Hampton-Anderson Joya N, Woods-Jaeger Briana, Maxwell Troy B, Edward Craighead W
Department of Psychiatry and Behavioral Sciences, Emory University, USA.
Behavioral, Social, and Health Education Sciences, Emory University, USA.
J Mood Anxiety Disord. 2025 Feb 28;10:100115. doi: 10.1016/j.xjmad.2025.100115. eCollection 2025 Jun.
Among African American youth, experiences of discrimination are related to having an anxiety disorder with significant impairment. Although incorporating culturally relevant treatment components (e.g., race socialization) that address experiences of discrimination might better serve minority youth, current evidence based interventions for anxiety in outpatient settings typically fail to include those culturally relevant components. This manuscript, noting the role of racial discrimination, outlines indicators of risk and resilience for diagnosis and prognosis of anxiety disorders among African American youth. Qualitative examples, provided from a sample of community stakeholders and African American youth seeking services for an anxiety disorder, describe specific associations between experiences of racial discrimination and anxiety. We conclude that identification and inclusion of culturally specific risk and protective factors in the development, implementation, and evaluation of anxiety-focused intervention programs in outpatient settings that target culturally specific protective factors will better serve African American youth experiencing anxiety disorders.
在非裔美国青年中，歧视经历与患有严重功能障碍的焦虑症有关。尽管纳入解决歧视经历的文化相关治疗成分（如种族社会化）可能更有利于少数族裔青年，但目前门诊环境中基于证据的焦虑症干预措施通常未包括这些文化相关成分。本手稿指出种族歧视的作用，概述了非裔美国青年焦虑症诊断和预后的风险及恢复力指标。从社区利益相关者和寻求焦虑症服务的非裔美国青年样本中提供的定性例子，描述了种族歧视经历与焦虑之间的具体关联。我们得出结论，在针对文化特定保护因素的门诊环境中，开发、实施和评估以焦虑为重点的干预项目时，识别并纳入文化特定的风险和保护因素，将更好地服务于患有焦虑症的非裔美国青年。
