Protective Factors for Depression Among African American Children of Predominantly Low-Income Mothers with Depression

Maternal depression has a deleterious impact on child psychological outcomes, including depression symptoms. However, there is limited research on the protective factors for these children and even less for African Americans. The purpose of the study is to examine the effects of positive parenting skills on child depression and the potential protective effects of social skills and kinship support among African American children whose mothers are depressed and low-income. African American mothers (n = 77) with a past year diagnosis of a depressive disorder and one of their children (ages 8–14) completed self-report measures of positive parenting skills, social skills, kinship support, and depression in a cross-sectional design. Regression analyses demonstrated that there was a significant interaction effect of positive parenting skills and child social skills on child depression symptoms. Specifically, parent report of child social skills was negatively associated with child depression symptoms for children exposed to poorer parenting skills; however, this association was not significant for children exposed to more positive and involved parenting. Kinship support did not show a moderating effect, although greater maternal depression severity was correlated with more child-reported kinship support. The study findings have implications for developing interventions for families with maternal depression. In particular, parenting and child social skills are potential areas for intervention to prevent depression among African American youth.     

Individual,Interpersonal, and Sociostructural Factors Influencing Partner Nonmonogamy Acceptance among Young African American Women

In 2015 in the United States, the HIV diagnosis rate among African American women was 16 times that of White women, and HIV especially affected young African American women. African American women’s partnerships with nonmonogamous men may be one factor contributing to this disparity. Previous research has not adequately described factors influencing acceptance of partner nonmonogamy among African American women. To better understand this phenomenon, we interviewed 11 African American women aged 18–24 years-old who reported having sex in the past 3 months and reported knowing or suspecting a partner to have another female partner in the past 12 months. We employed a semi-structured interview guide designed to elicit in-depth, narrative responses from women about their partnerships. We used narrative analysis to interpret findings. Participants described factors that encouraged acceptance of partner nonmonogamy. These factors were social (i.e., limited partner availability, gender norms, and cultural norms), interpersonal (i.e., partner-specific comfort, sexual connection and emotional attachment, and casual partnership type), and intrapersonal (i.e., low self-esteem, loneliness, and fatalistic attitudes about nonmonogamy) in nature. The sociocultural context in which young African American women develop sexual partnerships may influence their attitudes, expectations, and behaviors within these partnerships and place them at increased risk for HIV and other sexually transmitted infections.     

African American Women in Therapy:

Theoretical and cultural issues related to the treatment of African-American women are explored, with particular emphasis on the utility of two psychological models for use with this group. The Afrocentric and feminist orientations of psychology are examined as they address the unique condition of African American women. A synthesis of these models is proposed to more accurately describe the experiences of African American women, and examples of cultural issues that may emerge in therapy are considered within the context of this integrated model.     

Racial Identity,African Self-Consciousness,and Career Decision Making in African American College Women

The purpose of this study was to examine the relationships among racial Identity, African self-consciousness, and career decidedness in 212 African American women classified as first year or senior at an historically Black university and a predominantly White university. It was hypothesized that senior women at both institutions would have higher levels of racial identity and African self-consciousness and would be more career decided than first year women. The findings provided partial support for the hypothesis.     

Counseling Preferences of African American Women

African American women hold the greatest need for mental health services among ethnic groups but receive effective counseling least often. This study investigated their preferences of counseling services. Results revealed that the type of service delivery might not be as salient to African American women as counselor‐client racial similarity.     

Having Our Say: African American Women,Diversity, and Counseling

African American female counseling professionals contribute greatly to the multicultural growth of the counseling profession by spurring the profession's evolution and defining new paradigms and counseling activities. Despite their contributions, they face serious organizational, intrapersonal, and interpersonal challenges to their success in academia. This article seeks to elucidate the challenges to African American female counseling professionals and offers systemic and personal strategies that will facilitate the profession's evolution to culturally competent, ethical, and intentional helping orientations and worldviews.     

Partner Influences and Gender-Related Factors Associated with Noncondom Use Among Young Adult African American Women

We examined the partner influences and gender-related correlates of noncondom use among African American women. The prevalence of noncondom use was 45.3%. Women whose sexual partners were noncondom users were four times more likely to believe that asking their partner to use a condom implied he was unfaithful, three times as likely to have a partner who resisted using condoms, three times more likely to receive AFDC, twice as likely to be sexually nonassertive, three times more likely to believe that it was not difficult to find an eligible African American man, and three times as likely to have had one sexual partner. HIV prevention tailored towards African American women should address these partner influences and gender-related factors.     

Protective Factors Against Suicide Attempt Risk Among African American Women Experiencing Intimate Partner Violence

Protective factors (hope, spirituality, self-efficacy, coping, social support–family, social support–friends, and effectiveness of obtaining resources) against suicide attempts were examined in economically, educationally, and socially disadvantaged African American women (100 suicide attempters, 100 nonattempters) who had experienced recent intimate partner violence. Significant positive associations were found between all possible pairs of protective factors. Bivariate logistic regressions revealed that higher scores on each of the seven protective factors predicted nonattempter status; multivariate logistic regressions indicated that higher scores on measures of hope or social support–family showed unique predictive value for nonattempter status. Further, the multivariate model accurately predicted suicide attempt status 69.5% of the time. Partial support was found for a cumulative protective model hypothesizing a linear relationship between the number of protective factors endorsed and decreased risk for suicide attempts. Implications of these findings for community-based preventive intervention efforts and future research are discussed.     

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.     

Partner Violence, Social Support, and Distress Among Inner-City African American Women

This study examined the role of social support in the partner violence–psychological distress relation in a sample of African American women seeking medical care at a large, urban hospital (n = 138). Results from bivariate correlational analyses revealed that partner violence was related to lower perceived social support and greater psychological distress, and lower social support was related to more distress. Furthermore, findings based on path analysis indicated that low levels of social support helped account for battered women's increased distress. Findings point to the need for service providers to screen for partner violence in nontraditional sites, such as hospital emergency rooms, and to address the role of social support resources in preventive interventions with African American battered women.     

Eating Disorders Among Urban and Rural African American and European American Women

Abstract

It is alleged that eating disorders are nonexistent in African American women and that eating disorder symptomatology occurs predominantly among White middle class women (Kumanyika, Wilson, & Guilford-Davenport, 1993; Smolak & Striegel-Moore, 2001). This research attempted to identify differences in eating disorder symptomatology in African American and White American women. An eating disorder is a disability because it can damage the person physically, emotionally and socially. It can be undetected for years and society may reinforce the hidden disorder by being complimentary regarding the thin appearance of the person. The Eating Disorder Inventory (EDI) was used to measure psychological traits and symptom clusters associated with the understanding and treatment of eating disorders (Garner, 1990). Measures of self-esteem, depression and coping were also examined. Findings indicated differences between African American and White women on the Ineffectiveness scale of the EDI, differences between the urban/rural women on Ineffectiveness and Perfectionism, and differences in coping strategies and education among this sample group of women. Successful treatment usually involves psychotherapy and/or medication for depression.     

Womanist Therapy with African American Women with Disabilities

Abstract

African American women are at increased risk for disabilities. There is very little information available, however, regarding psychological interventions with African American women with disabilities. The purpose of this article is to discuss psychological intervention in working with African American women with acquired disabilities from a womanist perspective. Themes and interventions will be discussed. Recommendations for working with African American women with disabilities in a therapeutic context will be offered.     

African American Muslim Women: An Invisible Group

Little is written about Islam and African American women or men from a psychosocial perspective. Most of the literature is on the historical and political development of the Nation of Islam, and the differences among the male leaders. This focus obscures the fact that the majority of African Americans Muslims belong to traditional Islamic groups. Drawing upon a variety of literatures, this paper seeks to explore some background information about Islam and the African American community, and to understand the appeal of Islam to African American women.     

African American Women Survivors of Sexual Assault:

More attention has recently focused on the psychological experiences of women survivors of sexual assault. However, little work has examined the experiences of African American women survivors, particularly with regard to the impact of race and class on survivors' experiences. We address these limitations by presenting a socio-historical analysis of African American women's rape experiences. This analysis considers the relationship between sexual and economic oppression in African American women's lives. Second, we discuss the influences of these socio-historical factors on African American women's post-assault experiences. Finally, recommendations for therapy with African American women survivors are provided.     

Emotional Self-Awareness,Eating Disorders,and Racial Identity Attitudes in African American Women

Certain racial identity attitudes may involve diminished internal emotional awareness, features of a syndrome known as “alexithymia,” which has been observed in survivors of extreme trauma. This study found that levels of alexithymia, but not eating disorders, were related to attitudes characteristic of early stages of racial identity development among African American women.     

Fortalezas Familiares Program: Building Sociocultural and Family Strengths in Latina Women with Depression and Their Families

The purpose of this article is to describe Fortalezas Familiares (FF; Family Strengths), a community‐based prevention program designed to address relational family processes and promote well‐being among Latino families when a mother has depression. Although depression in Latina women is becoming increasingly recognized, risk and protective mechanisms associated with children's outcomes when a mother has depression are not well understood for Latino families. We begin by reviewing the literature on risk and protective psychosocial mechanisms by which maternal depression may affect Latino youth, using family systems theory and a developmental psychopathology framework with an emphasis on sociocultural factors shaping family processes. Next, we describe the theoretical basis and development of the FF program, a community‐based 12‐week intervention for Latina immigrant women with depression, other caregivers, and their children. Throughout this article, we use a case study to illustrate a Latina mother's vulnerability to depression and the family's response to the FF program. Recommendations for future research and practice include consideration of sociocultural processes in shaping both outcomes of Latino families and their response to interventions.     

Research With African Americans: Lessons Learned About Recruiting African American Women

The authors briefly explore literature related to recruiting African American research participants, reflect on their experiences conducting body image research with a sample of African American college women in an earlier study (s. Kashubeck‐West et al., 2008), and discuss some methodological and cultural challenges that they encountered during data collection for the study. Los autores exploran brevemente la literatura relacionada con el reclutamiento de individuos afroamericanos para participar en estudios de investigación, reflexionan sobre sus experiencias al llevar a cabo estudios sobre imagen corporal con una muestra de mujeres afroamericanas universitarias en un estudio anterior (S. Kashubeck‐West et al., 2008) y por último discuten algunos de los desafíos metodológicos y culturales con los que tuvieron que enfrentarse durante la recopilación de datos para el estudio.     

The Use of Religion Among HIV-Infected African American Women

A study of the associations among physical and mental health and differential patterns of religiosity among African American women was conducted with a sample of 253 participants: 104 HIV-infected, 46 chronically ill (not HIV-infected), and 103 healthy subjects. Participants' uses of private (i.e., prayer) and public (i.e., church attendance) forms of religiosity were assessed using data from semi-structured interviews. The relationship between religiosity and mental health exhibited an incongruous pattern, differing across health condition and forms of religious behavior. The practice of public religiosity was found to be inversely associated with engagement in high-risk health behaviors among HIV-infected and healthy women but not among the chronically ill. Although private religiosity was unrelated to participants' perceptions of physical health, public religiosity was positively associated with physical health among HIV-infected women and inversely associated with their CD4 count. Finally, having a sense of control over one's health was positively related to religiosity. Results from this study support the important role religion plays for persons faced with chronic terminal diseases, as in the case of HIV/AIDS.