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Abstract

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.
Culturally Informed Shift-&-Persist: A Higher-Order Factor Model and
Prospective Associations With Discrimination and Depressive Symptoms
N. Keita Christophe
1
, Gabriela L. Stein
1
, Michelle Y. Martin Romero
2
, Puja P. Patel
1
, and Joseph K. Sircar
1
1
Department of Psychology, The University of North Carolina at Greensboro
2
Department of Public Health Education, The University of North Carolina at Greensboro
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 (M
age
=18.79, 85.2%
female), we tested for the existence of this higher-order factor through conrmatory factor analysis. Results:
We found theoretical and empirical support for the existence of a higher-order factor structure and for our
higher-order factorculturally 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&Ps promotive and protective effects in the face of
ethnicracial discrimination. Implications for subsequent study of culturally based coping are discussed.
Public Signicance Statement
Culturally based shift-&-persist is a coping construct that captures the multiple culturally based ways
youth may cope with racialized stress. Culturally informed shift-&-persist may promote psychological
well-being (i.e., fewer depressive symptoms) among minoritized youth and fully protect them against
the negative effects of discrimination.
Keywords: shift-&-persist, civic engagement, coping, discrimination, depression
Supplemental materials: https://doi.org/10.1037/cdp0000361.supp
Minoritized
1
groups in the United States face a host of unique
stressors, such as ethnicracial discrimination, that have long-lasting
deleterious effects on mental and physical health (Benner et al.,
2018). Given the numerous negative effects of discrimination,
scholars have attempted to identify factors that may promote posi-
tive well-being and protect against discrimination. One commonly
posited factor has been ethnicracial identity (ERI), or the meaning
that race/ethnicity has in ones self-concept (Sellers et al.,1998);
however, meta-analyses have shown that ERI does not universally
nor consistently protect minoritized youth from negative mental
health when exposed to discrimination (Yip et al., 2019). Thus,
although ERI serves to promote adaptation in minoritized youth
(Rivas-Drake et al., 2014), it is likely that other factors such as
effective coping are also necessary to protect youth against discrim-
ination (Neblett et al., 2012). Despite the clear need for scholars to
understand how minoritized youth cope with discrimination, the
mainstream coping literature has been widely criticized attending to
neither the unique stressors these groups face nor the unique ways
youth cope with these stressors (Compas et al., 2017).
To continue to integrate the role of culture and resilience into the
study of developmental psychopathology (Coll et al., 2000), it is
critical to understand how the culturally embedded coping strategies
that are informed by the values, beliefs, and traditions of these
minoritized groups (Heppner et al., 2014) serve to buffer against
race-related stress. This study aims to elucidate previously
unexplored connections between culturally informed coping strate-
gies with a mainstream coping model that has been developed
specically for marginalized groups (Chen & Miller, 2012). The
shift-&-persist (S&P) paradigm draws from the broader coping
literature and described a coping response that is best suited for
This article was published Online First June 28, 2021.
N. Keita Christophe https://orcid.org/0000-0003-1310-2236
Gabriela L. Stein https://orcid.org/0000-0002-7365-5169
Michelle Y. Martin Romero https://orcid.org/0000-0003-3245-1781
Joseph K. Sircar https://orcid.org/0000-0002-9419-4584
This work was supported in part by a predoctoral fellowship provided by
the National Institute of Child Health and Human Development (T32-
HD07376) through the Carolina Consortium on Human Development,
University of North Carolina at Chapel Hill, to N. Keita Christophe.
Correspondence concerning this article should be addressedtoN.Keita
Christophe, Department of Psychology, University of North Carolina at
Greensboro, 296 Eberhart Building, P.O. Box 26170, Greensboro, NC
27402-6170, United States. Email: nnchrist@uncg.edu
1
We use the term minoritized to refer to racial/ethnic minorityyouth.
We elect to use the term minoritized, as it implies that these youth have been
placed in disadvantaged social positions due to sociopolitical and economic
inequalities regardless of numeric representation.
Cultural Diversity and Ethnic Minority Psychology
© 2021 American Psychological Association 2021, Vol. 27, No. 4, 638648
ISSN: 1099-9809 https://doi.org/10.1037/cdp0000361
638
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
... Assessing general 'unfair treatment' via Williams's et al.'s (1997) Everyday Discrimination Scale, Lam et al. (2018) found that youth (50% non-white) who faced greater unfair treatment were protected against worse asthma profiles; this study provided initial evidence that shift-&-persist could be protective in the context of discrimination. More recently, research on shift-&-persist has also extended past health outcomes to the study of ethnic-racial discrimination and depressive symptoms in samples of Latinx youth (Christophe et al., 2019(Christophe et al., , 2021. These studies broadly found that Latinx youth lower in ERI (i.e., private regard, centrality) were protected against discrimination if they endorsed high levels of shift-&-persist coping. ...
... While there are many potential protective factors, both culturally-informed and otherwise, that may in certain contexts promote better mental health and even reduce the impacts of discrimination, there is reason to believe that the previously reviewed factors (ERI, religious coping, familism values, and shift-&-persist may be related to one another in complex ways. For instance, in a study of minoritized emerging adults, Christophe et al. (2021) found that shift, persist and spiritually based coping loaded onto-with civic engagement-a single latent construct, named 'culturallyinformed shift-&-persist' in that study. This construct was positively related to youth's ERI, promoted fewer depressive symptoms, and mitigated the harmful impact of discrimination on depressive symptoms (Christophe et al., 2021). ...
... For instance, in a study of minoritized emerging adults, Christophe et al. (2021) found that shift, persist and spiritually based coping loaded onto-with civic engagement-a single latent construct, named 'culturallyinformed shift-&-persist' in that study. This construct was positively related to youth's ERI, promoted fewer depressive symptoms, and mitigated the harmful impact of discrimination on depressive symptoms (Christophe et al., 2021). These factors were all grouped together because of apparent conceptual similarities; for instance, religious/spiritual coping may entail a reappraisal and acceptance of stress as part of some greater plan (i.e., a shift) combined with optimism and a sense of purpose in life derived from one's spiritual/ religious beliefs and community. ...
Article
Models of resilience in minoritized youth posit that youth need to draw upon multiple different cultural (e.g., identity, values, etc.) and general factors (e.g., coping) to thrive in the face of discrimination. Nonetheless, the integration of these factors in empirical scholarship is lacking, as scholars have typically focused on single factors within these models in isolation. To provide a more holistic test of these theoretical models, we utilized latent profile analysis, a technique well-suited to examine the simultaneous impact of multiple factors, to identify patterns of cultural promotive factors (ethnic-racial identity, religious coping, and familism) and a general coping factor (shift-&-persist) in 694 minoritized (Mage = 17.24, 73.5% women, 46.1% black) youth. We observed four profiles: High Cultural High Coping, Average Cultural Average Coping, Low Religious Low Coping, and Low Cultural Low Coping. Despite a lack of developmental differences, several profile differences emerged with respect to gender, race, and socioeconomic status. Additionally, Average Promotive Average Coping youth experienced the greatest amount of discrimination. Finally, after accounting for the effects of discrimination and covariates, those in the High Cultural High Coping profile displayed fewer depressive symptoms than those in the Average Cultural Average Coping and Low Religious Low Coping profiles.
... Shift-and-persist (SP) strategies are defined as the ability to adapt the self to stressors (shift) while preserving focus on the future (persist), and its framework was developed as a way to understand why some persons of low socioeconomic status are protected against adverse physical health outcomes whereas others are not [20]. Accordingly, research has documented the protective effect of SP on health outcomes among socioeconomically disadvantaged groups [21][22][23] and groups experiencing a range of stressors [22][23][24][25][26][27][28][29]. Although primarily studied in the context of cardiometabolic outcomes, a growing body of literature has started to document the association between SP and psychological distress outcomes [23,[26][27][28][29]. ...
... Accordingly, research has documented the protective effect of SP on health outcomes among socioeconomically disadvantaged groups [21][22][23] and groups experiencing a range of stressors [22][23][24][25][26][27][28][29]. Although primarily studied in the context of cardiometabolic outcomes, a growing body of literature has started to document the association between SP and psychological distress outcomes [23,[26][27][28][29]. For instance, Christophe et al. found that greater use of SP was associated with lower depressive symptoms among Latinx youth in the continental US [23], and that SP buffered the association between a stressor (i.e., experiences of discrimination) and depressive symptoms. ...
... Our study showed that SP was negatively associated with psychological distress among young adults in Puerto Rico. These findings are in agreement with the growing body of work on SP and depression [23,[26][27][28][29]. For instance, greater SP was associated with lower depression symptoms among Mexican American and continental US Latinx youth, participants of the MIDUSI-III study (2% Latinx), and US-born racial/ethnic minority youth (22% Latinx) who were experiencing discrimination [23,[26][27][28]. ...
Article
Full-text available
Objective Residents of Puerto Rico are disproportionately exposed to social and environmental stressors (e.g., Hurricane María and the 2020 sequence of tremors) known to be associated with psychological distress. Shift-and-persist (SP), or the ability to adapt the self to stressors while preserving focus on the future, has been linked with lower psychological distress, but no study has evaluated this in Puerto Rico. This study examined the association between SP and psychological distress (including that from natural disasters) in a sample of young adults in Puerto Rico. Methods Data from the Puerto Rico-OUTLOOK study (18–29 y) were used. Participants (n = 1497) completed assessments between September 2020 and September 2022. SP was measured with the Chen scale and categorized into quartiles (SPQ1–SPQ4). Psychological distress included symptoms of depression (CESD-10), anxiety (STAI-10), post-traumatic stress disorder (Civilian Abbreviated Scale PTSD checklist), and ataque de nervios (an idiom of distress used by Latinx groups). Outcomes were dichotomized according to clinical cutoffs when available, otherwise used sample-based cutoffs. Two additional items assessed the perceived mental health impact of Hurricane María and the 2020 sequence of tremors (categorized as no/little impact vs. some/a lot). Adjusted prevalence ratios (PR) and their 95% confidence intervals (CI) were estimated. Results The most commonly reported psychological distress outcome was PTSD (77%). In adjusted models, compared to SP Q1, persons in SP Q2–Q4 were less likely to have elevated symptoms of depression (PR Q2 = 0.79, 95% CI = 0.72–0.85; PR Q3 = 0.65, 95% CI = 0.58–0.73; and PR Q4 = 0.41, 95% CI = 0.35–0.48), PTSD (PR Q2 = 0.92, 95% CI = 0.87–0.98; PR Q3 = 0.86, 95% CI = 0.80–0.93; and PR Q4 = 0.76, 95% CI = 0.70–0.83), anxiety (PR Q2 = 0.39, 95% CI = 0.31–0.48; PR Q3 = 0.27, 95% CI = 0.20–0.37; and PR Q4 = 0.11, 95% CI = 0.07–0.17) and experiences of ataque de nervios (PR Q2 = 0.85, 95% CI = 0.76–0.94; PR Q3 = 0.79, 95% CI = 0.70–0.90; and PR Q4 = 0.68, 95% CI = 0.60–0.78). Compared to persons in SP Q1, persons in SP Q3–Q4 were less likely to report adverse mental health impacts from Hurricane María (PR Q3 = 0.66, 95% CI = 0.55–0.79; and PR Q4 = 0.53, 95% CI = 0.44–0.65) and the 2020 sequence of tremors (PR Q3 = 0.77, 95% CI = 0.61–0.98; and PR Q4 = 0.74, 95% CI = 0.59–0.94). Conclusion SP was associated with lower psychological distress. Studies are needed to confirm our findings and evaluate potential mechanisms of action.
... 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.
... In a study of racially ethnically minoritized emerging adults (55% Black, 22% Latinx), we tested whether religious/spiritual coping and critical civic engagement, in combination with more general shifting and persisting, held together as a single higher-order coping construct that captured their conceptual similarities and worked to protect against the negative impacts of discrimination across all levels of racialethnic identity (Christophe et al., 2021). We did find evidence that shift/persist/spiritual coping and critical civic engagement were well captured by a single coping construct, which we termed culturally-informed S&P, that embodied the generally and culturally-based ways in which racially-ethnically minoritized emerging adults employed S&P principles to cope with stress. ...
... We did find evidence that shift/persist/spiritual coping and critical civic engagement were well captured by a single coping construct, which we termed culturally-informed S&P, that embodied the generally and culturally-based ways in which racially-ethnically minoritized emerging adults employed S&P principles to cope with stress. Further, we found that youth who were at mean and high levels of culturally informed S&P coping were fully protected against the negative impacts of discrimination, and this protective effect did not differ based on an individual's racial-ethnic identity (Christophe et al., 2021). Further, although racial-ethnic identity was negatively correlated with depressive symptoms and predicted fewer depressive symptoms on its own, the promotive effect of racial-ethnic identity became nonsignificant when culturally informed S&P was entered into the model. ...
Chapter
In the last decade, there has been a surge in research examining racial-ethnic socialization (RES) in Latinx families building upon a research base that has established Latinx culturally resilient processes. Our chapter brings together these lines of work and presents a model for understanding the protective processes of RES in Latinx families. We first discuss the unique factors that may influence RES processes and need further attention (e.g., acculturation, immigration status, country of origin). We then present a model that delineates how RES supports the development of culturally resilient values and beliefs (i.e., racial-ethnic identity, familism values, familial resilience, critical reflection, and motivation) that lead to the enactment of culturally resilient behaviors (i.e., ethnic-racial behaviors, familism behaviors, familial coping and support, and shift-&-persist coping). We argue that together culturally resilient values and behaviors ultimately result in greater self-esteem, school engagement, prosocial behaviors, and well-being for Latinx youth as they face discrimination, marginalization, and oppression. We conclude by considering how these culturally resilient processes can be embedded in prevention and intervention efforts.
... Previous research on shift-and-persist coping in Latinx youth suggests that it may act as a secondary control coping strategy or supplement to other sources of resilience such as racial-ethnic identity (Christophe et al., 2019). Shiftand-persist coping has also been theorized to exist within a higher order construct-culturally informed shift-andpersist-which also includes spiritually based coping and critical civic engagement and is posited to have protective and promotive effects among youth from minoritized backgrounds experiencing racial-ethnic discrimination, especially among those with low levels of racial-ethnic identity (Christophe et al., 2021). Recent research has found high levels of culturally informed shift-and-persist may have protective effects against the adverse effects of discrimination on depressive symptoms (Christophe et al., 2021). ...
... Shiftand-persist coping has also been theorized to exist within a higher order construct-culturally informed shift-andpersist-which also includes spiritually based coping and critical civic engagement and is posited to have protective and promotive effects among youth from minoritized backgrounds experiencing racial-ethnic discrimination, especially among those with low levels of racial-ethnic identity (Christophe et al., 2021). Recent research has found high levels of culturally informed shift-and-persist may have protective effects against the adverse effects of discrimination on depressive symptoms (Christophe et al., 2021). Future research could examine whether these patterns are similar among African American youth as well. ...
Article
This study examines whether shift-and-persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States. Participants (N = 299, 56% boys, Mage = 12.91) completed measures of shift-and-persist coping, contextual stress, and psychosocial and physical health. Shift-and-persist coping was generally associated with better health but did not buffer the effects of contextual stress. Results suggest that shift-and-persist coping may serve as a source of resilience among African American adolescents living in a context where many experience heightened contextual stress.
... 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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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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