Moore Kiara L, Rodwin Aaron H, Shimizu Rei, Munson Michelle R
Silver School of Social Work, New York University, New York, NY 10003, USA.
School of Social Work, University of Alaska, Anchorage, AK 99508, USA.
Healthcare (Basel). 2024 Oct 17;12(20):2063. doi: 10.3390/healthcare12202063.
BACKGROUND/OBJECTIVES: Ethnic identity development is associated with positive mental health in young adults from ethnic minority groups. How a sense of belonging and attachment to one's ethnic culture is related to personal mental health recovery remains unexplained. This study examines the experiences of ethnic minority young adults in the U.S. to understand the aspects of culture and identity development that are relevant to their recovery processes.
Young adults who were living with chronic mental disorders were recruited from four rehabilitation programs. Interviews produced quantitative and qualitative data. An explanatory sequential mixed methods design was used to integrate the qualitative findings from a sub-group of young adults ( = 44) with the results from the quantitative study. Directed content analysis was used to analyze the qualitative data, and the integrated data were analyzed in joint displays.
The prominent themes characterizing ethnic identity development in personal recovery were (a) cultural history, traditions, and values; (b) mental illness stigma within the ethnic community; and (c) bias and discrimination in mental health services. Young adults with high ethnic identity development reported having more support from family, but they also described experiences with stigma and racism.
The integrated results suggest that ethnic identity development promotes mental health recovery in minoritized young adults through social support and improved well-being and resilience. Experiences of intersectional stigma and structural racism associated with ethnic identity can interfere with self-determination and access to care among minoritized Hispanic/Latine, Black, and multiracial young adults in the U.S.
背景/目的：族裔身份发展与少数族裔青年的积极心理健康相关。然而，个人对其族裔文化的归属感和依恋感如何与个人心理健康恢复相关，仍未得到解释。本研究调查了美国少数族裔青年的经历，以了解与他们康复过程相关的文化和身份发展方面。
从四个康复项目中招募患有慢性精神障碍的青年。访谈产生了定量和定性数据。采用解释性序列混合方法设计，将一组青年（n = 44）的定性研究结果与定量研究结果相结合。采用定向内容分析法分析定性数据，并在联合展示中分析整合后的数据。
个人康复中族裔身份发展的突出主题包括：（a）文化历史、传统和价值观；（b）族裔社区内的精神疾病污名；（c）心理健康服务中的偏见和歧视。族裔身份发展程度高的青年报告称从家庭获得了更多支持，但他们也描述了遭受污名和种族主义的经历。
综合结果表明，族裔身份发展通过社会支持以及改善幸福感和恢复力，促进少数族裔青年的心理健康恢复。与族裔身份相关的交叉污名和结构性种族主义经历，可能会干扰美国少数族裔西班牙裔/拉丁裔、黑人和多族裔青年的自决权和获得护理的机会。
