Why is discrimination stressful? The mediating role of cognitive appraisal

This study attempts to shed light on past findings that experiences of racial and gender discrimination are associated with poor psychological and physical health outcomes by investigating the role of cognitive appraisal as a mediator of the relationship between experiences of discrimination and affective stress reactions. African American female college students (N = 115) imagined themselves in an audiotaped scenario in which they overheard 2 European American male classmates make negative evaluations of them. Participants then completed measures of causal attributions, cognitive appraisal, and affective stress reactions. Multiple regression analyses supported the hypotheses that attributions to racism and to discrimination that combines racism and sexism were associated with increased stress reactions. This relationship was mediated by cognitive appraisals of centrality.     

Effect of ethnic group membership on ethnic identity,race-related stress,and quality of life

This study examined the effect of ethnic group membership on ethnic identity, race-related stress, and quality of life (QOL). The Multigroup Ethnic Identity Measure, the Index of Race Related Stress--Brief Version, and the World Health Organization Quality of Life--Brief Version were administered to 160 male and female participants from 3 ethnic groups (African American, Asian American, and Latino American). Results indicated that African American participants had significantly higher race-related stress, ethnic identity, and psychological QOL scores than did Asian and Latino American participants. A stepwise multiple regression analysis revealed that ethnic identity and cultural racism were significant predictors of QOL and accounted for 16% of the total variance for the entire sample.     

Race and gender matter: a multidimensional approach to conceptualizing and measuring stress in African American women

Based on prior research and theory, the authors constructed a multidimensional model of stress in African American women comprised of race-related, gender-related, and generic stress. Exposure to and appraisal of these three types of stress were combined into a higher-order global stress factor. Using structural equation modeling, the fit of this stress factor and its ability to predict distress symptoms were examined in 189 socioeconomically diverse African American women aged 21 to 78. Results support the multidimensional conceptualization and operationalization of stress. Race-related, gender-related, and generic stress contributed equally to the global stress factor, and global stress predicted a significant amount of variance in distress symptoms and intensity. This model exhibited better fit than a model without a global stress factor, in which each stress component predicted distress directly. Furthermore, race-related, gender-related, and generic stress did not contribute to distress beyond their representation in the global stress factor. These findings illustrate that stress related to central elements of identity, namely race and gender, cohere with generic stress to define the stress experience of African American women.     

Race-related stress,quality of life indicators,and life satisfaction among elderly African Americans

This article examined the relationships among race-related stress, quality of life indicators, and life satisfaction among elderly African Americans. A sample of 127 elderly African Americans, consisting of 87 women and 26 men (and 14 missing values), were administered the Index of Race-Related Stress, the Satisfaction With Life Scale, and the 36-item Short-Form Health Survey. Results indicated that elderly African American men and women differed significantly with regard to institutional and collective racism-related stress. In addition, the authors found that institutional racism-related stress was a significant predictor of psychological health in this sample of elderly African Americans.     

Perceived Racism and Suicide Ideation: Mediating Role of Depression but Moderating Role of Religiosity among African American Adults

Suicide is a public health problem for African Americans who are young and of working age. The purpose of this study was to examine mediated and moderated effects of perceived racism on suicide ideation in a community sample of 236 African American men and women. Measures of suicide ideation, depression symptoms, intrinsic/extrinsic religiosity, and perceived racism were administered. Perceived racial discrimination was directly and indirectly associated with suicide ideation. For participants who reported low levels of extrinsic religiosity, the mediated effect of perceived racism (via depression symptoms) was significant. These findings provide some insight into suicide vulnerability for specific subgroups of African Americans.     

Racism and Sexism as Correlates of African American Women’s Psychological Distress

Historically, researchers have neglected the lives of African American women, and very little research has looked specifically at concurrent examinations of multiple oppressions associated with multiple minority identities as predictors of mental health. The current study aimed to increase our knowledge about African American women by examining the relations between external and internalized racism and sexism and African American women’s psychological distress. One hundred sixty participants were recruited through a number of United States’ organizations via the internet. Results indicated that when external and internalized oppression based on race and gender were examined concomitantly, only sexist events emerged as a positive predictor of distress.     

Race-Related Differences in the Experiences of Family Members of Persons with Mental Illness Participating in the NAMI Family to Family Education Program

Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.     

The effects of racial stressors and hostility on cardiovascular reactivity in African American and Caucasian men.

This study examined the effects of race-related stressors and hostility on cardiovascular reactivity in 31 African American and 31 Caucasian men. Participants viewed 3 film excerpts that depicted neutral, anger-provoking (but race-neutral), and racist situations. Participants exhibited significantly greater diastolic blood pressure reactivity to anger-provoking and racist stimuli compared with neutral stimuli. In addition, high hostility was associated with higher recovery systolic and diastolic blood pressure levels after exposure to the films. Although the results failed to confirm previous reports of greater reactivity to racism in African Americans, the findings suggest that diastolic blood pressure levels may remain elevated after exposure to racist stimuli. These results indicate that even indirect exposure to interpersonal conflict elicits significant reactivity, which can persist after exposure to the stressor, especially among high-hostile men.     

Resilience from Childhood Stressors: The Role of Cultural Resilience,Ethnic Identity,and Gender Identity

This study examined the potential influence of cultural resilience, ethnic identity, and gender identity on resilience processes across diverse racial/ethnic groups of young women. A sample of 200 women who attended a large state university were studied, of whom 50 self-identified as White, 50 as African American, 50 as Asian or Asian American, and 50 as Latina. Results indicated significant racial/ethnic differences in childhood stressors experienced by the women such that African American, Asian/Asian American, and Latina women reported more overall childhood stressors and more stress associated with racism and sexism than their White counterparts. Furthermore, ethnic identity search and an androgynous gender identity contributed to greater resilience. Implications for research and practice are discussed.     

Heart rate variability as a physiological moderator of the relationship between race-related stress and psychological distress in African Americans

This study examined the moderator effects of heart rate variability, a physiological marker of stress vulnerability, on the relationship between race-related stress and psychological distress in African Americans (N = 215). Participants were administered the Index of Race-Related Stress-Brief and the Brief Symptom Inventory-18. Resting heart rate was recorded using the Polar 810s heart rate monitor. Findings indicated that heart rate variability moderated the relationship between institutional race-related stress and psychological distress for men, but not women. These findings suggest that higher levels of resting heart rate variability may buffer African Americans from the deleterious effects of race-related stress.     

Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans

Though the broader literature suggests that women may be more vulnerable to the effects of trauma exposure, most available studies on combat trauma have relied on samples in which women's combat exposure is limited and analyses that do not directly address gender differences in associations between combat exposure and postdeployment mental health. Female service members' increased exposure to combat in Afghanistan and Iraq provides a unique opportunity to evaluate gender differences in different dimensions of combat-related stress and associated consequence for postdeployment mental health. The current study addressed these research questions in a representative sample of female and male U.S. veterans who had returned from deployment to Afghanistan or Iraq within the previous year. As expected, women reported slightly less exposure than men to most combat-related stressors, but higher exposure to other stressors (i.e., prior life stress, deployment sexual harassment). No gender differences were observed in reports of perceived threat in the war zone. Though it was hypothesized that combat-related stressors would demonstrate stronger negative associations with postdeployment mental health for women, only one of 16 stressor × gender interactions achieved statistical significance and an evaluation of the clinical significance of these interactions revealed that effects were trivial. Results suggest that female Operation Enduring Freedom/Operation Iraqi Freedom service members may be as resilient to combat-related stress as men. Future research is needed to evaluate gender differences in the longer-term effects of combat exposure.     

Do You See What I See? Effects of Group Consciousness on African American Women's Attributions to Prejudice

This study examined the effects of three types of group consciousness among African American women ( ethnic , feminist , and womanist ) on prejudice attributions and appraised personal significance ( centrality ) of a negative intergroup event. African American female college students  ( N = 123)  imagined themselves in an audiotaped scenario in which they overheard two European American male classmates make negative evaluations of them. The scenario provided no cause for the negative evaluations and no references to race or gender. Multiple regression analyses revealed that higher ethnic and womanist consciousness were related to increased prejudice attributions and greater centrality appraisals  ( p  <.05)  , while feminism had no effect. Results suggest that womanist consciousness may be more relevant than traditional feminist consciousness in predicting African American women's perceptions of prejudice.     

Racial differences in birth outcomes: the role of general, pregnancy, and racism stress.

OBJECTIVE: This study examined the role of psychosocial stress in racial differences in birth outcomes. DESIGN: Maternal health, sociodemographic factors, and 3 forms of stress (general stress, pregnancy stress, and perceived racism) were assessed prospectively in a sample of 51 African American and 73 non-Hispanic White pregnant women. MAIN OUTCOME MEASURES: The outcomes of interest were birth weight and gestational age at delivery. Only predictive models of birth weight were tested as the groups did not differ significantly in gestational age. RESULTS: Perceived racism and indicators of general stress were correlated with birth weight and tested in regression analyses. In the sample as a whole, lifetime and childhood indicators of perceived racism predicted birth weight and attenuated racial differences, independent of medical and sociodemographic control variables. Models within each race group showed that perceived racism was a significant predictor of birth weight in African Americans, but not in non-Hispanic Whites. CONCLUSIONS: These findings provide further evidence that racism may play an important role in birth outcome disparities, and they are among the first to indicate the significance of psychosocial factors that occur early in the life course for these specific health outcomes.     

Racism-related stress, Africultural coping, and religious problem-solving among African Americans

This study explored the extent to which three types of racism-related stress (i.e., individual, institutional, and cultural) would predict the use of specific Africultural coping strategies (i.e., cognitive/emotional debriefing, spiritual-centered, collective, and ritual-centered coping) and religious problem-solving styles (i.e., self-directing, deferring, and collaborative) in a sample of 284 African American men and women. The authors found that higher institutional racism-related stress was associated with greater use of cognitive/emotional debriefing, spiritual-centered, and collective coping in African American women. Findings also indicated that higher cultural racism-related stress was predictive of lower use of self-directing religious problem-solving in African American women. Moreover, higher perceived cultural racism-related stress was related to greater use of collective coping strategies in African American men. Individual racism-related stress was not predictive of any forms of Africultural coping strategies or religious problem-solving. Implications of the findings are discussed.     

Contextualizing Acculturation: Gender, Family, and Community Reception Influences on Asian Immigrant Mental Health

This article investigates differences in the mental health among male and female immigrants from an ecological perspective, testing the influences of both individual acculturation domains and social contexts. Data from the first nationally representative psychiatric survey of immigrant Asians in the US is used (N = 1,583). These data demonstrate the importance of understanding acculturation domains (e.g., individual differences in English proficiency, ethnic identity, and time in the US), within the social contexts of family, community, and neighborhood. Results demonstrate that among immigrant Asian women, the association between family conflict and mental health problems is stronger for those with higher ethnic identity; among immigrant Asian men, community reception (e.g., everyday discrimination) was more highly associated with increases in mental health symptoms among those with poor English fluency. Findings suggest that both individual domains of acculturation and social context measures contribute to immigrant mental health, and that it is important to consider these relationships within the context of gender.     

Implications of an Africentric Worldview in Reducing Stress for African American Women

Despite the extensive research on stress in recent decades, including the emphasis on stress mediation and reduction, epidemiological studies indicate that African American women continue to experience high rates of morbidity and mortality because of stress and stress-related diseases. With growth in the conceptualization and articulation of an Africentric perspective for defining the functioning of African American people, in this article the authors explore the idea of an Africentric worldview as a means for reducing stress among African American women. Considering that cognitive appraisals define the situations that individuals experience and considering that worldview is the lens through which experience is viewed, restructuring worldview can alter the cognitive appraisals of potential stressful situations. Africentric worldview provides a framework for affirming African American and women's beliefs and behaviors. The authors propose that the framework has the potential to counter the negative images that often result in stressful appraisals of an oppressive and hostile environment.     

Family Matters: The Role of Mental Health Stigma and Social Support on Depressive Symptoms and Subsequent Help Seeking Among African American Boys

African American adolescent boys underutilize mental health service due to stigma associated with depression. Gaining an increased understanding of how depressed, African American adolescent boys perceive their mental health needs and engage in help-seeking behaviors might play an essential role in efforts to improve their symptoms and access to care. Using a mixed-methods design, this study examined the influence of mental health stigma and social support on depressive symptoms among African American adolescent boys. Findings indicated the protective effects of social support in decreasing depressive symptoms, especially when participants experienced mental health stigma. Results also revealed the pivotal role of family social support over both professional and peer support for participants who struggled with depressive symptoms. The primacy of family support among the sample, combined with the frequent distrust of professionals and peer networks, would indicate that working with families may improve initial identification of depression among African American adolescent boys and decrease their barriers to care.     

Racism experiences and psychological functioning in African American college freshmen: is racial socialization a buffer?

Previous research has documented the negative effects of racism on the psychological health of African Americans. However, consideration of racial socialization as a potential buffer against racism experiences has received limited attention. The present study investigated whether two types of parental racial socialization messages reduced the impact of racism on psychological functioning in a sample of 247 African American college freshmen (M=18.30). Results indicated that students who reported more racism experiences also had poorer levels of psychological functioning as indicated by higher levels of psychological stress and psychological distress. Parental messages emphasizing the use of African American cultural resources to cope with racism reduced the impact of racism on psychological stress only. Cultural pride messages predicted less psychological distress while messages emphasizing the use of cultural resources predicted greater psychological distress. However, neither message type moderated the relationship between racism experiences and psychological distress. These results suggest that racial socialization messages have complex relations to psychological functioning in African American college students.     

Perfectionism and ethnicity: implications for depressive symptoms and self-reported academic achievement

Ethnic differences in perfectionism were examined among Asian American, African American, and Caucasian American college students. Analyses revealed that Asian American students scored significantly higher than the other groups on 3 of 6 perfectionism subscales. Minority students reported significantly higher parental expectations than Caucasian students. Significant correlations emerged for all 3 groups between depressive symptoms and concerns about making mistakes, perceived criticism from parents, and self-doubt. In regression analyses, perfectionism explained significant variance in depressive symptoms for Asian Americans and Caucasians and explained significant variance in cumulative grade point average for Asian Americans and African Americans. Self-doubt emerged as a robust individual predictor in these analyses.     

Judgement Accuracy in Body Preferences Among African Americans

Perceptions of body size vary by gender and ethnicity. Women are more dissatisfied with their bodies than are men and Caucasian women are more dissatisfied with their bodies than are African American women. The purpose of this study was to examine if African American men and women accurately estimate the level of thinness preferred by the opposite gender. We predicted that African American women would correctly estimate the level of thinness found attractive by African American men, thereby providing support for the explanation that African American women are partially protected from experiencing similar levels of body dissatisfaction as Caucasian women do because they correctly estimate that African American men like larger women. Participants were 68 African American women and 34 African American men. The results supported our prediction, African American women accurately estimate the level of thinness preferred by African American men.