Religious Activity and Risk Behavior Among African American Adolescents: Concurrent and Developmental Effects

This study examines how religious activity is associated with risk behaviors, concurrently and developmentally among urban African American adolescents. Seven hundred and five African American youths were interviewed annually during high school. Retention rates for the study exceeded 90%. Frequency of religious activity, sexual intercourse, and alcohol, cigarette, and marijuana use were assessed at each wave. Growth curve analyses found negative concurrent associations between religious activity and each of the four risk behaviors. The developmental effects of religious activity varied by gender. Higher levels of religious activity in 9th grade predicted smaller increases in marijuana use among males and cigarette use among females. In addition, larger decreases in religious activity during high school were associated with greater increases in alcohol use among males and sexual intercourse among females. During high school, religious activity limits the development of certain types of risk behavior among African American youth, even after controlling for reciprocal effects.     

Perceived Discrimination and Health-Related Quality of Life: Testing the Reserve Capacity Model in Hispanic Americans

ABSTRACT

This study tested aspects of the Reserve Capacity Model (Gallo & Matthews, 2003 Gallo, L. C. and Matthews, K. A. 2003. Understanding the association between socioeconomic status and physical health: Do negative emotions play a role?. Psychological Bulletin, 129: 10–51. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Gallo, Penedo Espinosa de los Monteros, & Arguelles, 2009 Gallo, L. C., Penedo, F. J., Espinosa de los Monteros, K. and Arguelles, W. 2009. Resiliency in the face of disadvantage: Do Hispanic cultural characteristics protect health outcomes?. Journal of Personality, 77: 1707–1746. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) as a means of understanding disparities in health-related quality of life appraisals among Hispanic Americans. Questionnaire data were collected from 236 Hispanic participants, including measures of perceived discrimination, optimism, social support, symptoms of trait anxiety, and physical and mental health-related quality of life. Path analysis indicated direct, negative associations between perceived discrimination and both forms of health-related quality of life. Results also showed that these relationships were partially mediated by the reserve capacity variable of optimism and by symptoms of anxiety, though evidence for mediation by anxiety was stronger than for optimism. Findings suggest that perceived discrimination depletes intrapersonal reserves in Hispanic Americans, which, in turn, induces negative emotions. Implications for community-level interventions are discussed.     

Disconnections of African American Public Housing Residents: Connections to Physical Activity, Dietary Habits and Obesity

African American (AA) and low SES populations report poor health behaviors and outcomes. This study aimed to increase understanding of barriers to participating in healthful behaviors and programs in AA residents of public housing. Twenty two apparently healthy, AA residents (50% female, M = 43.9 years) completed in depth interviews, which were taped, transcribed and analyzed using a constant comparison approach. Residents demonstrated some awareness of health recommendations, but described limited adherence. Physical activity for recreation was reported as primarily for youth, with adults engaging in limited physical activity (primarily incidental to other activities). Barriers reported by residents were both personal and environmental. Few residents were aware of local neighborhood opportunities for physical activity or healthful eating. Future efforts should focus on increasing understanding of health promoting behaviors and awareness and efficacy of residents to connect with the resources of their surrounding communities.     

Aligning inside and outside perspectives of the self: A cross‐cultural difference in self‐perception

Past research shows that European Americans tend to take a first‐person perspective to understand the self and are unlikely to align the inside look with the outside gaze, whereas Asians tend to take a third‐person perspective and are likely to shift their inside look in the direction of the outsize gaze. In three experiments, we compared Asians and European Americans' self‐perceptions when the presence of their parents in the background of self‐perception was primed or otherwise. Without the priming, both European Americans and Asians viewed themselves more positively from their own perspective than from their parents' perspective. With the priming, only Asians lowered the positivity of their self‐perceptions to match the perceived positivity of the self in the parents' perspective. These results suggest that Asians do not have a static, passive tendency to assimilate their self‐views into the perceived external assessments of the self. Rather, their self‐views are fluid and flexible.     

Culturally Attuned Behavior Therapy for Anxiety and Depression in Asian Americans: Addressing Racial Microaggressions and Deconstructing the Model Minority Myth

Extant research has shown that racial discrimination and microaggressions can have negative effects on anxiety and depression among Asian Americans. However, not much has been published regarding how to process and integrate experiences of racism into culturally attuned behavior therapy specifically for Asian Americans. In this article, I describe the process of culturally attuned behavior therapy for two Asian American clients, with an emphasis on integrating racial microaggressions into exposures for social anxiety, and deconstructing the model minority stereotype through value-driven behavioral activation for depression. Cultural attunements common to both case examples are then summarized, alongside practical recommendations for clinicians. Limits to generalizability are also discussed. Finally, the article closes by addressing the importance of cultural humility in effective culturally attuned behavior therapy with Asian Americans.     

Toward Relationship‐Directed Parenting: An Example of North American Born Second‐Generation Korean‐American Mothers and their Partners

Historically, parenting has been constructed hierarchically; however, contemporary parenting models frequently emphasize parenting as relationship (Siegel & Hartzell [2004] Parenting from the inside out: How a deeper self‐understanding can help you raise children who thrive; Tuttle, Knudson‐Martin, & Kim [2012] Family Process, 51, 73–89). Drawing on interviews with 20 North American born second‐generation Korean–American mothers and their partners, and sensitized by TP‐CRO, a social constructionist framework for conceptualizing parent–child relational orientations, this grounded theory analysis identified three main processes that facilitate relational connection as a parenting orientation rather than the rule‐directed approach historically associated with first‐generation immigrant Asian families. These include: (a) emphasizing dominant culture values; (b) inviting open communication; and (c) promoting mutuality. Results also show how parents integrate collectivist cultural values of their first generation immigrant parents' traditional culture into North American parenting ideals with which they primarily identify. The study demonstrates the usefulness of the TP‐CRO for understanding parent–child relationships within multicultural parenting contexts and offers suggestions for working with second‐generation Korean families.     

The Black Church,Values, and Secular Counseling: Implications for Counselor Education and Practice

There has been a recent increase in the amount of attention given in the counseling literature to addressing clients’ religion and spirituality. However, Black American churchgoers are rarely the target population in the discourse, and little is known about how the Black church shapes their views. This article provides information on values of the Black church and the church's influence on Black American churchgoers regarding secular counseling. Implications for counselor education and practice are discussed.     

Factors related to life satisfaction among urban African American adults receiving care at a publicly-funded sexual health clinic

Life satisfaction is linked to premature morbidity and mortality and it may be compromised for individuals living in economically-disadvantaged, urban neighborhoods. The present study explores how behavioral and social-environmental health factors are associated with life satisfaction among a sample of African American young adults. Participants (N = 307, M_age = 26.6 years, 53% male) were recruited from a publicly-funded clinic for a randomized controlled trial (RCT). Data from the baseline assessment of the RCT, which included measures of sleep, depression, anxiety, social support, alcohol and drug use problems, city stress, and life satisfaction, were used for the current study. Correlation analyses assessed bivariate associations between life satisfaction and the demographic and health-related factors. Linear regression using backward elimination determined the best fitting model of factors associated with life satisfaction. Backward elimination resulted in the following variables remaining as significantly associated with life satisfaction: age (b = ?2.40, p = .017), anxiety (b = ?5.32, p < .001), and social support (b = 2.89, p = .004). Feeling rested upon waking also remained in the best fitting model, although this association did not achieve statistical significance (p = .099). The results suggest that African American adults who are younger, less anxious, and report adequate social support are more likely to report satisfaction with life. These findings add to the literature aimed at examining health and social factors impacting the well-being of African Americans living in low-income, urban communities.     

African American Pastors on Mental Health,Coping, and Help Seeking

Within the Black Church, there remains much that is unknown about pastoral motivations, beliefs, and attitudes about mental health. The purpose of this study was to investigate pastors' responses to parishioners dealing with mental health issues, including perspectives on counseling services and coping strategies. According to this study's findings, African American pastors often are the first line of support for parishioners' mental health and recognizing adaptive and maladaptive forms of coping.     

The Relationship Between Racial Identity Status Attitudes and Acculturation Among Chinese and Korean Americans: A Criterion Profile Analysis

This study tested the relationship between racial identity and acculturation among 223 Asian Americans self‐identifying as Chinese American or Korean American. Findings showed within‐group variations among the study participants with regard to their racial identity status attitudes and acculturation. Using criterion profile analysis, the authors found 2 distinctive criterion profiles of racial identity status attitudes that significantly related to higher levels of acculturation among Chinese American and Korean American participants. Implications for multicultural counseling, racial identity, and acculturation research are discussed. Este estudio puso a prueba la relación entre identidad racial y aculturación entre 223 individuos asiático‐americanos que se identifican a sí mismos como chino‐americanos o coreano‐americanos. Los resultados mostraron variaciones dentro del miso grupo entre los participantes del estudio en cuanto a su aculturación y sus actitudes hacia el estatus de su identidad racial. Usando un análisis de perfil de criterio, los autores encontraron 2 perfiles de criterio distintivos para las actitudes hacia el estatus de identidad racial que estaban relacionados significativamente con niveles más altos de aculturación entre los participantes chino‐americanos y coreano‐americanos. Se discuten las implicaciones para investigaciones sobre consejería multicultural, identidad racial y aculturación.