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发展阶段差异对黑人社群青少年抑郁和焦虑的影响:探讨反刍思维的作用机制。

Developmental differences in the impact of racial discrimination on depression and anxiety among Black youth: Examining rumination as a mechanism.

机构信息

Department of Psychological Sciences, University of Missouri-Columbia.

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina.

出版信息

Am J Orthopsychiatry. 2023;93(4):293-303. doi: 10.1037/ort0000679. Epub 2023 May 8.

Abstract

Experiences of racial discrimination are pervasive among Black youth, resulting in psychosocial problems such as depression and anxiety. Rumination plays a key role in linking racial discrimination and internalizing concerns. Developmental age has also been shown to influence the extent to which racial discrimination and rumination impact mental health; however, studies have yet to explore the interplay between these factors. This study examined the association between racial discrimination and internalizing concerns among Black youth, whether racial discrimination was indirectly associated with internalizing concerns through rumination, and whether developmental age moderated these direct and indirect effects. Participants included 158 pre- and early-adolescent youth recruited from a community sample ( = 11.56 years; 53% female). Data were from baseline questionnaire responses from a larger longitudinal study conducted in the Southeastern United States examining the effects of interpersonal stressors on youth mental health outcomes. Racial discrimination was directly and indirectly associated with internalizing concerns through rumination. Developmental age moderated the indirect link between racial discrimination and depressive symptoms via rumination with the association being stronger as participant age increased. The impact of racial discrimination on mental health among Black youth is informed by maladaptive coping strategies such as rumination and developmental age. Such factors help to identify who is most at risk for the impact of racial discrimination and potential intervening targets. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

种族歧视在黑人群体中普遍存在,导致抑郁和焦虑等心理社会问题。反刍在将种族歧视和内化问题联系起来方面起着关键作用。发展年龄也被证明会影响种族歧视和反刍对心理健康的影响程度;然而,研究尚未探讨这些因素之间的相互作用。本研究考察了种族歧视与黑人群体内化问题之间的关联,种族歧视是否通过反刍与内化问题间接相关,以及发展年龄是否调节这些直接和间接影响。参与者包括从社区样本中招募的 158 名青春期前和早期青少年(平均年龄为 11.56 岁,53%为女性)。这些数据来自美国东南部一项更大的纵向研究的基线问卷回答,该研究考察了人际压力源对青少年心理健康结果的影响。种族歧视通过反刍与内化问题直接和间接相关。发展年龄通过反刍调节种族歧视与抑郁症状之间的间接联系,随着参与者年龄的增长,这种关联变得更强。种族歧视对黑人群体心理健康的影响受到诸如反刍和发展年龄等适应不良应对策略的影响。这些因素有助于确定谁最容易受到种族歧视的影响以及潜在的干预目标。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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