our shift-and-persist measure, a battery of other psychosocial questionnaires and interviews, and provided blood samples. Parents also provided SES information. Reliability and validity of the shift-and-persist measure were demonstrated across both adolescents and adults. Shift-and-persist moderated the association between SES and indicators of inflammatory regulation. Specifically, as SES declined, shift-and-persist was associated with greater sensitivity to glucocorticoids' anti-inflammatory properties (interaction in adolescents: β = .21, p = .033; interaction in adults: β = .25, p = .011), and also with less low-grade, chronic inflammation (interaction in adolescents: β = .18, p = .044). Conversely, as SES increased, the opposite pattern was evident. These findings suggest that adaptive psychosocial characteristics have the potential to regulate inflammatory processes in ways that may mitigate risk for a number of chronic diseases, particularly among disadvantaged groups.
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Experiences of racial and ethnic discrimination pose significant threats to the development and well‐being of racial and ethnic minority children. Fortunately, not all youth who experience discrimination are susceptible to its harmful effects. Growing evidence points to several racial and ethnic factors that promote positive youth development and protect against the potentially damaging effects of racial and ethnic adversity. This article summarizes emerging research trends and conclusions regarding the “promotive” and “protective” effects of racial and ethnic identity, ethnic‐racial socialization, and cultural orientation, as well as some of the mechanisms that may account for their salutary properties. The article concludes with a brief discussion of important considerations and directions for the future study of racial and ethnic resilience processes in ethnic minority youth.
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This study provides evidence that the effects of perceived pervasive discrimination may be dynamic over time. It was expected that participants who perceived discrimination to be highly pervasive would initially be more likely to engage in inactive coping strategies than those who perceived low pervasiveness; however, those who continued to perceive high pervasiveness over time were expected ultimately to engage in more active strategies than those perceiving low pervasiveness. Using a 28-day diary, women and ethnic minorities described their daily experiences of discrimination and indicated their appraisals of its pervasiveness as well as their coping strategies. Results showed that participants who initially perceived low pervasiveness reported more active coping and religion use as well as less behavioral disengagement than those initially perceiving high pervasiveness. However, this pattern was reversed by the end of the study. Implications for integrating time into the assessment of coping with discrimination are discussed.
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A framework for hypothesis testing and power analysis in the assessment of fit of covariance structure models is presented. We emphasize the value of confidence intervals for fit indices, and we stress the relationship of confidence intervals to a framework for hypothesis testing. The approach allows for testing null hypotheses of not-good fit, reversing the role of the null hypothesis in conventional tests of model fit, so that a significant result provides strong support for good fit. The approach also allows for direct estimation of power, where effect size is defined in terms of a null and alternative value of the root-mean-square error of approximation fit index proposed by J. H. Steiger and J. M. Lind (1980). It is also feasible to determine minimum sample size required to achieve a given level of power for any test of fit in this framework. Computer programs and examples are provided for power analyses and calculation of minimum sample sizes. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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Objective: Low socioeconomic status (SES) is associated with many adverse health outcomes, including childhood overweight and obesity. However, little is understood about why some children defy this trend by maintaining a healthy weight despite living in obesogenic environments. The objective of this study is to test the hypothesis that the psychological strategy of "shift-and-persist" protects low-SES children from overweight and obesity. Shift-and-persist involves dealing with stressors by reframing them more positively while at the same time persisting in optimistic thoughts about the future. Design and methods: Middle school children (N = 1,523, ages 9-15) enrolled in a school-based obesity prevention trial completed health surveys and physical assessments. Multiple linear regression analysis was used to examine the role of SES, shift-and-persist strategies, and their interaction on BMI z-scores, while controlling for student race/ethnicity, gender, and reported diet and physical activity. Results: Among children reporting engaging in less frequent shift-and-persist strategies, lower SES was associated with significantly higher BMI z-scores (P < 0.05). However, among children reporting engaging in more frequent shift-and-persist strategies, there was no association of SES with BMI z-score (P = 0.16), suggesting that shift-and-persist strategies may be protective against the association between SES and BMI. Conclusions: Interventions aimed at improving psychological resilience among children of low SES may provide a complementary approach to prevent childhood overweight and obesity among at-risk populations.
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Little is understood about why some youth from low-socioeconomic-status (SES) environments exhibit good health despite adversity. This study tested whether role models and "shift-and-persist" approaches (reframing stressors more benignly while persisting with future optimism) protect low-SES youth from cardiovascular risk. A total of 163 youth, ages 13-16, completed role model interviews and shift-and-persist measures while cholesterol and inflammatory markers, interleukin-6 (IL-6), and C-reactive protein were assessed. Low-SES youth with supportive role models had lower IL-6. Low-SES youth high in shift-and-persist also had lower IL-6. Shift-and-persist partially mediated the interaction of SES and role models on IL-6. Benefits were not found among high-SES youth. Identifying psychological buffers in low-SES youth has implications for health disparities.
Article
Some individuals, despite facing recurrent, severe adversities in life such as low socioeconomic status (SES), are nonetheless able to maintain good physical health. This article explores why these individuals deviate from the expected association of low SES with poor health, and outlines a "shift-and-persist" model to explain the psychobiological mechanisms involved. This model proposes that in the midst of adversity, some children find role models who teach them to trust others, better regulate their emotions, and focus on their futures. Over a lifetime, these low SES children develop an approach to life that prioritizes shifting oneself (accepting stress for what it is and adapting the self to it) in combination with persisting (enduring life with strength by holding on to meaning and optimism). This combination of shift-and-persist strategies mitigates sympathetic-nervous-system and hypothalamic-pituitary-adrenocortical responses to the barrage of stressors that low SES individuals confront. This tendency vectors individuals off the trajectory to chronic disease by forestalling pathogenic sequelae of stress reactivity, like insulin resistance, high blood pressure, and systemic inflammation. We outline evidence for the model, and argue that efforts to identify resilience-promoting processes are important in this economic climate, given limited resources for improving the financial circumstances of disadvantaged individuals.
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This article examines the adequacy of the “rules of thumb” conventional cutoff criteria and several new alternatives for various fit indexes used to evaluate model fit in practice. Using a 2‐index presentation strategy, which includes using the maximum likelihood (ML)‐based standardized root mean squared residual (SRMR) and supplementing it with either Tucker‐Lewis Index (TLI), Bollen's (1989) Fit Index (BL89), Relative Noncentrality Index (RNI), Comparative Fit Index (CFI), Gamma Hat, McDonald's Centrality Index (Mc), or root mean squared error of approximation (RMSEA), various combinations of cutoff values from selected ranges of cutoff criteria for the ML‐based SRMR and a given supplemental fit index were used to calculate rejection rates for various types of true‐population and misspecified models; that is, models with misspecified factor covariance(s) and models with misspecified factor loading(s). The results suggest that, for the ML method, a cutoff value close to .95 for TLI, BL89, CFI, RNI, and Gamma Hat; a cutoff value close to .90 for Mc; a cutoff value close to .08 for SRMR; and a cutoff value close to .06 for RMSEA are needed before we can conclude that there is a relatively good fit between the hypothesized model and the observed data. Furthermore, the 2‐index presentation strategy is required to reject reasonable proportions of various types of true‐population and misspecified models. Finally, using the proposed cutoff criteria, the ML‐based TLI, Mc, and RMSEA tend to overreject true‐population models at small sample size and thus are less preferable when sample size is small.
Article
This article examines the extent to which racial differences in socio-economic status (SES), social class and acute and chronic indicators of perceived discrimination, as well as general measures of stress can account for black-white differences in self-reported measures of physical and mental health. The observed racial differences in health were markedly reduced when adjusted for education and especially income. However, both perceived discrimination and more traditional measures of stress are related to health and play an incremental role in accounting for differences between the races in health status. These findings underscore the need for research efforts to identify the complex ways in which economic and non-economic forms of discrimination relate to each other and combine with socio-economic position and other risk factors and resources to affect health.
Article
Low socioeconomic status (SES) is a strong predictor of many health problems, including asthma impairment; however, little is understood about why some patients defy this trend by exhibiting good asthma control despite living in adverse environments. This study sought to test whether a psychological characteristic, the shift-and-persist strategy (dealing with stressors by reframing them more positively while at the same time persisting in optimistic thoughts about the future), protects low-SES children with asthma. One hundred twenty-one children aged 9 to 18 years with a physician's diagnosis of asthma were recruited from medical practices and community advertisements (mean age, 12.6 years; 67% male; 61% white). Shift-and-persist scores and asthma inflammation (eosinophil counts and stimulated IL-4 cytokine production) were assessed at baseline, and asthma impairment (daily diary measures of rescue inhaler use and school absences) and daily peak flow were monitored at baseline and at a 6-month follow-up. Children who came from low-SES backgrounds but who engaged in shift-and-persist strategies displayed less asthma inflammation at baseline (β = 0.19, P < .05), as well as less asthma impairment (reduced rescue inhaler use and fewer school absences; β = 0.32, P < .01) prospectively at the 6-month follow-up period. In contrast, shift-and-persist strategies were not beneficial among high-SES children with asthma. An approach that focuses on the psychological qualities that low-SES children develop to adapt to stressors might represent a practical and effective starting point for reducing health disparities. Moreover, the approaches that are effective in low-SES communities might be different from those that are optimal in a high-SES context.
Article
Psychosocial factors, including religious coping, consistently have been implicated in the expression of anxiety disorders. This study sought to investigate the relationship between religious coping on anxiety symptoms among a nonclinical sample of African American and European American young adults. One hundred twenty-one European American and 100 African American young adults completed measures of anxiety and religious coping. As predicted, results differed according to race. African Americans reported significantly more positive religious coping, less negative religious coping, and experienced fewer anxiety symptoms than European Americans. European Americans demonstrated a significant, positive relationship between negative religious coping and anxiety symptoms, and an opposite trend related to anxiety and positive religious coping. However, no such relationships emerged among the African American sample. Implications and suggestions for future research are discussed.
Article
A growing body of literature suggests that people often turn to religion when coping with stressful events. However, studies on the efficacy of religious coping for people dealing with stressful situations have yielded mixed results. No published studies to date have attempted to quantitatively synthesize the research on religious coping and psychological adjustment to stress. The purpose of the current study was to synthesize the research on situation-specific religious coping methods and quantitatively determine their efficacy for people dealing with stressful situations. A meta-analysis of 49 relevant studies with a total of 105 effect sizes was conducted in order to quantitatively examine the relationship between religious coping and psychological adjustment to stress. Four types of relationships were investigated: positive religious coping with positive psychological adjustment, positive religious coping with negative psychological adjustment, negative religious coping with positive psychological adjustment, and negative religious coping with negative psychological adjustment. The results of the study generally supported the hypotheses that positive and negative forms of religious coping are related to positive and negative psychological adjustment to stress, respectively. Implications of the findings and their limitations are discussed.