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Evaluating the utility and validity of a discrimination‐specific measure of shift‐&‐persist coping
Abstract
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.
... Additionally, as is the case with many coping scales (see Christophe et al., 2024, for greater discussion), our measure of coping flexibility did not refer specifically to flexibility in the context of discrimination stress. While typical of the field (see McDermott et al., 2022, for exception using a discrimination-specific coping measure), this lack of reference to the specific stressor one is coping flexibly in response to means that our findings speak more to how discrimination impacts overall flexible coping versus flexible coping specifically with discrimination. ...
La capacité d’adaptation, qui consiste à ajuster ses méthodes en fonction du contexte, est de plus en plus reconnue comme un aspect clé de la gestion des facteurs de stress. La capacité d’adaptation n’a toutefois pas encore été évaluée dans le contexte de la discrimination, un facteur de stress unique, racisé et incontrôlable, qui a de graves répercussions sur la santé mentale à court et à long terme. Cette étude a examiné les relations transversales et longitudinales à court terme entre la discrimination, les symptômes dépressifs et la capacité d’adaptation au sein d’un échantillon national de 511 jeunes adultes noirs et latino-américains au Canada (âge médian = 27,31 ans, fourchette = 18 à 34 ans au départ, 71 % de femmes). Les participants ont été évalués à trois reprises sur une période d’un an. La modélisation aléatoire par panel à décalage croisé a révélé que des symptômes dépressifs plus importants étaient associés à une diminution de la capacité d’adaptation et à une augmentation des cas de discrimination six mois plus tard. La discrimination était associée de manière transversale à une plus grande dépression, mais il n’y avait pas d’effets longitudinaux de la discrimination. De même, la discrimination n’était pas liée à la capacité d’adaptation, mais une plus grande capacité d’adaptation était associée à une réduction des symptômes dépressifs six mois plus tard. La capacité d’adaptation a des implications importantes pour la promotion d’une bonne santé mentale chez les jeunes adultes de couleur confrontés à la discrimination.
... Youth reported on their shift-and-persist coping amid discrimination experiences using an adapted version of a previously validated scale (Christophe et al., 2024;Lam et al., 2018). The shift items asked about their ability to reframe a situation (e.g., "When I face discrimination, I think about what I can learn from the situation"), while the persist items assessed whether they maintain a feeling of purpose, optimism, or hope for the future ("When I face discrimination, my life still feels worthwhile"). ...
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.
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.
We developed a multidimensional coping inventory to assess the different ways in which people respond to stress. Five scales (of four items each) measure conceptually distinct aspects of problem-focused coping (active coping, planning, suppression of competing activities, restraint coping, seeking of instrumental social support); five scales measure aspects of what might be viewed as emotion-focused coping (seeking of emotional social support, positive reinterpretation, acceptance, denial, turning to religion); and three scales measure coping responses that arguably are less useful (focus on and venting of emotions, behavioral disengagement, mental disengagement). Study 1 reports the development of scale items. Study 2 reports correlations between the various coping scales and several theoretically relevant personality measures in an effort to provide preliminary information about the inventory's convergent and discriminant validity. Study 3 uses the inventory to assess coping responses among a group of undergraduates who were attempting to cope with a specific stressful episode. This study also allowed an initial examination of associations between dispositional and situational coping tendencies.
Purpose
The Shift and Persist model provides an informative framework to understand how adolescent and young adult (AYA) cancer patients and survivors (ages 15–39) may withstand stress and thrive despite adversity. The goal of the present study was to examine the psychometric properties of the Shift and Persist Questionnaire (SPQ) in this population and provide guidelines for interpretation.
Methods
AYA cancer patients and survivors were recruited via an online research panel. Participants reported demographics and health history and completed the SPQ and Patient-Reported Outcome Measurement Information System 29-item profile (PROMIS®-29). We evaluated the structural validity, internal consistency, and construct validity of the SPQ. Minimally important differences (MIDs) were estimated to inform SPQ score interpretation.
Results
572 eligible individuals completed the survey. On average, participants were aged 24 (SD = 7) at evaluation. Of the participants, 43.5% were female, 77.1% were white, and 17.5% were Hispanic (across races). The two-factor structure of the SPQ demonstrated very good structural validity (CFI > 0.95, SRMR < 0.08), and construct validity with PROMIS-29® domains (convergent Rs = 0.17 to 0.43, divergent Rs = − 0.11 to − 0.51). Internal consistency was adequate (ω = 0.76–0.83). Recommended MIDs were 1 point for the Shift subscale, 1–2 point(s) for the Persist subscale, and 2–3 points for the total SPQ score.
Conclusion
The SPQ is a psychometrically sound measure of skills that contribute to resilience in AYA cancer patients and survivors. MID recommendations enhance the interpretability of the SPQ in this population. Future studies examining shifting and persisting in this population may benefit from administering the SPQ.
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.
Life course theorists posit that sensitive periods exist during life span development where risk and protective factors may be particularly predictive of psychological outcomes relative to other periods in life. While there have been between-cohort studies trying to examine differences in discrimination and depressive symptoms, these studies have not been designed to identify these sensitive periods, which are best modeled by examining intra-individual change across time. To identify sensitive periods where discrimination and shift-&-persist (S&P) – a coping strategy that may protect against the negative impact of discrimination – are most strongly predictive of depressive symptoms, we employed latent growth curve modeling using an accelerated longitudinal design to track intra-individual change in depressive symptoms from ages 20–69. Participants were 3,685 adults measured at three time points ~10 years apart from the Midlife in the United States study ( M age = 37.93, SD = 6.948 at Wave I). Results identified two sensitive periods in development where high levels of S&P interacted with discrimination to protect against depressive symptoms; during the 30s and a lagged effect where 40's S&P protected against depressive symptoms when participants were in their 50s. Implications for the life course study of discrimination, coping, and depression are discussed.
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.
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.
The approaches Latina/o youth use for coping with discrimination have important consequences for their adjustment. Yet, little research has examined how adolescents draw on different coping strategies and how patterns of strategies may differentially predict their outcomes. The current investigation examined adolescents’ patterns of coping strategies, changes in these patterns over time, and whether profile membership or transitions in profile membership related to adolescent adjustment. Among a longitudinal sample of Latina/o adolescents (N = 323, 49.5% female, Mage = 15.31 years), three profiles of coping strategies emerged: Passive and Moderately Proud, Confrontative, and Proactive. Latent Transition Analysis showed that these profiles were stable over time, that a majority of youth remained in the same profile of strategies across three years, and that the profiles were differentially related to adolescents’ adjustment. The findings showed that individuals in the Proactive profile reported higher self-esteem and academic motivation than adolescents drawing on different repertoires of coping strategies. These results provide new insights regarding the concurrence of strategies Latina/o youth use to cope with ethnic-racial discrimination and suggest that the adoption of proactive strategies as part of a repertoire of coping strategies could potentially reduce the negative effects of discrimination among adolescents.
Scale development involves numerous theoretical, methodological, and statistical competencies. Despite the central role that scales play in our predictions, scholars often apply measurement building procedures that are inconsistent with best practices. The defaults in statistical programs, inadequate training, and numerous evaluation points can lead to improper practices. Based on a quantitative content analysis of communication journal articles, scholars have improved very little in the communication of their scale development decisions and practices. To address these reoccurring issues, this article breaks down and recommends 10 steps to follow in the scale development process for researchers unfamiliar with the process. Furthermore, the present research makes a unique contribution by overviewing procedures scholars should employ to develop their dimensions and corresponding items. The overarching objective is to encourage the adoption of scale development best practices that yield stronger concepts, and in the long run, a more stable foundation of knowledge.
An important aspect of identity development requires adolescents to consider and select the cultural label or labels that best fit with their conception of who they are. Yet, little is known about the longitudinal development of such labeling preferencs and their possible links with adjustment. Using longitudinal data from 180 Asian Americans (60% female; 74% U.S.-born), intra-individual and group-level changes in adolescents’ American label use were tracked. Over time, 48% chose an American label as their “best-fitting” label and 42% chose an American label at least once, but did not include an American label during at least one other time point. American label use was not associated with continuous measures of American identity, but the use of American labels was linked with lower levels of ethnic identity. American identity, whether indicated by label use or continuous scale scores, was generally linked with positive psychological and academic adjustment, with some effects of label use moderated by gender and generational status. Developmental implications of American cultural labels as markers of adolescent identity and broader adjustment are discussed.
Compared with the large body of literature on coping, coping flexibility has received relatively scant research attention, although more such studies have begun to emerge recently. Researchers have conceptualized coping flexibility in diverse ways: as a broad coping repertoire, a well-balanced coping profile, cross-situational variability in strategy deployment, a good strategy-situation fit, or the perceived ability to cope with environmental changes. This meta-analysis is the first to provide a summary estimate of the overall effect size and investigate cross-study sources of variation in the beneficial role of coping flexibility. The analysis covers all available studies conducted between 1978 and 2013 that empirically tested the relationship between coping flexibility and psychological adjustment. The results of a random-effects model revealed a small to moderate overall mean effect size (r = .23, 95% CI [.19, .28], 80% CRI [-.02, .49], k = 329, N = 58,946). More important, the magnitude of the positive link between coping flexibility and psychological adjustment varied with the conceptualization of such flexibility. Studies adopting the perceived ability or strategy-situation fit conceptualization yielded moderate effect sizes, whereas those adopting the broad repertoire, balanced profile, or cross-situational variability conceptualization yielded small effect sizes. In addition, the positive link between coping flexibility and psychological adjustment was stronger in samples from countries lower (vs. higher) in individualism and samples with higher (vs. lower) average ages. Individualism and age explained 10% and 13% of the variance, respectively. We discuss the conceptual problems and implications and propose a synthesized conceptualization of coping flexibility. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
Following an exploratory factor analysis, factor scores may be computed and used in subsequent analyses. Factor scores are composite variables which provide information about an individual's placement on the factor(s). This article discusses popular methods to create factor scores under two different classes: refined and non-refined. Strengths and considerations of the various methods, and for using factor scores in general, are discussed.
A Monte Carlo simulation study was conducted to investigate the effects on structural equation modeling (SEM) fit indexes of sample size, estimation method, and model specification. Based on a balanced experimental design, samples were generated from a prespecified population covariance matrix and fitted to structural equation models with different degrees of model misspecification. Ten SEM fit indexes were studied. Two primary conclusions were suggested: (a) some fit indexes appear to be noncomparable in terms of the information they provide about model fit for misspecified models and (b) estimation method strongly influenced almost all the fit indexes examined, especially for misspecified models. These 2 issues do not seem to have drawn enough attention from SEM practitioners. Future research should study not only different models vis‐à‐vis model complexity, but a wider range of model specification conditions, including correctly specified models and models specified incorrectly to varying degrees.
Scale construction is a growth enterprise in the psychological literature. Unfortunately, many measures promise much but are severely limited by the inadequacies of their conceptualization and execution. In this paper, a model for developing psychological scales is presented that is rooted in the traditions of construct validity and classical test theory but informed by modern psychometric methods. Construct validity is conceptualized as a guiding principle in each of three phases of scale development, focused on (i) construct conceptualization and development of the initial item pool, (ii) item selection and structural validity, and (iii) assessment of external validity vis-à-vis other measures and relevant nontest criteria.
Coping flexibility was defined as the ability to discontinue an ineffective coping strategy (i.e., evaluation coping) and produce and implement an alternative coping strategy (i.e., adaptive coping). The Coping Flexibility Scale (CFS) was developed on the basis of this definition. Five studies involving approximately 4,400 Japanese college students and employees were conducted to test the hypothesis that flexible coping produces more adaptive outcomes. Studies 1, 2, and 3 provided evidence of the reliability of the CFS scores as well as of its convergent and discriminant validity for Japanese samples. Study 4 further demonstrated that flexible coping was positively associated with improved psychological health, including reduced depression, anxiety, and distress. In Study 5, coping flexibility as measured by the CFS was associated with reduced future depression, even after controlling for the effects of other coping flexibility measures and popular coping strategies. Overall, these results suggest that a valid approach for assessing coping flexibility has been developed and that flexible coping can contribute to psychological health. The implications of these findings for clinical practice are discussed.
Four studies were conducted to develop and validate the Coping With Discrimination Scale (CDS). In Study 1, an exploratory factor analysis (N = 328) identified 5 factors: Education/Advocacy, Internalization, Drug and Alcohol Use, Resistance, and Detachment, with internal consistency reliability estimates ranging from .72 to .90. In Study 2, a confirmatory factor analysis (N = 328) provided cross-validation of the 5-factor model as well as evidence for validity of the scale. The validity evidence was similar across racial groups and for males and females. In Study 3, the estimated 2-week test-retest reliabilities (N = 53) were between .48 and .85 for the 5 factors. Education/Advocacy, Internalization, Drug and Alcohol Use, and Detachment were positively associated with active coping, self-blame, substance use, and behavioral disengagement, respectively, providing further support for validity of the CDS. Finally, incremental validity evidence was obtained in Study 4 (N = 220), where it was shown that the CDS explained variance in outcome variables (i.e., depression, life satisfaction, self-esteem, and ethnic identity) that could not be explained by general coping strategies.
Racism is a stressor that contributes to racial/ethnic disparities in mental and physical health and to variations in these outcomes within racial and ethnic minority groups. The aim of this paper is to identify and discuss key issues in the study of individual-level strategies for coping with interpersonal racism. We begin with a discussion of the ways in which racism acts as a stressor and requires the mobilization of coping resources. Next, we examine available models for describing and conceptualizing strategies for coping with racism. Third, we discuss three major forms of coping: racial identity development, social support seeking and anger suppression and expression. We examine empirical support for the role of these coping strategies in buffering the impact of racism on specific health-related outcomes, including mental health (i.e., specifically, self-reported psychological distress and depressive symptoms), self-reported physical health, resting blood pressure levels, and cardiovascular reactivity to stressors. Careful examination of the effectiveness of individual-level coping strategies can guide future interventions on both the individual and community levels.
Research on African American racial identity has utilized 2 distinct approaches. The mainstream approach has focused on universal properties associated with ethnic and racial identities. In contrast, the underground approach has focused on documenting the qualitative meaning of being African American, with an emphasis on the unique cultural and historical experiences of African Americans. The Multidimensional Model of Racial Identity (MMRI) represents a synthesis of the strengths of these two approaches. The underlying assumptions associated with the model are explored. The model proposes 4 dimensions of African American racial identity: salience, centrality, regard, and ideology. A description of these dimensions is provided along with a discussion of how they interact to influence behavior at the level of the event. We argue that the MMRI has the potential to make contributions to traditional research objectives of both approaches, as well as to provide the impetus to explore new questions.
The current study assessed whether greater use of shift-and persist strategies, which entail the reappraisal of stressors (shifting) and endurance through optimism and meaning-making (persist), buffered the associations between life stressors and adolescents’ psychological health (i.e. depressive symptoms and anxiety) and physical health and health behaviors (i.e. self-rated health and sleep quality). Survey data were drawn from a racially/ethnically and socioeconomically diverse sample of 750 9th grade adolescents (53% female). Path analysis revealed racial discrimination, neighborhood risk, and deportation exposure were linked to poorer psychological and physical health, while socioeconomic disadvantage was related to less anxiety but poorer physical health. Some evidence suggested that shift-and-persist may be protective-reactive, wherein shift-and-persist typically promoted well-being across health domains but more so when the life stressors were at low versus high levels. Shift-and-persist strategies promote both mental and physical health, but the promotive effects appear to be maximized when adolescents’ exposure to life stressors is minimal.
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.
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.
The aims of this mixed-methods study were (a) to explore quantitatively the
fit of the COPE inventory (Coping Orientation to Problems Experienced)
for Latinx youth from immigrant families, and (b) to explore qualitatively
aspects of coping in this population. Participants were 175 Latinx adolescents
(51% female), most of whom were U.S.-born with immigrant parents (88%)
and primarily of Mexican origin (89%). The average age was 12.9 years for
the quantitative study and 15.7 years for the qualitative study. Qualitative
interviews engaged a subset (n = 14) of the full study. All participants lived
in the southeastern United States and the research received institutional
review board (IRB) approval. The confirmatory factor analysis of the
COPE inventory was not a good fit for the sample. Thus, an exploration
of alternative approaches to coping was undertaken (exploratory factor
analysis [EFA] and qualitative interviews). A three-factor solution was
selected as the best fit in the EFA; the researchers labeled the factors
as “purposeful cognitive/behavioral engagement,” “support seeking,” and
“separation/disengagement.” In the qualitative interview data, five main
themes were described (relational coping, positive thinking/self-talk,
planning, separating/disengaging, and behavioral coping). The researchers
suggest implications for reframing coping with Latinx participants or
collectivist groups, emphasizing the central role of cultural values.
This study examined frequencies and psychological effects of daily racial discrimination experienced individually , vicariously, online, offline, and through teasing. Participants were 101 Black U.S. American adolescents for this ecological momentary assessment study that measured daily racial discrimination and 14-day depressive symptoms slopes. Confirmatory factor analyses specified subscales, t-test analyses compared subscale means, and hierarchical linear analyses tested associations between subscales and depressive symptoms slopes. Results showed that six subscales fit the data well: individual general, vicarious general, individual online, vicarious online, individual teasing, and vicarious teasing. Participants reported 5606 experiences of racial discrimination during the study and averaged 5.21 experiences per day across the six subscales. The two online subscales were more frequent than the offline subscales. Aside from online vicarious experiences, all subscales were positively associated with depressive symptoms slopes. Findings underscore the multidimensional, quoti-dian, and impactful nature of racial discrimination in the lives of Black adolescents in the U.S.
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.
Objective:
Low socioeconomic status (SES) is one of the most well-established social determinants of health. However, little is known about what can protect the health of individuals (especially children) living in low-SES circumstances. This study explored whether the psychological strategy of "shift-and-persist" protects low-SES children from stress-related physiological risks, as measured through blunted (unhealthy) diurnal cortisol profiles.
Methods:
A sample of 645 children (aged 8-15 years) from low-SES backgrounds and having at least one HIV-positive parent completed a battery of psychological scales. Diurnal cortisol assessments included collection of saliva samples four times a day for 3 days, from which three cortisol parameters (cortisol at awakening, cortisol awakening response, and cortisol slope) were derived.
Results:
Higher levels of shift-and-persist, considered as a single variable, were associated with higher cortisol at awakening (B = 0.0119, SE = 0.0034, p < .001) and a steeper cortisol slope (B = -0.0007, SE = 0.0003, p = .023). These associations remained significant after adjusting for covariates and did not vary by age. In supplementary analyses, where shifting and persisting were treated as separate variables, the interaction between these two coping strategies significantly predicted cortisol at awakening (B = 0.0250, SE = 0.0107, p = .020) and the cortisol slope (B = -0.0022, SE = 0.0011, p = .040), suggesting that the combination of shift-and-persist is important for predicting diurnal cortisol profiles.
Conclusions:
Our findings demonstrate that shift-and-persist is associated with healthier diurnal cortisol profiles among socioeconomically disadvantaged children and introduce the possibility that this coping strategy is protective against other stressors, such as those uniquely faced by children in our study (i.e., being affected by parental HIV).
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.
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.
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.
Low socioeconomic status (SES) is associated with a wide array of poor health outcomes. Nonetheless, some low-SES individuals maintain good physical health despite facing recurrent, severe adversities in life. This article describes a “shift-and-persist” model that explains why that is. The model states that in the midst of adversity, some low-SES children find role models who teach them to trust others, to better regulate their emotions, and to focus on their futures. Over a lifetime, these low-SES individuals may develop an approach to life that prioritizes shifting (accepting stress for what it is and adapting oneself to it) in combination with persisting (enduring life challenges by holding on to meaning and optimism). This combination of shifting and persisting strategies mitigates physiological responses to the barrage of stressors confronted by low-SES individuals and forestalls pathogenic sequelae that lead to chronic disease. Identifying health-relevant protective qualities that naturally occur in some low-SES individuals represents one important approach for improving the health of those who confront a lifetime of disadvantages.
The current longitudinal study tested the premise that Latino adolescents' (N = 323) proactive coping with discrimination would mediate the relationship between ethnic identity and self-esteem. Each component of ethnic identity (i.e., exploration, resolution, and affirmation) was positively associated with concurrent assessments of adolescents' self-esteem. However, in the longitudinal analyses, none of the ethnic identity components predicted future levels of self-esteem. Ethnic identity resolution was the only ethnic identity component to predict proactive coping over time. Furthermore, proactive coping did not mediate the relationship between ethnic identity and self-esteem. However, there was evidence to suggest that the association between proactive coping and self-esteem was bidirectional. These findings underscore the importance of examining the unique components of ethnic identity as well as using longitudinal designs to examine the associations between ethnic identity and adolescents' psychological well-being.
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)
The literature identifying effective coping strategies related to perceived discrimination has yielded mixed findings, suggesting that recommendations for effective coping may vary by individual and group differences. The current study examined the influence of perceived discrimination and coping strategies on Mexican origin adolescents' later internalizing symptoms and externalizing behaviors, and assessed the moderating roles of gender and cultural orientation. Participants included 189 adolescents (46% male, 54% female) interviewed at 7(th) and 8(th) grade. Results suggested that the associations between perceived discrimination and internalizing symptoms were buffered by distraction coping among youth that were low on Anglo orientation but not among youth high on Anglo orientation. In addition, the associations between perceived discrimination and externalizing behaviors were buffered by social support seeking, but only among youth that were low on Mexican orientation. Directions for future research and application of the current research are discussed.
Objective:
Low socioeconomic status (SES) is associated with many adverse health outcomes, including childhood overweight and obesity. However, little is understood about why some children defy this trend by maintaining a healthy weight despite living in obesogenic environments. The objective of this study is to test the hypothesis that the psychological strategy of "shift-and-persist" protects low-SES children from overweight and obesity. Shift-and-persist involves dealing with stressors by reframing them more positively while at the same time persisting in optimistic thoughts about the future.
Design and methods:
Middle school children (N = 1,523, ages 9-15) enrolled in a school-based obesity prevention trial completed health surveys and physical assessments. Multiple linear regression analysis was used to examine the role of SES, shift-and-persist strategies, and their interaction on BMI z-scores, while controlling for student race/ethnicity, gender, and reported diet and physical activity.
Results:
Among children reporting engaging in less frequent shift-and-persist strategies, lower SES was associated with significantly higher BMI z-scores (P < 0.05). However, among children reporting engaging in more frequent shift-and-persist strategies, there was no association of SES with BMI z-score (P = 0.16), suggesting that shift-and-persist strategies may be protective against the association between SES and BMI.
Conclusions:
Interventions aimed at improving psychological resilience among children of low SES may provide a complementary approach to prevent childhood overweight and obesity among at-risk populations.
Little is understood about why some youth from low-socioeconomic-status (SES) environments exhibit good health despite adversity. This study tested whether role models and "shift-and-persist" approaches (reframing stressors more benignly while persisting with future optimism) protect low-SES youth from cardiovascular risk. A total of 163 youth, ages 13-16, completed role model interviews and shift-and-persist measures while cholesterol and inflammatory markers, interleukin-6 (IL-6), and C-reactive protein were assessed. Low-SES youth with supportive role models had lower IL-6. Low-SES youth high in shift-and-persist also had lower IL-6. Shift-and-persist partially mediated the interaction of SES and role models on IL-6. Benefits were not found among high-SES youth. Identifying psychological buffers in low-SES youth has implications for health disparities.
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.
Many important research hypotheses concern conditional relations in which the ef- fect of one predictor varies with the value of another. Such relations are commonly evaluated as multiplicative interactions and can be tested in both fixed- and ran- dom-effects regression. Often, these interactive effects must be further probed to fully explicate the nature of the conditional relation. The most common method for probing interactions is to test simple slopes at specific levels of the predictors. A more general method is the Johnson-Neyman (J-N) technique. This technique is not widely used, however, because it is currently limited to categorical by continuous in- teractions in fixed-effects regression and has yet to be extended to the broader class of random-effects regression models. The goal of our article is to generalize the J-N technique to allow for tests of a variety of interactions that arise in both fixed- and random-effects regression. We review existing methods for probing interactions, ex- plicate the analytic expressions needed to expand these tests to a wider set of condi- tions, and demonstrate the advantages of the J-N technique relative to simple slopes with three empirical examples.
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.
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.
Low socioeconomic status (SES) is a strong predictor of many health problems, including asthma impairment; however, little is understood about why some patients defy this trend by exhibiting good asthma control despite living in adverse environments.
This study sought to test whether a psychological characteristic, the shift-and-persist strategy (dealing with stressors by reframing them more positively while at the same time persisting in optimistic thoughts about the future), protects low-SES children with asthma.
One hundred twenty-one children aged 9 to 18 years with a physician's diagnosis of asthma were recruited from medical practices and community advertisements (mean age, 12.6 years; 67% male; 61% white). Shift-and-persist scores and asthma inflammation (eosinophil counts and stimulated IL-4 cytokine production) were assessed at baseline, and asthma impairment (daily diary measures of rescue inhaler use and school absences) and daily peak flow were monitored at baseline and at a 6-month follow-up.
Children who came from low-SES backgrounds but who engaged in shift-and-persist strategies displayed less asthma inflammation at baseline (β = 0.19, P < .05), as well as less asthma impairment (reduced rescue inhaler use and fewer school absences; β = 0.32, P < .01) prospectively at the 6-month follow-up period. In contrast, shift-and-persist strategies were not beneficial among high-SES children with asthma.
An approach that focuses on the psychological qualities that low-SES children develop to adapt to stressors might represent a practical and effective starting point for reducing health disparities. Moreover, the approaches that are effective in low-SES communities might be different from those that are optimal in a high-SES context.
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.
Mplus Discussion >> How MPLUS Computes Factor Scores
- B O Muthén
Muthén, B. O. (2008). Mplus Discussion >> How MPLUS Computes Factor Scores. https://www.statmodel.com/discussion/
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