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社区中西班牙裔和索马里裔青少年感知歧视、应对方式与内化症状的关系。

Perceived Discrimination, Coping Styles, and Internalizing Symptoms Among a Community Sample of Hispanic and Somali Adolescents.

机构信息

Department of Health Sciences, California State University, Northridge, Northridge, California.

School of Public Health, Department Environmental and Occupation Health, University of Nevada, Las Vegas, Las Vegas, Nevada.

出版信息

J Adolesc Health. 2022 Mar;70(3):488-495. doi: 10.1016/j.jadohealth.2021.10.012. Epub 2021 Dec 30.

Abstract

PURPOSE

Perceived discrimination, perceptions of receiving differential treatment due to negative attitudes, and stereotypes about one's racial/ethnic group can increase vulnerability to depression and anxiety. Although ethnic minority youth now represent over half of the U.S. youth population, few studies have investigated potential protective factors in the relationship between perceived discrimination and mental health across diverse ethnic minority immigrant youth from different cultural backgrounds.

METHODS

We examined the association between perceived discrimination and past week symptoms of depression and anxiety and whether patterns of problem and emotion-focused coping moderate these relationships among Somali and Hispanic immigrant youth (N = 353) in an urban midwestern setting (mean age = 15; 53% male, 39% first generation, 75% low income). Path analysis models examined the main effects of perceived discrimination for depression and anxiety and whether problem and emotion-focused coping moderated these associations.

RESULTS

Path analysis models suggest that perceived discrimination was positively associated with past week symptoms of depression (β = .37, standard error = .06) and anxiety (β = .16, standard error = .06) across ethnicity. However, adolescents who reported high levels of discrimination and who used predominantly problem-focused coping strategies experienced fewer internalizing problems than youth who relied predominantly on emotion-focused coping strategies.

CONCLUSIONS

Our findings suggest that strengthening youths' problem-focused coping strategies in the face of discriminatory stress is a promising health promotion and risk prevention approach.

摘要

目的

感知到的歧视、因负面态度而导致的不同待遇的感知以及对自己种族/族裔群体的刻板印象,会增加患抑郁和焦虑症的脆弱性。尽管少数族裔青年现在占美国青年人口的一半以上,但很少有研究调查不同文化背景的不同少数族裔移民青年中,感知歧视与心理健康之间的潜在保护因素。

方法

我们研究了感知歧视与过去一周抑郁和焦虑症状之间的关联,以及在一个城市中西部环境中(平均年龄 15 岁;53%为男性,39%为第一代,75%为低收入),索马里和西班牙裔移民青年(N=353)中,问题和情绪聚焦应对模式是否调节这些关系。路径分析模型检验了感知歧视对抑郁和焦虑的主要影响,以及问题和情绪聚焦应对是否调节这些关联。

结果

路径分析模型表明,感知歧视与抑郁(β=.37,标准误差=.06)和焦虑(β=.16,标准误差=.06)在不同种族之间呈正相关。然而,报告高水平歧视且主要采用问题聚焦应对策略的青少年比主要采用情绪聚焦应对策略的青少年经历更少的内化问题。

结论

我们的研究结果表明,在歧视性压力面前加强青少年的问题聚焦应对策略是一种有前途的健康促进和风险预防方法。

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