Stress in Relation to Anxiety and Depression Among Racial/Ethnic Minority Women: The Differential Impact of Cultural Mismatch on Somatic and Cognitive Symptoms

The study examined the interactive effects of stress and cultural mismatch, as evidenced by low independent self‐construal, in relation to cognitive/somatic symptoms of anxiety and depression among racial/ethnic minority women. Results showed that stress and independent self‐construal work synergistically to differentially affect cognitive, rather than somatic, symptoms of anxiety and depression. Findings highlight the importance of investigating the interplay between stress and contextual factors to improve current treatment models for marginalized groups. El estudio examinó los efectos interactivos del estrés y la discordancia cultural, probados por un bajo autoconcepto independiente, en relación con los síntomas cognitivos/somáticos de la ansiedad y la depresión entre mujeres de minorías raciales/étnicas. Los resultados mostraron que el estrés y el autoconcepto independiente trabajan en sinergia para afectar diferencialmente a los síntomas cognitivos, no así a los somáticos, de la ansiedad y la depresión. Los hallazgos subrayan la importancia de investigar la interacción entre el estrés y los factores contextuales para mejorar los modelos de tratamiento actuales para grupos marginalizados.     

Durability of Cognitive Behavioral Therapy Effects for Youth and Adolescents With Anxiety,Depression, or Traumatic Stress:A Meta-Analysis on Long-Term Follow-Ups

Cognitive behavioral therapies (CBT) for youth with anxiety, traumatic stress, and depression have demonstrated strong effects in individual studies and meta-analyses. Relatively more attention has been given to posttreatment effects, though, and assessment of follow-up effects has been limited at the meta-analytic level. The current meta-analysis aimed to (a) examine the effects of youth CBT at posttreatment, 1-month, 3-month, 6-month, 1-year, and long-term (2 + years) follow-up as well as (b) identify research-related variables (e.g., measure respondent type) that relate to effects. Using a random effects model across 110 child and adolescent CBT groups, within-group effect sizes were large at posttreatment (g = 1.24) and from 1-month through long-term follow-up (g = 1.23–1.82), and effect sizes did not significantly differ by treatment target (i.e., anxiety, traumatic stress, depression). However, availability of outcome data for effect sizes diminished across later follow-up assessments. Moreover, effect sizes were significantly associated with outcome respondent type across assessment timing, with outcome measures from caregiver and youth respondents associated with smaller effect sizes (B = -0.97, p < 0.001) relative to outcome measures that were evaluator-reported. Results provide initial support for the durability of treatment effects for youth CBTs and highlight the importance of some confounding variables. Implications for improving treatment research standards and prioritizing assessment of long-term follow-up assessment are discussed.