Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
College of Social Work, the Ohio State University, Columbus, OH, USA.
J Psychoactive Drugs. 2023 Jan-Mar;55(1):19-29. doi: 10.1080/02791072.2022.2025960. Epub 2022 Jan 11.
There is a need to understand ways in which Asians in North America attempt to heal from racial trauma, given their well-documented high risk of exposure and associated adverse mental health outcomes. We conducted a secondary analysis of Asians from a survey of people of color in North America who have consumed psychedelics in response to racial discrimination. Ninety-two Asian participants ( = 30.25, = 6.83) completed online questions assessing demographics, racial discrimination frequency, characteristics and acute effects of their most meaningful psychedelic experience, change in racial trauma symptoms 30 days before and after their psychedelic experience, and current ethnic identity. Participants reported improvements in racial trauma symptoms ( = 0.52). Bootstrapped mediation analyses controlling for racial discrimination frequency and psychedelic dose and duration indicated complete mediation of the link between higher intensity of insightful experiences and stronger ethnic identity, via improvements in racial trauma symptoms (indirect effect = .08, 95% CI = [.004, .19]). There was partial mediation for the independent variable of lower intensity of challenging experiences (indirect effect = -.08, 95% CI = [-.18, -.005]). This study highlights the central role of higher-intensity insightful experiences and both higher- and lower-intensity challenging experiences in alleviating racial trauma symptoms and promoting ethnic identity among Asians in North America who have experienced racial discrimination. Future research should attune to culturally relevant outcomes of psychedelic use in response to racial discrimination among Asians.
鉴于亚洲人在北美遭受种族创伤的风险很高,且与之相关的心理健康问题也很严重,因此有必要了解他们试图从种族创伤中恢复的方式。我们对来自北美有色人种调查的亚洲人进行了二次分析,这些人因遭受种族歧视而使用迷幻药。92 名亚洲参与者(n=30.25,M=6.83)完成了在线问卷,评估了人口统计学特征、种族歧视频率、他们最有意义的迷幻体验的特征和急性效应、种族创伤症状在他们使用迷幻药前后 30 天的变化,以及当前的种族认同。参与者报告种族创伤症状有所改善(M=0.52)。在控制种族歧视频率和迷幻药剂量和持续时间的情况下,bootstrap 中介分析表明,在更高强度的洞察力体验与更强的种族认同之间,通过改善种族创伤症状(间接效应=0.08,95%CI=[0.004,0.19])存在完全中介。对于挑战性体验强度较低的自变量存在部分中介(间接效应=-.08,95%CI=[-.18,-.005])。这项研究强调了在经历过种族歧视的北美亚洲人中,更高强度的洞察力体验以及更高和更低强度的挑战性体验在缓解种族创伤症状和促进种族认同方面的核心作用。未来的研究应该关注在亚洲人中,针对种族歧视使用迷幻药的文化相关结果。