Resilience In Men Research Articles

Exploring Factors Associated With Resilience and Physical Activity in Older Men and Women Post-Hip Fracture.

This study aimed to test a model of factors associated with resilience and physical activity post-hip fracture and compare model fit between men and women. We used data from the seventh Baltimore Hip Study that included 339 participants. Model testing indicated that health status (men: β = .237, p = .002; women: β = .265, p = <.001), depression (men: β = -.245, p = .001; women: β = -.241, p = <.001), and optimism (men: β = .320, p = <.001; women: β = .282, p = <.001) were associated with resilience in men and women, but resilience was only associated with physical activity in men (β = .203, p = .038) and not in women. Social interaction was related to physical activity only among women (β = .206, p = .044). This study provides support for the relationship between resilience and physical activity at least among men.

Mary Louise Roberts. Sheer Misery: Soldiers in Battle in WWII.

War inescapably degrades and destroys human life. Although conflict’s architects and apologists often obfuscate the character of armed violence, the infliction of damage constitutes the essence of warfare. In Sheer Misery, Mary Louise Roberts places soldier bodies—variously stinking, aching, oozing, or lifeless—under the microscope, magnifying both the vulnerability and resilience of men in uniform and in extremis. Roberts’s subjects fought in some of the bloodiest European engagements of World War II. These “high-water marks for infantry misery” (4) encompass the winter campaign fought in Italy over the grim months spanning 1943 and 1944, the summer battles waged in Normandy after the D-Day landings, and the Allies’s final push through Belgium and Luxembourg toward Germany. French and German soldiers make intermittent appearances, but Roberts’s principals are British and American infantrymen, along with a handful of senior commanders and surgeons, whose letters, diaries, and memoirs she has filleted to reconstruct a “somatic history of war” (3).

Processes underpinning survival in gay men living with HIV and a history of suicidality.

Gay men living with HIV represent a particularly high risk group for suicide; however, little is known about suicidality, specifically, resiliencies in the context of suicidality among this particular group of men. The current study draws on photovoice and grounded theory methods to examine the processes that underpin survival for gay men living with HIV who have experienced suicidality. Twenty-two Canadian-based gay men participated, taking photographs to depict and discuss their perspectives on resiliencies. Analyses revealed three processes that supported men's survival: (1) connecting to key supports, (2) finding sanctity in the outdoors, and (3) giving help as purposeful value-adding. Connecting to key supports highlighted the utility of connection and therapeutic communication, listening and support provided by friends, family and professionals. Finding sanctity in the outdoors emphasised the healing capacity of outdoor green spaces, and giving help as purposeful value-adding illustrated the meaning and purpose men derived from supporting others. These findings can inform public health and primary care interventions to foster gay men's resilience and coping, and ultimately suicide prevention efforts.

The Effect of Discrimination and Resilience on Depressive Symptoms among Middle-Aged and Older Men who have Sex with Men.

This study investigated if homophobic and racist discrimination increased depressive symptoms among 960 middle-aged and older men who have sex with men (MSM) and how resilience moderated these relationships. We used five waves of longitudinal data from the Healthy Aging sub-study of the Multicenter AIDS Cohort Study (MACS). We used linear regression analyses to model depressive symptoms as a function of discrimination. We used linear mixed analyses to model changes in mean resilience scores across visits. We used linear regression analyses to model depressive symptoms as a function of changes in resilience and to test the moderation effects of resilience on the relationship between discrimination and depressive symptoms. The models accounted for repeated measures of resilience. Men who experienced external and internal homophobia had greater depressive symptoms (β: 2.08; 95% Confidence Interval: 0.65, 3.51; β: 1.60; 95% Confidence Interval: 0.76, 2.44). Men experienced significant changes in mean resilience levels across visits (F = 2.84, p = 0.02). Men with a greater positive change in resilience had lower depressive symptoms (β: -0.95; 95% Confidence Interval: -1.47, -0.43). Men with higher average resilience levels had lower depressive symptoms (β: -5.08; 95% Confidence Interval: -5.68, -4.49). Men's resilience did not moderate the relationship between homophobia and depressive symptoms. Significant associations of external and internal homophobia with greater depressive symptoms present targets for future research and interventions among middle-aged and older MSM. Significant associations of average and positive changes in resilience with lower depressive symptoms provide aims for future research and interventions with this population.

Genetic association of FKBP5 with trait resilience in Korean male patients with alcohol use disorder

The FKBP5 gene is known to have an important role in alcohol use disorder (AUD) in response to stress and has been reported to affect stress responses by interacting with childhood trauma. This study investigated the effects of the FKBP5 polymorphism rs1360780 and childhood trauma on trait resilience in male patients with AUD. In addition, allele-specific associations between FKBP5 DNA methylation and resilience were examined. In total, 297 men with AUD were assessed for alcohol use severity, childhood trauma, resilience, and impulsivity. Genotyping for FKBP5 rs1360780 and DNA methylation were analyzed. The effects of the rs1360780 single nucleotide polymorphism (SNP) and clinical variables on resilience were tested using linear regression analysis. Possible associations between FKBP5 DNA methylation and resilience were tested with partial correlation analysis. The rs1360780 risk allele, a low education level, and high impulsivity were associated with diminished resilience, whereas no significant main or interaction effect of childhood trauma with the SNP rs1360780 genotype on resilience was shown. No significant association between FKBP5 DNA methylation and resilience was found. The present study demonstrated the involvement of the rs1360780 risk allele in trait resilience in men with AUD, suggesting that the genetic vulnerability of FKBP5 may influence resilience related to AUD.

Measurement invariance of the CD-RISC-10 across gender, age, and education: A study with Slovenian adults.

The study aimed to investigate measurement invariance of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) across gender, age, and education. Adults from a general population of Slovenia (N = 431; 58% female; age 18 to 59 years) filled in the CD-RISC-10, the short form of the Mental Health Continuum and the Depression, Anxiety and Stress Scale. Measurement invariance of the proposed one-factor model of CD-RISC-10 by gender, age, and level of education was examined using multiple-group confirmatory factor analysis. The results showed configural, metric, and scalar invariance of the CD-RISC-10 across gender, age, and educational groups. The measure showed satisfactory reliability, positive associations with emotional, psychological, and social well-being, and negative links with negative emotional states. Group differences in latent means suggested higher resilience in men than women, early adults as compared to emerging adults, and people with higher as compared to those with lower level of education. The Slovenian version of the CD-RISC-10 is an acceptably reliable and valid measure of resilience, suitable to detect possible differences between gender, age, and educational groups. Resilience shows favorable associations with enhanced positive mental health and diminished symptoms of mental problems.

Reflective functioning and men's mental health: Associations with resilience and personal growth initiative.

Mentalizing, or reflective functioning, refers to the capacity to reflect on one's own and others' mental states in terms of desires, intentions, and feelings. Reflective functioning in men's mental health is poorly understood, particularly in reference to men's resilience and motivation for personal growth. Using a cross-sectional design, the present study investigated impaired reflective functioning in relation to resilience and personal growth initiative among men with mental health concerns. An online sample of 1065 men self-reporting mental health concerns completed measures of reflective functioning, psychological distress, resilience, and personal growth initiative. Logistic regression examined reflective functioning in relation to likely serious mental illness, including interaction with age. Subsequent regression analyses controlled for distress severity in examining associations with resilience and personal growth initiative, and in examining the potential mediating role of reflective functioning. Impaired reflective functioning was significantly associated with serious psychological distress irrespective of age and, after controlling for distress severity, with resilience and personal growth initiative. Moreover, impaired reflective functioning was a significant mediator of the relationship between resilience and personal growth initiative. Findings provide preliminary support for reflective functioning as salient to men's resilience and agency for personal change, indicating a potentially important target in men's mental health work.

Resilience to reoffending: Practice considerations for psychological therapies supporting young men to overcome adversity

AbstractWithin the United Kingdom, 75% of young men aged 18–25 will reoffend within two years of being released from prison, yet we still do not know enough about how underlying protective mechanisms contribute to positive outcomes for those who have engaged in antisocial behaviour. This study explored the mechanisms that support young men's resilience to reoffending. The aim was to inform the approach of practitioners working with this population, in particular counselling psychologists, and to contribute to youth justice policy. Additionally, young people who are involved in crime are often discussed in the literature on youth offending and mental health, yet rarely given the chance to tell their story of changing their trajectory. Eight young men, aged 18–25, with previous involvement in the criminal justice system were interviewed using narrative enquiry with an emphasis on the subjective experiences that nurtured their resilient pathways. The study drew on Hart, Blincow and Thomas’ Resilience Framework (Hart, Blincow, &amp; Thomas, 2007) to categorise the data. The young men's accounts highlighted that mechanisms within all the categories of the Resilience Therapy (Hart, Blincow &amp; Thomas, 2007) framework were pertinent in nurturing resilient pathways: Basics, Belonging, Learning, Coping and Core Self. The study further demonstrated how the young men's contexts were significant in fostering their resilience to reoffending. The findings suggest the importance of a counselling and psychotherapy approach that targets both social and individual mechanisms to facilitate growth. In a context with significant social, economic and political challenges, the absence of a two‐pronged approach will limit the young men's resilience to surviving.

Gender-Specific Differences in Signs and Symptoms of Dry Eye Disease

ABSTRACT Introduction Dry eye disease (DED) is a multifactorial disease of the ocular surface characterized by loss of homeostasis of the tear film. Epidemiological studies suggest it occurs more frequently in women than men. The aim of this retrospective analysis was to determine whether patients with DED show gender-specific differences in symptoms and signs. Material and Methods A retrospective analysis of 107 patients was conducted at the Department of Ophthalmology of the University of Düsseldorf – Germany. After completing the OSDI questionnaire, the patients underwent objective refraction and were asked about the following symptoms: burning, itching, foreign body sensation, epiphora, sticky eyes, pain, red eyes and swollen eyelids. Furthermore, they underwent an evaluation of the following signs: lipid layer thickness, non-invasive break-up-time (NI-BUT), conjunctival hyperemia, lid parallel conjunctival folds, meibography, Schirmer test and tear meniscus height, ocular surface staining, expressibility of meibomian glands. Results Of the 107 patients (56.2 ± 17.3 years) 75 were women and 32 men. Women reported significantly more often eyelid swelling (p = .03) and showed a tendency to complain more about red eyes (p = .051), while men tended to complain more often about epiphora (p = .053). In an age-matched sample taken from the cohort, significant differences were found for OSDI-scores (p = .025) showing women reporting more symptoms compared to men, while men showed more conjunctival hyperaemia (p = .004) than women. Women showed a significant thicker lipid layer (p = .0009) in the full cohort, but not in the age-matched sample (p = .43). Conclusion Although the majority of the investigated parameters did not show gender-specific differences, women reported higher OSDI scores. These findings could be explained by an increased frequency of neuropathic symptoms or ocular surface sensitivity in women or higher resilience of men to consult an ophthalmologist. Sex may have an effect on the clinical characteristics of DED, but further studies are needed to confirm these findings.

Sport Differences In Resiliency Development Of Men’s NCAA Football And Basketball Athletes

The National Collegiate Athletic Association (NCAA) has recently identified mental health as a primary health concern for student-athletes. Each sport contains its own unique stressors, which may require sport-specific stress reduction and resiliency-building techniques. PURPOSE: The purpose of this investigation was to identify the differences in stress impacts and resiliency in men’s NCAA football and basketball athletes. METHODS: Thirteen NCAA Division II men’s basketball athletes 32 NCAA Division II men’s football athletes were surveyed before and after the 2016-2017 competition season. The survey contained 35 questions, which were selected from the College Student Health Survey (Boynton Health, University of Minnesota, Minneapolis, MN). The survey addressed aspects of physical health, drug and alcohol use, screen time, relationships, sleep, stress management, and resiliency. Post-season surveys were analyzed to determine differences between sports in stress management and resiliency. Independent t-tests were used to determine differences between survey question responses. Alpha levels were set at 0.05. RESULTS: Football athletes reported significantly better ability to respond to adversity (p<0.001), and withstand difficult situations (p<0.001). No significant difference existed between the sports in regards to the number of days their physical health (p=0.58) or mental health (p=0.95) was negatively impacted in the past 30 days. CONCLUSIONS: While no significant differences existed in the number of days in which mental or physical health was negatively impacted, significant differences were found in the football and basketball athletes’ perceived abilities to respond to stressful situations. Future research should investigate the development and efficacy of sport-specific resiliency-building techniques.

Abstract P109: Genetic Correlates of Resilience Among African American Families From the Jackson Heart Study

Background: Research has reported that measures of resilience, such as optimism, social support, and religious coping are positively associated with longevity, but there are limited studies on the genetic contribution of resilience among African Americans. Utilizing Jackson Heart Study (JHS) data, we examined the heritability estimates of markers of resilience and their association with proportion of West African genetic ancestry (pAfr) in order to understand familial patterns of resilience among African Americans. Hypothesis: We hypothesized that genetic variation would contribute significantly to variation in indicators of resilience, and that pAfr will be positively associated with greater resilience in African Americans. Methods: Resilience measures (optimism, social support, social networks, religious experiences, and religious practices and coping) were obtained from validated questionnaires. Scores were created for each resilience measure and then all measures were summed to create a total resilience score among 1,200 related and 1,456 unrelated individuals of the JHS cohort. We then analyzed the subset of related individuals to estimate polygenic heritability for resilience measures using Sequential Oligogenic Linkage Analysis Routines (SOLAR), and evaluated the subset of unrelated participants for the association between resilience and pAfr using a multiple linear regression model. The pAfr was estimated from more than 1,400 ancestry informative markers that differentiate West African genetic ancestry from European ancestry using HAPMIX genetic software. In both analyses, we controlled for age, sex, age-by-sex interaction, education, physical activity, smoking and depressive symptoms. Results: In related individuals, we found a significant proportion of variation (h 2 ±SE; p-value) due to familial correlation on religious practices and coping (0.15±0.09; p=0.0371); religious experience (0.26±0.09; p&lt;0.001); social networks (0.32±0.07; p&lt;0.001); and optimism (0.21±0.08; p&lt;0.001). Heritability estimates for total resilience and social support were not significant. In the subset of unrelated individuals, we found that pAfr was significantly associated (beta±SE; p-value) with total resilience (3.08±1.44; p=0.0327), religious experience (5.16±2.55; p=0.0437), and religious practices and coping (3.77±1.23; p=0.0023) in men but not in women. Conclusion: In this sample of African Americans, we found evidence that variation in markers of resilience are influenced by genetic ancestry and sex. West African genetic background was associated with markers of resilience in men only. Due to lack of household effects we could not account for influence of the common environment, which is a limitation of these findings. However, because we found genetic influences of resilience, future studies that explore associations with longevity loci are warranted.

The relationship between the level of resilience and coping strategies of young people living in the Republic of Tyva

This article deals with the problem of the relationship of resilience with the coping behaviour of young people. It justifies the idea that the adaptability and maladaptivity of coping strategies is related to the viability of the individual. Particular attention is paid to the comparative analysis of the coping repertoire of girls and young men with different levels of resilience. The interrelation of types of response to difficulties with the level of resilience is proved. The author comes to the conclusion that resilience involves a wide range of types of response, greater flexibility and ability to adapt behaviour to different situations. The article summarises some of the results of studying adaptive, non-adaptive andrelatively adaptive strategies depending on the level of viability and gender of the subjects. The specificity of communication between different types of coping strategies caused by difficult situations and the level of resilience in men and women from 18 to 35 years of age is discussed.

Understanding Gender Differences in Resilience Among Veterans: Trauma History and Social Ecology.

A social-ecological framework for resilience underscores the importance of conceptualizing individuals embedded within their context when evaluating a person's vulnerability and adaptation to stress. Despite a high level of trauma exposure, most veterans exhibit psychological resilience following a traumatic event. Interpersonal trauma is associated with poorer psychological outcomes than noninterpersonal trauma and is experienced more frequently across the lifespan by women as compared to men. In the present study, we examined gender differences in trauma exposure, resilience, and protective factors among veterans. Participants included 665 veterans who completed a baseline survey assessing traumatic events; 544 veterans (81.8%) completed a 1-year follow-up survey assessing resilience, combat exposure, deployment social support, deployment preparedness, and military sexual trauma (MST). Principal component analyses revealed the Traumatic Life Events Questionnaire categorized into four meaningful components: sexual abuse, interpersonal violence, stranger violence, and accidents/unexpected trauma. Women reported greater exposure to sexual abuse, d = 0.76; interpersonal violence, d = 0.31; and MST, Cramer's V = 0.54; men reported greater exposure to stranger violence, accidents/unexpected trauma, and combat exposure, ds = 0.24-0.55. Compared to women, men also reported greater social support during deployment, d = 0.46. Hierarchical linear regression indicated that men's resilience scores were higher than women's, β = .10, p = .032, yet this association was no longer significant once we accounted for trauma type, β = .07, p = .197. Results indicate that trauma type is central to resilience and suggest one must consider the social-ecological context that can promote or inhibit resilient processes.

Young adult gay and bisexual men's stigma experiences and mental health: An 8-year longitudinal study.

This study investigated longitudinal trajectories of stigma (i.e., enacted, anticipated, internalized, concealed); stress-sensitive mental health disorder symptoms (i.e., depression, social anxiety); and their associations across 8 annual assessments in a sample of 128 young gay and bisexual U.S. university students. All forms of stigma significantly decreased over time, while depressive symptoms remained stable and social anxiety symptoms significantly increased. Men from higher socioeconomic backgrounds experienced quicker reductions in anticipated stigma, compared to men from lower socioeconomic backgrounds. More self-described feminine men experienced quicker reductions in concealment, compared to more self-described masculine men. Enacted stigma demonstrated contemporaneous associations with depression and social anxiety across 8 years; and anticipated stigma and internalized stigma demonstrated contemporaneous associations with social anxiety across 8 years. Enacted stigma was more strongly associated with depressive symptoms among men who reported greater masculinity compared to those who reported greater femininity. Findings are discussed in terms of common developmental influences across early sexual orientation identity formation, including gay and bisexual young men's resilience to stigma-based stress; the transition from college; and the rapidly changing social climate surrounding sexual minority individuals. Findings suggest the need for future longitudinal examinations of stigma and mental health among sexual minorities that utilize multiple age cohorts to determine the relative contribution of cohort-specific versus common maturational factors influencing the mental health of this population. (PsycINFO Database Record

Sex, Sleep Deprivation, and the Anxious Brain.

Insufficient sleep is a known trigger of anxiety. Nevertheless, not everyone experiences these effects to the same extent. One determining factor is sex, wherein women experience a greater anxiogenic impact in response to sleep loss than men. However, the underlying brain mechanism(s) governing this sleep-loss-induced anxiety increase, including the markedly different reaction in women and men, is unclear. Here, we tested the hypothesis that structural brain morphology in a discrete network of emotion-relevant regions represents one such explanatory factor. Healthy participants were assessed across sleep-rested and sleep-deprived conditions, with brain structure quantified using gray matter volume measures. Sleep loss triggered greater levels of anxiety in women compared with men. Reduced gray matter volume in the anterior insula and lateral orbitofrontal cortex predicted the anxiogenic impact of sleep loss in women, yet predicted resilience in men, and did so with high discrimination accuracy. In contrast, gray matter volume in ventromedial prefrontal cortex predicted the anxiogenic impact of sleep loss in both men and women. Structural human brain morphology therefore appears to represent one mechanistic pathway (and possible biomarker) determining anxiety vulnerability to sleep loss-a discovery that may help explain the higher prevalence of sleep disruption and anxiety in women.

Resilience to Child Sexual Abuse in Male College Students

Little is known about men's experiences in the aftermath of child sexual abuse (CSA). Consistent themes from qualitative studies were operationalized and tested for their impact on resilience. For the sample of college-enrolled men (n = 55), the themes of mattering and of traditional male attitudes were not related to resilience, but the theme of gender self-acceptance significantly predicted 23% of the variance in resilience scores. Importantly, the men's perceptions of the CSA events they experienced, whether they described these events as abusive or consensual, were not related to the men's resilience scores. The results indicated that effective counseling approaches to support men's recovery processes differ from those supporting women's recovery. These results suggest that mental health counselors should focus on encouraging male survivors' gender self-acceptance, exploring what it means to be a man in modern society, and examining points of connection with and disconnection from that cultural portrayal.

Resilience in Men and Women Experiencing Sexual Assault or Traumatic Stress: Validation and Replication of the Scale of Protective Factors.

The literature on sexual assault (SA) typically has been generalized to women and children. However, both men and women experience SA. Research shows that not all individuals experience the negative impacts of SA in the same way. The ability to buffer the negative effects of SA may lie in specific protective factors that determine resilience. Resilience scales used in adult populations have not been validated for use in SA samples. The purpose of the present study was to replicate the factor structure of a resilience scale, the Scale of Protective Factors (SPF), in a sample of emerging adults (n = 571) and to validate the replicated model on a subsample of the participants who reported SA (n = 173). Additionally, we sought to examine gender differences in mental health outcomes including depression and anxiety, and the availability of protective factors that determine resilience among those participants who reported experiencing SA (n = 173) as compared to other forms of traumatic stress (n = 132). The SPF achieved good model fit in the larger emerging adult sample and adequate model fit was achieved in the SA subsample. Results indicated significant gender differences in mental health outcomes with η2 ranging between .03 and .21. Implications and future directions are discussed.

The Anxiolytic and Antidepressant-like Effects of Testosterone and Estrogen in Gonadectomized Male Rats

BackgroundWhile the influence of testosterone levels on vulnerability to affective disorders is not straightforward, research suggests this hormone may confer some degree of resiliency in men. We recently demonstrated a role for the dentate gyrus in mediating testosterone’s protective effects on depressive-like behavior in gonadectomized male rats. Here, testosterone may exert its effects through androgen receptor-mediated mechanisms or via local aromatization to estradiol. MethodsGonadectomized male rats were implanted with a placebo, testosterone, or estradiol pellet, and subsequent protective anxiolytic- and antidepressant-like effects of testosterone and its aromatized metabolite, estradiol, were then investigated in the open field and sucrose preference tests, respectively. Moreover, their influence on gene expression in the hippocampus was analyzed by genome-wide complementary DNA microarray analysis. Finally, the contribution of testosterone’s aromatization within the dentate gyrus was assessed by local infusion of the aromatase inhibitor fadrozole, whose efficacy was confirmed by liquid chromatography-tandem mass spectrometry. ResultsBoth hormones had antidepressant-like effects associated with a substantial overlap in transcriptional regulation, particularly in synaptic plasticity- and mitogen-activated protein kinase pathway-related genes. Further, chronic aromatase inhibition within the dentate gyrus blocked the protective effects of testosterone. ConclusionsBoth testosterone and estradiol exhibit anxiolytic- and antidepressant-like effects in gonadectomized male rats, while similarly regulating critical mediators of these behaviors, suggesting common underlying mechanisms. Accordingly, we demonstrated that testosterone’s protective effects are mediated, in part, by its aromatization in the dentate gyrus. These findings thus provide further insight into a role for estradiol in mediating the protective anxiolytic- and antidepressant-like effects of testosterone.

Perceived Sources of Stress and Resilience in Men in an African American Community

Perceived Sources of Stress and Resilience in Men in an African American Community Bowen Chung, MD, MSHS, Marcia Meldrum, PhD, Felica Jones, Anthony Brown, and Loretta Jones What Is the Purpose of the Study? • To understand perceived causes of stress and tools used to promote resiliency in African American men in South Los Angeles. What Is the Problem? • African American men are at higher risk for a number of adverse health outcomes, including more morbidity from health and mental disorders and more than 5 years lower life expectancy than men from other racial groups • Limited research exists on understanding what the perceived stressors and factors are that promote resiliency that may be important factors to address to improve the health outcomes of African American men. What Are the Findings? • Almost all (93.2%) men reported stress. • Of those reporting stress, about 60% reported that finances/money and about 40% reported were specific causes of stress. • Two fifths of men (43.2%) reported sources of stress that were racially linked, including experiences of racism such as denials of rights and disrespect shown by police or local government. • Over 60% of study participants reported they perceived that help was available to deal with stress. • Almost all the participants reported specific sources of resiliency, such as religion and family, helped to alleviate the burden of perceived stressors. Who Should Care the Most? • Community organizations and service providers supporting African American men such as health care, mental health, substance abuse, churches, and social services agencies. • Researchers and policy makers interested in improving health outcomes for and with African American men. Recommendations for Action • Future research and program development to engage African American men should account for both the perceived causes of stress such as finances and racism, as well as incorporate culturally appropriate sources of support for resiliency, such as religion and family. [End Page 417] Bowen Chung Department of Psychiatry, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA Healthy African American Families II Marcia Meldrum Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA Felica Jones Healthy African American Families II Anthony Brown Healthy African American Families II Loretta Jones Healthy African American Families II Copyright © 2014 The Johns Hopkins University Press

Perceived sources of stress and resilience in men in an African American community.

Little is known about the perceived causes of stress and what strategies African American men use to promote resiliency. Participatory research approaches are recommended as an approach to engage minority communities. A key goal of participatory research is to shift the locus of control to community partners. To understand perceived sources of stress and tools used to promote resiliency in African American men in South Los Angeles. Our study utilized a community-partnered participatory research approach to collect and analyze open-ended responses from 295 African American men recruited at a local, cultural festival in Los Angeles using thematic analysis and the Levels of Racism framework. Almost all men (93.2%) reported stress. Of those reporting stress, 60.8% reported finances and money and 43.2% reported racism as a specific cause. More than 60% (63.4%) reported that they perceived available sources of help to deal with stress. Of those noting a specific source of help for stress (n = 76), 42.1% identified religious faith. Almost all of participants (92.1%) mentioned specific sources of resiliency such as religion and family. Stress owing to psychosocial factors such as finances and racism are common among African American men. But, at the same time, most men found support for resiliency to ameliorate stress in religion and family. Future work to engage African American men around alleviating stress and supporting resiliency should both take into account the perceived causes of stress and incorporate culturally appropriate sources of resiliency support.