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Examining the promotive versus the protective impact of culturally informed shift‐&‐persist coping in the context of discrimination, anxiety, and health behaviors
Abstract
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.
... 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]. ...
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.
... Shift-and-persist coping is a culturally relevant form of coping identified as a protective factor in marginalized communities for those exposed to uncontrollable stressors, such as discrimination (Christophe et al., 2022). Shift is the practice of cognitively reframing a stressful situation, while persist references holding onto optimism and hope for the future amid adversity (Lam et al., 2018). ...
... In prior research, shift-and-persist coping was protective against the effects of economic hardship and peer discrimination on youth depressive symptoms, particularly among Latinx youth who felt less positively about their heritage (Christophe et al., 2019(Christophe et al., , 2022. Our findings build on this work to indicate that amid a stressful and persistent life event, shift-and-persist coping that imbues individuals with hope and optimism about the future may foment greater familial resilience as well. ...
El presente estudio examinó los recursos culturales en las familias latinas (es decir, valores, apoyo, afrontamiento de problemas) que pudieran haber contribuido a la capacidad de recuperación (resiliencia) familiar durante los primeros años de la pandemia por COVID-19. Los datos de la encuesta se recopilaron desde octubre de 2020 hasta septiembre de 2021 y luego seis meses después utilizando una muestra comunitaria de 135 adolescentes latinos (Medad = 16.00 años, SD = 1.27; 59.3% mujeres; 85.2% nacidos en EE.UU.). Un modelo de análisis de rutas reveló que los valores del familismo y el apoyo de los padres estaban relacionados positivamente con las percepciones simultáneas de la capacidad de recuperación familiar. El apoyo de los padres, las prácticas de socialización étnico-racial de los padres que infunden conocimiento y orgullo culturales a los jóvenes, y el afrontamiento de problemas mediante el cambio y la perseverancia se asociaron positivamente con la capacidad de recuperación familiar seis meses después. En conjunto, aunque la adolescencia frecuentemente se considera como un período marcado por la disminución de la influencia de los padres, estos resultados ponen en evidencia el papel fundamental que los padres desempeñan en la percepción que tienen los jóvenes acerca de la capacidad de recuperación familiar durante los eventos estresantes de la vida. Además, en el contexto de un factor estresante prolongado, los recursos culturales tal como la socialización étnico-racial y el afrontamiento de problemas mediante el cambio y la perseverancia podrían servir particularmente como fuentes de capacidad de recuperación en las familias latinas.
... Shift-and-persist coping is thought to protect individuals exposed to uncontrollable stressors, such as individuals with lower socioeconomic status or those experiencing cultural stressors (Chen & Miller, 2012;Christophe et al., 2022). Drawing from the beliefs and experiences of marginalized communities, this culturally relevant coping strategy includes two interrelated components (Chen & Miller, 2012). ...
Objective: This study examined the associations between cultural stressors (i.e., foreigner-based discrimination and acculturation gap conflict) and mother–adolescent relational conflict and the moderating effects of youth coping on these relations. Method: Within a sample of 175 Latinx mothers (Mage = 41.84 years; 88% born in Mexico) and adolescents (Mage = 12.89 years; 52% female; 87% U.S. born), we used actor–partner interdependence models to test the dyadic associations of one’s cultural stress experiences with their own (i.e., self-effect) and the other family member’s (i.e., mother or adolescent effect) perception of relational conflict, and we examined youth coping as a moderator. Results: Adolescents’ experiences of cultural stress were positively related to their own perception of relational conflict but not their mother’s. Amid higher maternal discrimination experiences, higher youth shift-and-persist coping was related to lower youth-reported relational conflict. Higher youth discrimination experiences were correlated with higher reports of youth support-seeking, but youth support-seeking did not moderate the relation between cultural stress and relational conflict. Conclusions: Shift-and-persist coping may play a critical role in exacerbating or mitigating the harmful relations between cultural stress and relational conflict, depending upon whether the cultural stressor is external (i.e., foreigner-based discrimination) or family-based (acculturation gap conflict).
... Although the dropping of items did not have a large effect on tests of validity (see sensitivity analyses), this lack of strong internal properties implies that simply changing the item stem of 'trait-like,' general coping measures may not adequately capture what is truly looks like to shift and persist in the context of discrimination. For instance, Christophe et al. ( , 2022 have argued that engaging in social activism, engaging in spiritual/religious coping, and behaviorally enacting familial cultural values may represent culturally informed ways minoritized youth 'shift' away from discrimination and 'persist' by falling back on family, community (spiritual/religious and/or activist), and working to dismantle unequal social systems that perpetuate racism and discrimination. In the present study, the reverse-coded discrimination-specific persist items seemed to fit particularly poorly, implying that maybe these experiences specifically may not be conceptually capturing the essence of persisting in the context of discrimination well. ...
Shift‐&‐persist (S&P) coping has been shown to buffer against the effects of discrimination on psychosocial functioning in racially and ethnically minoritized youth. However, existing measures of S&P refer broadly to coping with stress and are not specifically tailored to the type of stressor individuals are coping with (e.g., discrimination). The current study evaluated the measurement properties, utility, and validity of a discrimination‐specific adapted measure of S&P relative to an existing, general measure among a sample of 327 minoritized youth ( M age = 18.80, SD = 1.28, 78.6% female, 50.5% Black) recruited from a large public minority‐serving institution in the southeastern United States. Contrary to our hypotheses, when the item stem was changed to refer to coping specifically with discrimination, the measurement properties of a validated S&P scale (Lam et al., 2018) were worse relative to the original measure. Overall, the general S&P measure produced larger main effects and explained two times more variance in depressive symptoms than discrimination‐specific S&P. Findings do not rule out the idea that context‐specific measures may better characterize coping with discrimination experiences than ‘trait‐like’ general coping measures. However, results highlight that small adaptations to current measures may not be sufficient and may compromise predictive validity. Coping with discrimination measurement recommendations is discussed.
... Although there is a lack of research on the protective effects of shift-and-persist on cognitive development, previous studies focused on the moderating effects of shift-and-persist on disadvantaged children and adolescents' health may support the hypothesis. For example, Christophe et al. (2022) demonstrated that shift-and-persist promoted better sleep and reduced anxiety symptoms in the context of discrimination. Shift-andpersist could also decrease low-grade chronic inflammation (Chen et al., 2015), cardiovascular disease risk and overweight (Kallem et al., 2013) among adolescents with low SES. ...
Household income predicts early adolescents’ cognitive development. However, the mechanism underlying this association and protective factors are unclear. This study assessed one-year longitudinal data to examine whether perceived discrimination mediated the association between household income and executive function and the moderating role of shift-and-persist. 344 early adolescents in rural China were included in the study (mean = 10.88 years, SD = 1.32 years, girls: 51.74%). The latent variable model revealed that household income predicted early adolescents’ cognitive flexibility and working memory in the subsequent year through perceived discrimination. Shift-and-persist moderated the negative effects of perceived discrimination on cognitive flexibility: perceived discrimination impeded cognitive flexibility only among early adolescents with low shift-and-persist. The findings highlight perceived discrimination in the relation between household income and early adolescents’ executive function and underscore the protective role of shift-and-persist.
... 40 We expected that experiences with discrimination would be associated with membership in the high anti-racism action profile, but this was not the case. Although discrimination is known to motivate anti-racism action among minoritized college students, 41 personal experiences with discrimination may not be the sole source of motivation for students' anti-racism action. Rather, a general awareness and understanding of systematic inequalities (ie, high critical reflection 42 ) may also spur anti-racism action among marginalized students. ...
Objective: This study expands the literature on risk taking among college students by exploring anti-racism action as a form of positive risk taking. Participants: 346 Black (64%) and Latinx (36%) college students (85% female) ages 18-27 years (M = 18.75, SD = 1.31). Methods: Participants responded to questionnaires on anti-racism action, health-risk taking, and college functioning. Latent class analysis identified behavioral profiles of risk takers. Indicators of profile membership and associations with college functioning were examined. Results: Three profiles emerged: moderate overall risk taking, high health-risk taking, and high anti-racism action. Personal experience with discrimination was associated with a greater likelihood of health-risk taking. Students in the high anti-racism profile evinced greater educational functioning than those in the high-health risk taking profile. Conclusions: Risky behavior on college campuses is not homogeneous. Specific interventions and support networks are necessary to support students falling within specific risk profiles.
Objectives
Shift‐and‐persist coping strategies have been demonstrated to be beneficial for physical health of individuals in low socioeconomic status (SES); however, their impacts on psychological well‐being remain less clear. This study aimed to examine: (1) whether the protective effects of shift‐and‐persist with respect to psychological well‐being (i.e., depressive symptoms and subjective well‐being) only exist among adolescents with lower (vs. higher) subjective SES, and (2) what drives the potential benefits, shifting strategy or persisting strategy, or both of them?
Methods
This study recruited 686 middle school students (54.5% male; Mage = 12.57 years, SD = 0.65) from Guangdong Province, China, in January 2019, and they completed measures of subjective SES (i.e., perceived family social status), shift‐and‐persist strategies, depressive symptoms, subjective well‐being, and demographic information.
Results
Adolescents who engaged in more shift‐and‐persist strategies reported fewer depressive symptoms and higher levels of subjective well‐being, with stronger effects among those lower (vs. higher) in subjective SES. When further exploring what drove these effects, results showed that persisting strategy was associated with fewer depressive symptoms and higher levels of subjective well‐being, with more pronounced effects for adolescents with lower (vs. higher) subjective SES. The shifting strategy was associated with fewer depressive symptoms only among those with lower subjective SES, while associated with higher levels of subjective well‐being regardless of subjective SES levels.
Conclusions
Findings support the applicability of the shift‐and‐persist model to both positive and negative indicators of psychological well‐being and enrich the theory by providing preliminary evidence for the domain‐specific roles of shifting strategy in buffering the negative psychological effects of low‐SES contexts.
Ethnic‐racial discrimination has pervasive negative effects on Black youth's mental health; therefore, it is crucial to identify factors that provide resilience against discrimination. Two promising factors to help youth cope are ethnic‐racial identity (how one feels about their ethnicity/race) and shift‐and‐persist coping (reappraising and accepting an uncontrollable stressor while remaining optimistic about the future). While there is existing scholarship on ethnic‐racial identity among Black youth, this work has not yet assessed the impacts of shift‐and‐persist in this population. Using a sample of 155 Black youth (ages 13–17), the current study examined the interplay between discrimination, ethnic‐racial identity, shift‐and‐persist coping, and internalizing symptoms. Symptoms of depression and anxiety were positively associated with discrimination and negatively associated with shift‐and‐persist. Significant interactions between discrimination and shift‐and‐persist predicting both depressive and anxiety symptoms revealed significant negative associations between shift‐and‐persist and internalizing symptoms at low and average, but not high discrimination levels. Effects are, thus, protective‐reactive; the protective effects of shift‐and‐persist are not significant for youth facing high levels of discrimination. Ethnic‐racial identity, surprisingly, was not significantly associated with either depressive or anxiety symptoms, nor did it interact with shift‐and‐persist as it has in studies of Latinx youth. By understanding the protective benefits of shift‐and‐persist and ethnic‐racial identity in Black youth, during a pivotal period for mental health, we can provide this growing population with tools to lessen the maladaptive outcomes associated with discrimination.
Objective:
The current study utilized latent profile analysis to identify distinct profiles of suicidal ideation among Black male adolescents and compared profiles on socioecological determinants of suicide and psychological symptoms.
Method:
A sample of 457 Black male adolescents (mean age = 15.31, SD = 1.26) completed self-report measures of suicidal ideation, racial discrimination, community violence exposure, anxiety symptoms, depressive symptoms, and posttraumatic stress symptoms.
Results:
Results of the latent profile analysis revealed a three-profile model: a low ideation profile, with low levels of all forms of suicidal ideation; a general death ideation profile with elevated general thoughts of death and dying; and a high, concealed ideation profile with high levels on all suicidal ideation items, except communicating the ideation to others. ANOVAs revealed that levels of psychological symptoms were significantly different for each profile, with the high, concealed ideation profile showing the highest levels. The low ideation profile had significantly lower scores than the two other profiles on community violence exposure, but the other two profiles did not differ significantly from one another. Further, the general death ideation profile had significantly higher scores on racial discrimination than the other two profiles, but the other two profiles did not differ significantly from one another.
Conclusions:
The current study supports recent socio-cultural theories of suicidal ideation and behavior in Black youth and highlights the need for increased access to care and services for Black boys who are exposed to socioecological factors that heighten suicidal ideation.
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.
Growing research supports the link between individual expressions of hope and psychological well‐being. In this paper, we draw on psychological theories of hope, racial and ethnic studies, and the literature on radical healing to propose a framework of radical hope. Although the proposed multidimensional framework integrates cultural practices of People of Color in the United States, it is flexible enough to be adapted to other contexts. The paper begins by providing a brief review of the literature that conceptualizes the concept of hope in the field of psychology as a prelude to comparing the concept to the interdisciplinary notion of radical hope. Based on this body of work, we then introduce a culturally relevant psychological framework of radical hope, which includes the components of collective memory as well as faith and agency. Both components require an orientation to one of four directions including individual orientation, collective orientation, past orientation, and future orientation. The framework also consists of pathways individuals can follow to experience radical hope including (a) understanding the history of oppression along with the actions of resistance taken to transform these conditions, (b) embracing ancestral pride, (c) envisioning equitable possibilities, and (d) creating meaning and purpose in life by adopting an orientation to social justice. We conclude with a proposed research agenda for radical hope.
Objective: Racial discrimination is a stressor that may put African Americans at risk for alcohol use and related problems. We examined whether experiences of blatant (racist events) and subtle (racial microaggressions) forms of racial discrimination were associated with alcohol consumption and alcohol problems among African American young adults, and whether childhood/adolescence racial socialization by parents and friends moderated these associations. Method: The sample included 383 African American young adults (Mage = 20.65, SD = 2.28; 81% female) who completed an electronic survey in Fall, 2017. Hierarchical linear regression analyses were conducted in Mplus. Results: Experiences of racist events and racial microaggressions were associated with higher levels of alcohol consumption and more alcohol problems. Racial socialization by friends, but not parents, moderated these associations. Specifically, cultural socialization by friends buffered the effect of racist events on alcohol consumption and alcohol problems, whereas promotion of mistrust by friends exacerbated the effect of racial microaggressions on alcohol problems. Conclusions: Both blatant and subtle forms of racial discrimination were associated with higher risk for alcohol use or problems among African American young adults. Racial socialization by friends while growing up may play an important role in alcohol use outcomes during young adulthood. Findings highlight the importance of considering different forms of racial discrimination and emphasize the unique roles of racial socialization across different social contexts (i.e., parent and peers or friends) in relation to psychosocial outcomes among African American individuals.
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.
The detrimental effects of discrimination are well documented; however, the influence of ethnic/racial identity (ERI) on this association is equivocal. There is theoretical and empirical support for both protective and detrimental effects of ERI. This meta-analysis includes 53 effect sizes from 51 studies and 18,545 participants spanning early adolescence to adulthood to synthesize the interaction of ERI and discrimination for adjustment outcomes. Consistent with existing meta-analyses, discrimination was associated with compromised adjustment; further, this effect was buffered by overall ERI particularly for academic and physical health outcomes. Different ERI dimensions and adjustment outcomes revealed important patterns. ERI exploration increased vulnerabilities associated with discrimination, particularly for negative mental health and risky health behaviors. The exacerbating influence of ERI exploration was strongest at age 24, and more recent publications reported weaker exacerbating effects. In contrast, ERI commitment conferred protection. A composite score of ERI exploration and commitment also conferred protection against discrimination. Sample demographics mattered. The buffering effect of ERI commitment was stronger for Latinx (compared with Asian heritage) individuals. The buffering effect of public regard was stronger for Asian heritage (compared with African heritage) individuals. For positive mental health outcomes, a composite score of ERI exploration and commitment had a stronger buffering effect for Latinx (compared with African heritage) individuals. For risky health behaviors, Latinx individuals reported a stronger buffering effect of ERI (compared with African heritage and Asian heritage) individuals. The current meta-analysis identifies gaps in the literature and offers suggestions for future research.
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.
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.
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.
Objectives: Despite the abundance of research aimed at quantifying the impact of racism on the mental and physical health of African Americans, results remain inconclusive largely because of challenges with operationalization, as well as conflation with the concept of racial discrimination, which may be more readily assessed. The purpose of the current study was to: (a) determine whether racial discrimination had an impact on the degree of alcohol use and binge drinking among African American emerging adults, and if so, (b) determine whether perceived stress linked to racially discriminatory experiences moderated these associations. Method: We used a series of hierarchical regressions to examine associations among racial discrimination, perceived stress, and degree of alcohol consumption in a sample of African American emerging adults in the southeast (n = 235). Results: We found that the association between racial discrimination and degree of alcohol consumption (alcohol use and binge drinking) was strongest among individuals who reported greater levels of perceived stress linked to racial discrimination experiences. This association, however, was not significant for individuals who reported lower levels of perceived stress in response to racial discrimination. Conclusions: African Americans who experience a high degree of perceived stress in response to experiences with racial discrimination may be at greater risk for problem drinking than their peers with less perceived stress. These findings highlight the need for novel intervention efforts aimed at mitigating the effects of stress and racial discrimination on health outcomes.
Given the prominence of ethnicity/race in the United States, many youths construct an ethnic/racial identity (ERI). However, ERI development occurs against a backdrop of prejudice, oppression, and discrimination. This synthetic review explores (a) how identity and discrimination are related and (b) their association with psychological health. There is a reciprocal developmental association between ERI and discrimination, in which each informs the other. Although discrimination is detrimental for mental health, its impact depends on identity. In some cases, ERI confers protection from discrimination, and in others, it poses additional vulnerabilities. A strong sense of commitment to one’s identity confers protection against the negative effects of discrimination, while high levels of identity exploration are associated with increased vulnerability. However, the importance of ethnicity/race to one’s identity both protects from and increases vulnerabilities to discrimination. Suggestions for future research to help to disambiguate these associations are offered.
Perceived ethnic discrimination is central to the experiences of Latino young adults, yet we know little about the ways in which and the conditions under which ethnic discrimination relates to Latino young adults’ sleep patterns. Using a sample of 246 Mexican-origin young adults (M
age
= 21.11, SD = 1.54; 50 % female), the current study investigated the longitudinal links between perceived ethnic discrimination and both sleep duration and night-to-night variability in duration, while also examining the moderating roles of Anglo and Mexican orientations in the associations. The results revealed that perceived discrimination predicted greater sleep variability, and this link was not moderated by cultural orientations. The relation between perceived discrimination and hours of sleep, however, was moderated by Anglo and Mexican orientations. Individuals with high Anglo and Mexican orientations (bicultural) and those with only high Mexican orientations (enculturated), showed no association between discrimination and hours of sleep. Individuals with low Anglo and Mexican orientations (marginalized) displayed a positive association, whereas those with high Anglo and low Mexican orientations (acculturated) displayed a negative association. The results suggest that discrimination has long term effects on sleep variability of Mexican-origin young adults, regardless of cultural orientations; however, for sleep duration, bicultural and enculturated orientations are protective.
Three studies tested the hypothesis that the relation between perceived racial discrimination and substance use reported in previous research is moderated by use of substances as a coping mechanism. Studies 1 and 2 were experimental studies of African American adolescents' and young adults' reactions to a discrimination experience. Results revealed that those who endorsed substance use-as-coping reported more willingness to use substances after experiencing discrimination. Study 3 was a prospective study of the relation between perceived discrimination and substance use over an 8-year period in African American adolescents. Results demonstrated that discrimination is associated with increases in substance use, but only among adolescents who endorse substance use-as-coping. Together, these three studies provide evidence that experiencing discrimination has both short- and long-term detrimental effects on African Americans' substance use, but significantly more so for those who adopt a pattern of using substances as a coping mechanism.
Current research indicates that racial discrimination is pervasive in the lives of African Americans. Although there are a variety of ways in which discrimination may contribute to health, one potentially important pathway is through its impact on substance use. Addressing the paucity of longitudinal research on this topic, the present study examined the influence of teacher discrimination on changes in substance use over time among African American adolescents and considered three dimensions of racial identity as moderators of this association (centrality, private regard, and public regard). Latent variable SEM analyses indicated that, on average, levels of discrimination were associated with increases in substance use across the high school years. However, public regard was found to moderate this association such that discrimination was less strongly associated with increases in substance use for individual who reported lower levels of public regard. The implications of these findings are discussed.
This research evaluates the properties of a measure of culturally linked values of Mexican Americans in early adolescence and adulthood. The items measure were derived from qualitative data provided by focus groups in which Mexican Americans' (adolescents, mothers and fathers) perceptions of key values were discussed. The focus groups and a preliminary item refinement resulted in the fifty-item Mexican American Cultural Values Scales (identical for adolescents and adults) that includes nine value subscales. Analyses of data from two large previously published studies sampling Mexican American adolescents, mothers, and fathers provided evidence of the expected two correlated higher order factor structures, reliability, and construct validity of the subscales of the Mexican American Cultural Values Scales as indicators of values that are frequently associated with Mexican/Mexican American culture. The utility of this measure for use in longitudinal research, and in resolving some important theoretical questions regarding dual cultural adaptation, are discussed.
The current study examined the impact of racial discrimination stress on internalizing symptoms and coping strategies in a sample of 268 African American early adolescents (mean age = 12.90; 56% female) from low-income communities. Information about discrimination stress, coping, and internalizing symptoms was obtained via adolescents' self-report. It was predicted that discrimination stress would be positively associated with depression and anxiety, as well as culturally-specific coping. Finally, culturally-relevant coping and mainstream coping were examined as moderators of the association between discrimination stress and internalizing symptoms. Hierarchical regression analyses indicated that discrimination stress was positively associated with depression and anxiety and predicted culturally-relevant coping while controlling for mainstream coping. Communalistic coping moderated the association between discrimination and anxiety, but demonstrated a vulnerability function by increasing anxiety at high levels of discrimination. The results highlight the salience of racial discrimination for African American adolescents and the importance of considering culturally-specific coping behaviors.
Various authors have noted that interethnic group and intraethnic group racism are significant stressors for many African Americans. As such, intergroup and intragroup racism may play a role in the high rates of morbidity and mortality in this population. Yet, although scientific examinations of the effects of stress have proliferated, few researchers have explored the psychological, social, and physiological effects of perceived racism among African Americans. The purpose of this article was to outline a biopsychosocial model for perceived racism as a guide for future research. The first section of this article provides a brief overview of how racism has been conceptualized in the scientific literature. The second section reviews research exploring the existence of intergroup and intragroup racism. A contextual model for systematic studies of the biopsychosocial effects of perceived racism is then presented, along with recommendations for future research.
This preliminary study compared the associations between objective and subjective socioeconomic status (SES) with psychological and physical variables among 157 healthy White women, 59 of whom subsequently participated in a laboratory stress study. Compared with objective indicators, subjective social status was more consistently and strongly related to psychological functioning and health-related factors (self-rated health, heart rate, sleep latency, body fat distribution, and cortisol habituation to repeated stress). Most associations remained significant even after controlling for objective social status and negative affectivity. Results suggest that, in this sample with a moderately restricted range on SES and health, psychological perceptions of social status may be contributing to the SES–health gradient.
The authors proposed a process model whereby experiences of rejection based on membership in a devalued group can lead people to anxiously expect, readily perceive, and intensely react to status-based rejection. To test the model, the authors focused on race-based rejection sensitivity (RS-race) among African Americans. Following the development and validation of the RS-Race Questionnaire (Studies 1 and 2), the authors tested the utility of the model for understanding African American students' experiences at a predominantly White university (Study 3). Students high in RS-race experienced greater discomfort during the college transition, less trust in the university, and relative declines in grades over a 2- to 3-year period. Positive race-related experiences, however, increased feelings of belonging at the institution among students high in RS-race.
http://deepblue.lib.umich.edu/bitstream/null/1/mtf-occ94.pdf
Using a daily diary design and actigraphy sleep data across 2 weeks among 256 ethnic/racial minority adolescents (Mage = 14.72; 40% Asian, 22% Black, 38% Latinx; 2,607 days), this study investigated how previous‐night sleep (duration, quality) moderated the same‐day associations between ethnic/racial discrimination and stress responses (rumination, problem solving, family/peer support seeking) to predict daily well‐being (mood, somatic symptoms, life satisfaction). On days when adolescents experienced greater discrimination, if they slept longer and better the previous night, adolescents engaged in greater active coping (problem solving, peer support seeking), and subsequently had better well‐being. Adolescents also ruminated less when they slept longer the previous night regardless of discrimination. Findings highlight the role of sleep in helping adolescents navigate discrimination by facilitating coping processes.
Moderation analysis with latent variables is an important topic in social science research. Although different methods have been proposed for latent moderation analysis in the past three decades, these methods have weaknesses in certain circumstances. We therefore propose the factor score approach as a straightforward and implementation-friendly alternative in latent moderation analysis. This approach has several advantages over other existing methods, such as being able to test higher-order interaction models and interaction-as-outcome models. We compared the empirical performance of the factor score approach and other commonly used methods, namely the unconstrained product indicator approach and the latent moderated structural equation approach, by conducting a simulation study. Results indicated that the factor score approach worked satisfactorily under a range of model conditions. Using these results, we can offer applied researchers some practical guidelines of use for the factor score approach with regard to the subject variable (N/P) ratio and reliability level.
This study employs slope‐as‐mediator techniques to explore how the daily association between ethnic/racial discrimination and sleep disturbances serves as an intermediary link between ethnic/racial identity (ERI) and psychological adjustment. In a diverse sample of 264 adolescents (Mage = 14.3 years old, 70% female, 76% United States born, 25% African American, 32% Asian American, 43% Latinx), discrimination was associated with sleep disturbance. Furthermore, ERI commitment buffered the impact of discrimination on sleep, whereas ERI exploration exacerbated the impact of discrimination. Finally, the daily level association between discrimination and sleep (i.e., daily slope) mediated the association between ERI and adolescent adjustment. Substantive links between discrimination and sleep are discussed as well as broader applications of slope‐as‐mediator techniques.
Throughout the world, groups that are socially disadvantaged have poorer health compared to groups that are more advantaged. This book examines the role that stigma and discrimination play in creating and sustaining these group health disparities. Stigma is a social construction in which people who are distinguished by a “mark” are viewed as deviant, socially excluded, and devalued. Stigma and the discrimination it engenders negatively affect health through multiple mechanisms operating at several different levels of influence. Collectively, these shape both the orientations of people toward members of stigmatized groups and the experiences, and often the self-concepts, of members of groups targeted by stigma. Stigma affects individual-level affective, cognitive, behavioral, and physiological responses that increase stress in the lives of stigmatized groups. Stigma also restricts access to social and community-level resources relevant to good health and exposes individuals to more toxic environments. All act to erode the health of people who are stigmatized. This volume provides a cutting edge, multidisciplinary, multilevel analysis of health and health disparities through the integrative lens of stigma. It brings together the research of leading social and health psychologists, sociologists, public health scholars, and medical ethicists who study stigma and health. It integrates independent literatures on the health-related outcomes of stigma and discrimination and the diverse pathways and processes by which stigma and discrimination affect multiple health outcomes. The book is also forward-looking: It discusses the implications of these themes for policy, interventions, and health care, as well as identifies the most important directions for future research.
The present study seeks to explore the intersectionality of ethnicity/race and socioeconomic status (SES) among ethnic/racial minority adolescents in their developmental contexts, examining its implications for sleep disparities and the roles of discrimination and ethnic/racial identity (ERI; i.e., adolescents' understanding and feelings about who they are in relation to their ethnic/racial group). With 350 adolescents (Asian 41.4%, Black, 21.7%, and Latinx 36.9%, female = 69.1%, Mage = 14.27), we conducted a latent class analysis (LCA) to identify latent classes of adolescents' ethnicity/race, ethnic/racial diversity in their schools and neighborhoods along with SES of their families, schools, and neighborhoods. Next, with hierarchical regression, we tested the association between class membership and subjective and objective sleep duration and quality, followed by the moderating effect of discrimination and ERI. We expected to find adolescents living in low diversity and low SES across various developmental contexts to experience lower levels of subjective and objective sleep duration and quality compared to their counterparts. We also expected to find exacerbating effects of discrimination and ERI exploration, and protective effects of ERI commitment in these associations. Three latent groups were identified (C1: “Black/Latinx adolescents in low/moderate SES families in varying diversity and low SES schools and neighborhoods,” C2: “Predominantly Latinx adolescents in low SES families and moderate diversity and SES schools and neighborhoods,” and C3: “Predominantly Asian adolescents in low/moderate SES families in moderate/high diversity and SES schools and neighborhoods”). The class memberships to C1 and C2 were associated with compromised sleep duration and quality compared to C3. An interaction effect of discrimination was found for C1 in subjective sleep duration and for C2 in objective sleep duration. While no interactions were found for ERI, ERI commitment had a direct association with objective sleep duration and quality. Interpretations and implications for intersectionality approach in studies on sleep disparities and the roles of discrimination and ERI are discussed.
We examined if maternal shift-and-persist coping buffers the relationship between lower socioeconomic status (SES) and adverse type 1 diabetes (T1D) outcomes during adolescence. Mothers reported annual household income and completed measures of shift-and-persist. Adolescents (N = 145, ages 12 to 17; 52% female) with T1D completed measures of adherence. Glycemic control was indexed via medical records. The association of lower SES with poorer adherence was weaker when mothers had higher shift-and-persist. This buffering effect of maternal shift-and-persist was significant only for older adolescents. Maternal shift-and-persist coping may be an important resilience resource for lower income families managing T1D during adolescence.
Background and Aims
Findings of the association between racial discrimination and alcohol use and related consequences are inconsistent and the role of potential moderators in the association is largely unknown. This meta‐analysis aimed to synthesize the discrimination‐alcohol literature among Black Americans, estimate magnitude of associations, and explore differences as a function of sample characteristics.
Methods
Empirical studies reporting the association of racial discrimination with alcohol‐related behaviors in an all‐Black sample were identified via systematic literature search. A random‐effects meta‐analysis was conducted using 33 effect sizes extracted from 27 studies, all of which used U.S. samples (n = 26,894).
Results
Significant positive associations were found for racial discrimination with alcohol consumption (k = 9, CI = [0.08, 0.17], I² = 49%, r = .12), heavy/binge drinking (k = 12, CI = [0.02, 0.10], I² = 27%, r = .06), at‐risk drinking (k = 4, CI = [0.06, 0.23], I² = 0%, r = .14), and negative drinking consequences (k = 5, CI = [0.09, 0.25], I² = 94%, r = .25), but not with alcohol use disorder (k = 3, CI = [‐0.01, 0.20], I² = 90%, r = .10). Only alcohol consumption and negative drinking consequences showed significant between‐study heterogeneity and had a sufficient quantity of studies for moderation analysis (k ≥ 4). The positive association of racial discrimination with negative drinking consequences was stronger among younger samples; the association with alcohol consumption did not differ by age or proportion of men.
Conclusions
Experiences of racial discrimination are associated with diverse alcohol‐related behaviors among Black Americans, with a stronger association with problematic alcohol use particularly among younger individuals.
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.
Objectives: Experiences of racial discrimination have been associated with diverse negative health outcomes among racial minorities. However, extant findings of the association between racial discrimination and alcohol behaviors among Black college students are mixed. The current study examined mediating roles of depressive symptoms and coping drinking motives in the association of perceived racial discrimination with binge drinking and negative drinking consequences.
Design: Data were obtained from a cross-sectional study of Black college students attending a predominantly White institution in the northeastern US (N = 251, 66% female, mean age = 20 years).
Results: Results from path analysis showed that, when potential mediators were not considered, perceived racial discrimination was positively associated with negative drinking consequences but not frequency of binge drinking. Serial multiple mediation analysis showed that depressive symptoms and in turn coping drinking motives partially mediated the associations of perceived racial discrimination with both binge drinking frequency and negative drinking consequences (after controlling for sex, age, and negative life events).
Conclusions: Perceived racial discrimination is directly associated with experiences of alcohol-related problems, but not binge drinking behaviors among Black college students. Affective responses to perceived racial discrimination experiences and drinking to cope may serve as risk mechanisms for alcohol-related problems in this population. Implications for prevention and intervention efforts are discussed.
Preliminary evidence indicates there may be differences in the prevalence and severity of anxiety
in African Americans and European Americans. A number of sociocultural risk and protective
factors have been suggested to contribute to these group differences, such as salience of physical
illnesses, discrimination, stigma toward mental illness, religiosity, and ethnic identity. In this
paper, the literature concerning each of these factors is reviewed. Overall, the strongest evidence
was found for ethnic identity and stigma toward mental illness as factors underlying group
differences in anxiety. Ethnic identity and stigma toward mental illness consistently differed by
racial group and were associated with anxiety in African Americans. Ethnic identity may buffer
against the negative consequences of anxiety, reducing prevalence rates in African Americans.
Stigma toward mental illness may decrease African Americans willingness to report anxiety
symptoms, reducing overall prevalence rates but increasing the severity of treated cases. The
research regarding discrimination, salience of physical illnesses, and religiosity was less clear.
Much more research is required, but the findings of this review suggest that future studies should
put particular emphasis on stigma toward mental illness and ethnic identity as important factors
in understanding African American anxiety outcomes.
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.
Objective: Assessing and understanding the health needs and capacities of college students is paramount to creating healthy campus communities. The American College Health Association-National College Health Assessment (ACHA-NCHA) is a survey that ACHA developed in 1998 to assist institutions of higher education in achieving this goal. The ACHA-NCHA contains approximately 300 questions assessing student health status and health problems, risk and protective behaviors, and impediments to academic performance. Participants: The spring 2008 reference group includes ACHA-NCHA data from 80,121 students at 106 institutions of higher education. Methods: Officials at participating institutions administered the ACHA-NCHA to all students, randomly selected students, or students in randomly selected classrooms. ACHA collected data between January and May 2008. Results: Results from the spring 2008 reference group (N = 80,121) are presented. Conclusions: These data expand the understanding of the health needs and capacities of college students.
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.
An increasing body of literature indicates that discrimination has a negative impact on health; poor sleep may be an underlying mechanism. The primary objective of this review was to examine existing studies on the relationship between discrimination and sleep to clarify (a) the potential role of discrimination in shaping population patterns of sleep and sleep disparities, and (b) the research needed to develop interventions at individual and institutional levels. We identified articles from English-language publications in PubMed and EBSCO databases from inception through July 2014. We employed a broad definition of discrimination to include any form of unfair treatment and all self-reported and objectively assessed sleep outcomes, including duration, difficulties, and sleep architecture. Seventeen studies were identified: four prospective, 12 cross-sectional, and one that utilized a daily-diary design. Fifteen of the 17 studies evaluated interpersonal discrimination as the exposure and the majority of studies included self-reported sleep as the outcome. Only four studies incorporated objective sleep assessments. All 17 studies identified at least one association between discrimination and a measure of poorer sleep, although studies with more detailed consideration of either discrimination or sleep architecture revealed some inconsistencies. Taken together, existing studies demonstrate consistent evidence that discrimination is associated with poorer sleep outcomes. This evidence base can be strengthened with additional prospective studies that incorporate objectively measured aspects of sleep. We outline important extensions for this field of inquiry that can inform the development of interventions to improve sleep outcomes, and consequently promote well-being and reduce health inequities across the life course.
Copyright © 2015 Elsevier B.V. All rights reserved.
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.
Ethnic identity is an important component of the self-concept and, like other aspects of identity, can be particularly salient during adolescence. Most research on ethnic identity has focused on the unique elements that distinguish particular ethnic groups. However, it is important as well to study and compare ethnic identity and its correlates across groups. This article presents a questionnaire measure of ethnic identity based on the elements of ethnic identity that are common across groups, so that it can be used with all ethnic groups. The questionnaire was administered to 417 high school students and 136 college students from ethnically diverse schools. Reliability, assessed by Cronbach 's alpha, was .81 for the high school sample and .9Ofor the college sample. The relationship of ethnic identity to various demographic variables and to self-esteem was examined. The measure can be used to examine similarities and differences in ethnlic identity and its correlates among youths from different ethnic groups.
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)
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.
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.
Abstract— The experience of race-based discrimination may place African American youth at risk for substance use initiation and substance use disorders. This article examines the potential of parental racial socialization—a process by which parents convey messages to their children about race—to protect against the impact of racial discrimination on substance use outcomes. Focusing on stress as a major precipitating factor in substance use, the article postulates several possible mechanisms by which racial socialization might reduce stress and the subsequent risk for substance use. It discusses future research directions with the goal of realizing the promise of racial socialization as a resilience factor in African American and ethnic minority youth mental health.
Low socioeconomic status (SES) early in life is one of the most well-established social predictors of poor health. However, little is understood about why some adults who grew up in low-SES environments do not have poor health outcomes. This study examined whether the psychological characteristic of "shift-and-persist" protects adults from the physiological risks of growing up in low-SES households. Shift-and-persist consists of reframing appraisals of current stressors more positively (shifting), while simultaneously persisting with a focus on the future. We hypothesized that this characteristic would be associated with reduced physiological risk in low-childhood SES individuals.
A national sample of 1207 adults (aged 25-74 years) from the Survey of Midlife Development in the United States completed psychological questionnaires and were queried about parent education. Biologic assessments consisted of 24 different measures across seven physiological systems, from which a composite measure representing cumulative physiological risk (allostatic load) was derived.
Among adults who grew up in low-SES households, those who engaged in high-shift-and-high-persist strategies had the lowest allostatic load (b = -0.15, p = .04). No benefit of shift-and-persist was found for those from higher-childhood SES backgrounds (p = .36).
Identifying the health-related protective qualities that naturally occur in some low-SES individuals represents one important approach for developing future health improvement interventions for those who start out life low in SES. Moreover, the psychological qualities that are protective from future disease risk for those from low-SES backgrounds are different from those beneficial to high-SES individuals.
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., (C) 1996 by the American Psychological Association
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.
Despite the prevalence of sleep complaints among psychiatric patients, few questionnaires have been specifically designed to measure sleep quality in clinical populations. The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. Nineteen individual items generate seven "component" scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The sum of scores for these seven components yields one global score. Clinical and clinimetric properties of the PSQI were assessed over an 18-month period with "good" sleepers (healthy subjects, n = 52) and "poor" sleepers (depressed patients, n = 54; sleep-disorder patients, n = 62). Acceptable measures of internal homogeneity, consistency (test-retest reliability), and validity were obtained. A global PSQI score greater than 5 yielded a diagnostic sensitivity of 89.6% and specificity of 86.5% (kappa = 0.75, p less than 0.001) in distinguishing good and poor sleepers. The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.
The psychometric properties of the Depression Anxiety Stress Scales (DASS) were evaluated in a normal sample of N = 717 who were also administered the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The DASS was shown to possess satisfactory psychometric properties, and the factor structure was substantiated both by exploratory and confirmatory factor analysis. In comparison to the BDI and BAI, the DASS scales showed greater separation in factor loadings. The DASS Anxiety scale correlated 0.81 with the BAI, and the DASS Depression scale correlated 0.74 with the BDI. Factor analyses suggested that the BDI differs from the DASS Depression scale primarily in that the BDI includes items such as weight loss, insomnia, somatic preoccupation and irritability, which fail to discriminate between depression and other affective states. The factor structure of the combined BDI and BAI items was virtually identical to that reported by Beck for a sample of diagnosed depressed and anxious patients, supporting the view that these clinical states are more severe expressions of the same states that may be discerned in normals. Implications of the results for the conceptualisation of depression, anxiety and tension/stress are considered, and the utility of the DASS scales in discriminating between these constructs is discussed.