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积极应对调节了种族相关压力、反刍思维与成年早期非裔美国女性抑郁症状之间的关联。

Active coping moderates associations among race-related stress, rumination, and depressive symptoms in emerging adult African American women.

机构信息

Duke University.

Rutgers University-New Brunswick.

出版信息

Dev Psychopathol. 2018 Dec;30(5):1817-1835. doi: 10.1017/S0954579418001268.

Abstract

Cross-sectional and longitudinal research has shown that race-related stress is associated with increased depressive symptoms among racial/ethnic minorities. Rumination has long been considered a maladaptive self-regulatory response to race-related stress, and growing evidence suggests that it may be an important link in the relation between race-related stress and depression. More adaptive forms of self-regulation, such as active coping, may counteract the negative impact of rumination. We examined the influence of rumination on the relation between race-related stress and depressive symptoms in a sample (N = 69) of young adult (mean age = 20 ± 1.5 years) African American women. We also considered the possible moderating effects of John Henryism, a form of persistent and determined goal striving, and vagally mediated heart rate variability, a purported biomarker of coping. Anticipatory race-related stress was indirectly associated with depressive symptoms through rumination: estimate = 0.07, 95% confidence interval [0.01, 0.16]. Both John Henryism and vagally mediated heart rate variability moderated the relationship between race-related stress and rumination; however, only John Henryism reliably influenced the indirect association between race-related stress and depression through rumination. We discuss these findings in the context of growing research examining the interplay between cultural and biological factors in the risk for poorer mental health.

摘要

横断面和纵向研究表明,与种族相关的压力与少数族裔的抑郁症状增加有关。反刍思维长期以来被认为是对与种族相关的压力的一种适应不良的自我调节反应,越来越多的证据表明,它可能是与种族相关的压力和抑郁之间关系的一个重要环节。更适应的自我调节形式,如积极应对,可能会抵消反刍的负面影响。我们在一个由年轻成年(平均年龄为 20 ± 1.5 岁)非裔美国女性组成的样本(N = 69)中研究了反刍思维对与种族相关的压力和抑郁症状之间关系的影响。我们还考虑了约翰·亨利主义(一种坚持不懈和坚定的目标追求形式)和迷走神经介导的心率变异性(一种据称是应对的生物标志物)的可能调节作用。预期的与种族相关的压力通过反刍思维间接地与抑郁症状相关:估计值为 0.07,95%置信区间[0.01,0.16]。约翰·亨利主义和迷走神经介导的心率变异性都调节了与种族相关的压力和反刍思维之间的关系;然而,只有约翰·亨利主义通过反刍思维可靠地影响了与种族相关的压力和抑郁之间的间接关联。我们在研究文化和生物因素在心理健康风险中的相互作用的不断增加的研究背景下讨论了这些发现。

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