Racial Stress Research Articles

Disordered eating among Asian American college women: A racially expanded model of objectification theory.

Objectification theory has been applied to understand disordered eating among college women. A recent extension of objectification theory (Moradi, 2010) conceptualizes racism as a socialization experience that shapes women of color's objectification experiences, yet limited research has examined this theoretical assertion. The present study proposed and examined a racially expanded model of objectification theory that postulated perceived racial discrimination, perpetual foreigner racism, and racial/ethnic teasing as correlates of Asian American college women's (N = 516) self-objectification processes and eating disorder symptomatology. Perceived racial discrimination, perpetual foreigner racism, and racial/ethnic teasing were indirectly associated with eating disordered symptomatology through self-objectification processes of internalization of media ideals of beauty (media internalization), body surveillance, and body shame. Results support the inclusion of racial stressors as contexts of objectification for Asian American women. The present findings also underscore perceived racial discrimination, racial/ethnic teasing, and perpetual foreigner racism as group-specific risk factors with major theoretical, empirical, and clinical relevance to eating disorder research and treatment with Asian American college women. (PsycINFO Database Record

The Trial of Ruby McCollum the Consequences of Trauma: Segregation Stress Syndrome

In this chapter, I use trial transcripts, books, documentaries, and newspaper articles to examine the case of Ruby McCollum (a wealthy African American woman who spent two years in prison and 20 years in a mental institution for killing her rapist-Doctor Adams). Ruby McCollum is one of an incalculable number of African American women who were systematically raped during the totalitarian era of Jim Crow. Ruby McCollum’s story reveals vivid details about her experience with rape, physical and mental abuse, being drugged, and conceiving two children from her rapist. The Jim Crow south-similar to slavery was based on systemic racism that includes a broad range of attitudes, emotions, habits, actions, and racist ideologies supported by white-dominated social institutions and which Feagin calls the white racial frame. The white racial frame includes the attitudes and actions, stereotypes, prejudices, images, emotions, and narratives that contribute to a persisting system of systemic racism. This includes white men acting upon racist ideologies and stereotypes about the bodies and behaviors of Black women (i.e. promiscuous, hypersexual, jezebels, and morally deficit) as their justification for rape. Then, protected by the laws, practices, and policies of the state, these white men didn’t fear prosecution for the collective rapes. These men, working from the white racial frame, felt justified in their action knowing that their ‘morality’ wouldn’t be questioned. The white men were rarely prosecuted; African American women, their husbands, and their families had no recourse but to accept the benign neglect of the state to not prosecute. In this article, I will discuss systemic racism, the white racial frame, collective rape, and segregation stress syndrome, which is a collective form of PTSD.

Intersections at a (Heteronormative) Crossroad: Gender and Sexuality Among Black Students’ Spiritual-and-Religious Narratives

Historically, many Blacks deployed religion as a subversive ideological tool, such as within the struggle against the dehumanizing, yet constitutionally authorized system of slavery as well as the state-sponsored and -sanctioned violence of lynching, voting restrictions and segregation. Even contemporarily, a growing body of empirical evidence shows that religion and spirituality matter in the lives of Black undergraduate students, informing their vocational choices, coping capacities, and styles and enhancing psychological resistance to racial stress. Though higher education researchers are becoming increasingly attentive to American college students’ spiritual lives, fewer scholars have invested equitable energies in better understanding Black students’ spiritual and religious experiences as well as exploring the form and content of Black undergraduates’ spiritual identities. Thus, the research questions that guided our study were the following: (a) What factors influence students’ spiritual identities prior to and during college? and (b) How are students’ spiritual identities raced and gendered and interact with their sexual identities? We report findings focused specifically on the social mechanisms—and their attendant ideologies—that coproduce students’ spiritual identities as well as students’ agentive negotiations.

Examining Racial Discrimination Frequency, Racial Discrimination Stress, and Psychological Well-Being Among Black Early Adolescents

Racial discrimination is a ubiquitous experience for Black adolescents; it has been linked to poorer psychological outcomes including higher depressive symptoms and lower self-esteem. However, the mechanisms through which racial discrimination is associated with psychological well-being are still not well understood, particularly among Black early adolescents. The current study investigated two dimensions of racial discrimination: racial discrimination frequency (RDfreq) and racial discrimination stress (RDstress). Specifically, we explored the prevalence of RDfreq and RDstress among Black youth and whether RDstress mediated the association between RDfreq and psychological well-being. Seventy-four Black middle school students (68.1% female; mean age = 12.1) completed self-report questionnaires assessing RDfreq, RDstress, depression, and self-esteem; 72 were included in the final analyses. Mediation analyses were conducted using bootstrapping. Ninety percent of the sample reported experiencing some type of racial discrimination and 99% reported that these experiences bothered them. Controlling for age, gender, and ethnicity, RDstress partially mediated the relationship between RDfreq and depression. Study findings elucidate one pathway in which racial discrimination influences psychological well-being.

The Impact of African American Parents' Racial Discrimination Experiences and Perceived Neighborhood Cohesion on their Racial Socialization Practices.

Parental racial socialization is a parenting tool used to prepare African American adolescents for managing racial stressors. While it is known that parents' racial discrimination experiences affect the racial socialization messages they provide, little is known about the influence of factors that promote supportive and communal parenting, such as perceived neighborhood cohesion. In cohesive neighborhoods, neighbors may help parents address racial discrimination by monitoring youth and conveying racial socialization messages; additionally, the effect of neighborhood cohesion on parents' racial socialization may differ for boys and girls because parents socialize adolescents about race differently based on expected encounters with racial discrimination. Therefore, the current study examines how parents' perception of neighborhood cohesion and adolescents' gender moderate associations between parents' racial discrimination experiences and the racial socialization messages they deliver to their adolescents. Participants were a community sample of 608 African American adolescents (54% girls; mean age=15.5) and their primary caregivers (86% biological mothers; mean age=42.0). Structural equation modeling indicated that parental racial discrimination was associated with more promotion of mistrust messages for boys and girls in communities with low neighborhood cohesion. In addition, parental racial discrimination was associated with more cultural socialization messages about racial pride and history for boys in neighborhoods with low neighborhood cohesion. The findings suggest that parents' racial socialization messages are influenced by their own racial discrimination experiences and the cohesiveness of the neighborhood; furthermore, the content of parental messages delivered varies based on adolescents' gender.

The stressors of being young and Black: Cardiovascular health and Black young adults

Objective: To examine the impact of stressors relevant to the lives of Black young adults including racial, financial, occupational, and general stress and psychological distress on cardiovascular disease (CVD) risk. Specifically, this study examined the relationship between multiple psychosocial stressors and two CVD risk indicators (i.e. obesity and blood pressure).Design: This study used a quantitative design which included surveys, the collection of anthropometric and blood pressure (BP) measures. Participants were 124 Black college students aged 18 to 27 years old. Main Outcome Measures: Participants completed measures to assess psychological distress, general, occupational, financial and racial stress. Measures of body mass index (BMI), waist-to-hip ratio (WHR) and BP were collected to assess CVD risk.Results: Findings indicated a significant effect of internalised racism on BMI and a significant effect of individual racial stress on diastolic BP. Also, depression was significantly associated with systolic BP. There were no significant results for WHR.Conclusion: Findings suggested that the relationship among racial stress, psychological distress and CVD be further explored.

A Question of Color

This study describes the relative influence of facial skin color, lifetime exposure to racial discrimination, chronic stress, and traditional prehypertension risk factors (family history of hypertension and age) on resting blood pressure and body mass index (BMI) among 196 southern African American (AA) female undergraduate students. Stepwise regression analyses indicated that skin color was the strongest predictor of systolic blood pressure (SBP), diastolic blood pressure (DBP), and BMI. Skin color, chronic stress, and family history of hypertension predicted 53% of the SBP variance. Skin color, chronic stress, and family history of hypertension predicted 30.2% of the DBP variance. Racism and age were not significant predictors of SBP or DBP. Of the variance in BMI, 33% was predicted by skin color, chronic stress, and racism. Age and family history of hypertension were not predictors of BMI. The current study provides evidence of the relationship of skin color and chronic stress to blood pressure among young southern AA women. The study identifies an important relationship between increased racial stress exposure and heavier BMIs, a predictor of prehypertensive risk.

Why Should Residents Go to APA’s Institute on Psychiatric Services?

Why Should Residents Go to APA’s Institute on Psychiatric Services?

THE RACIAL STRESS OF MEMBERSHIP: DEVELOPMENT OF THE FACULTY INVENTORY OF RACIALIZED EXPERIENCES IN SCHOOLS

Research on the experience of faculty of color in predominately White independent schools (PWIS) is limited. This study explored faculty of varying racial backgrounds and their initiation of, interactions with, and stress reactions to racial conflicts within the school settings using an online survey. Several measures were developed according to the Racial/Ethnic Coping Appraisal and Socialization Theory (recast) model and administered to 339 faculty participants. Using factor analytic and correlational analyses, results from the highly reliable measures found that Black faculty show significantly less trust in schools to manage racial conflict, lower sense of school membership, greater racial stress, and more racial socialization than their White counterparts do. With reliable and valid measures on the racialized experiences of faculty in PWIS, future research can ask better questions on how much racial politics influence diversity initiatives, including faculty and student recruitment and retention, supportive racial and intellectual climate, and organizational mission and professional development. Implications for the development of racially relevant measures in schools are discussed.

Stressors in multiple life-domains and the risk for externalizing and internalizing behaviors among African Americans during emerging adulthood.

Behavioral and mental health outcomes have been associated with experiencing high levels of stress. Yet, little is known about the link between the nature of stressors, their accumulation over time, and the risk for externalizing and internalizing outcomes. Compared to the general population, African Americans are exposed to a disproportionate number of stressors beginning earlier in life. Incorporating Agnew's General Strain Theory into the study of stress, this study examined whether different kinds of stressors are equally salient in the risk for violent behaviors and depressive symptoms among African Americans transitioning into young adulthood. It further examined the effects of the accumulation of stressors in different life domains and their effect on risks. This study utilized data from an African American subsample of an ongoing longitudinal study that followed 604 adolescents (53% females) from 9th grade into adulthood. Multilevel growth curve models were used to examine how changes in stressors across multiple life domains related to violent behaviors and depressive symptoms. We found that continued exposure to perceived daily stress and racial discrimination stress increased the risk for violent behaviors during young adulthood, and exhibited a nonlinear relationship between the accumulation of stressors and risk for violence. Moreover, we found that exposure to perceived daily stress, financial stress, neighborhood stress, and racial discrimination stress increased the risk of depressive symptoms and led to a linear relationship between the accumulation of stressors and risk for depressive symptoms. Findings suggest identifiable stressors that can persist over time to influence risks at young adulthood.

Beliefs About Racism and Health Among African American Women With Diabetes: A Qualitative Study

Exposure to racism has been linked to poor health outcomes. Little is known about the impact of racism on diabetes outcomes. This study explored African American women's beliefs about how racism interacts with their diabetes self-management and control. Four focus groups were conducted with a convenience sample of 28 adult African American women with type 2 diabetes who were recruited from a larger quantitative study on racism and diabetes. The focus group discussions were transcribed verbatim and analyzed by the authors. Women reported that exposure to racism was a common phenomenon, and their beliefs did in fact link racism to poor health. Specifically, women reported that exposure to racism caused physiological arousal including cardiovascular and metabolic perturbations. There was consensus that physiological arousal was generally detrimental to health. Women also described limited, and in some cases maladaptive, strategies to cope with racist events, including eating unhealthy food choices and portions. There was consensus that the subjective nature of perceiving racism and accompanying social prohibitions often made it impossible to address racism directly. Many women described anger in such situations and the tendency to internalize anger and other negative emotions, only to find that the negative emotions would be reactivated repeatedly with exposure to novel racial stressors, even long after the original racist event remitted. African American women in this study believed that racism affects their diabetes self-management and control. Health beliefs can exert powerful effects on health behaviors and may provide an opportunity for health promotion interventions in diabetes.

The Role of Sensory Gating in the Racism/Blood Pressure Relationship

African Americans bear a disproportionate burden of hypertension with racism postulated as a unique stressor contributing to the noted disparities. Epidemiological studies have found differences in the prevalence of hypertension among African Americans based on the amount of perceived racism reported, and experimental studies have shown increased cardiovascular reactivity to racially-aversive stressors. A difference in individual response to racial stressors may create subgroups of African Americans at highest risk for hypertension and its complications. Although sensory gating is the brain’s capacity to selectively regulate its sensitivity to environmental sensory stimuli, scant research has been done regarding the role of sensory gating in the stress response, and no research has explored sensory gating with racial stressors. To address this gap, we examined whether P50 sensory gating was associated with cardiovascular and central nervous system responses to an experimentally-induced racial stressor among 15 African Americans. A paired-click paradigm was administered prior to the experimental condition, which involved exposure to a neutral and then a racially-aversive photo stimulus. Participants with weak gating showed a significant within-subjects decrease in alpha-band activity when viewing the racially aversive stimulus and had significantly decreased alpha activity when viewing the aversive stimuli compared to participants with strong gating. Increased cardiovascular reactivity occurred with the aversive stimulus, and gender differences were noted. A gating effect on cardiovascular reactivity could not be determined given the small sample size and the fact that few men qualified as having ‘good’ gating. Although subjects reported no conscious awareness of distress when viewing the racially-aversive stimulus, both cardiovascular and central nervous system reactions occurred, with the responses varying based on the level of sensory gating. These results suggest sensory gating as a potential physiologic factor that may influence the relationship between perceived racial stressors and health outcomes.

Racial discrimination stress, coping, and depressive symptoms among Asian Americans: A moderation analysis.

The purpose of our study was to explore: (a) the association between racial discrimination stress and depressive symptoms, and (b) how coping (e.g., individualistic/collectivistic and dispositional/situation-specific coping) attenuated or strengthened this association specifically among Asian Americans. Data were collected from 201 Asian Americans in a large Midwestern state university through an online survey. Results from a hierarchical regression indicated that racial discrimination stress significantly predicted depressive symptoms over and beyond perceived general stress and perceived racial discrimination. For the moderation effect, the simple effect analyses indicated that low utilization of reactive coping strategies and a high helpfulness rating of family support reduced the strength of association between racial discrimination stress and depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Resiliency and Optimism: An African American Senior Citizen’s Perspective

A total of 52 African American senior citizens (aged 59-99 years) were asked to participate in a study examining psychological resources (ego resilience and dispositional optimism) and the experience of racial stress as a function of geographical location (north vs. south). This is an understudied population, and African American seniors who remain relatively active within their respected communities may provide useful information regarding these psychological constructs in particular and successful aging in general. Participants completed the ego resilience, optimism, stress, and distress surveys. When collapsed across geographical location, resilience was negatively correlated with distress and positively correlated with optimism. Dispositional optimism was negatively correlated with levels of psychological distress. African American seniors who resided in the north reported significantly less distress than those in the south. Findings support resiliency and optimism as stress buffers for older African Americans.

Relationships Among Perceived Racial Stress, Intolerance of Uncertainty, and Worry in a Black Sample

The purpose of this study was to explore the relationships among chronic worry, perceived racial stress, and intolerance of uncertainty in a sample of adults who racially identify as Black. Intolerance of uncertainty has been associated with worry and generalized anxiety disorder in predominantly White samples. Given that racial stress is likely to increase worry, perhaps through the mechanism of intolerance of uncertainty, intolerance of uncertainty was hypothesized to mediate the relationship between perceived racial stress and chronic worry. A nonclinical sample of 77 Black undergraduate students at an urban university completed a series of questionnaires assessing the constructs of interest. Both perceived racial stress and intolerance of uncertainty were significantly correlated with chronic worry in this sample. Moreover, intolerance of uncertainty fully mediated the relationship between perceived racial stress and worry for these Black individuals. These findings are discussed in terms of directions for future research and implications for clinical interventions for Black individuals who are both exposed to racial stress and suffer from chronic worry.

Mental health and the Gujarati community: accounting for the low incidence rates of mental illness

This paper explores issues surrounding the under‐representation of people from the Gujarati community in mental health statistics and services in the UK and asks why people from the Gujarati communities are less likely to seek assistance for mental health problems. It is well known that members of the African‐Caribbean community are over‐represented in mental health statistics, and this is attributed to factors such as racial discrimination, social adversity and stress of migration. However, members of the Gujarati community have also been exposed to these hardships, but are not similarly represented in the mental health statistics. The paper explores a selection of the key literature. Two questions are considered: first, whether this group genuinely has very good mental health (and if so why); and second, whether there are any factors that hold members of this community back from seeking help.

The Impact of Racial Discrimination and Coping Strategies on Internalizing Symptoms in African American Youth

The current study examined the impact of racial discrimination stress on internalizing symptoms and coping strategies in a sample of 268 African American early adolescents (mean age = 12.90; 56% female) from low-income communities. Information about discrimination stress, coping, and internalizing symptoms was obtained via adolescents' self-report. It was predicted that discrimination stress would be positively associated with depression and anxiety, as well as culturally-specific coping. Finally, culturally-relevant coping and mainstream coping were examined as moderators of the association between discrimination stress and internalizing symptoms. Hierarchical regression analyses indicated that discrimination stress was positively associated with depression and anxiety and predicted culturally-relevant coping while controlling for mainstream coping. Communalistic coping moderated the association between discrimination and anxiety, but demonstrated a vulnerability function by increasing anxiety at high levels of discrimination. The results highlight the salience of racial discrimination for African American adolescents and the importance of considering culturally-specific coping behaviors.

The Effects of Race-related Stress on Cortisol Reactivity in the Laboratory: Implications of the Duke Lacrosse Scandal

The experience of race-related stressors is associated with physiological stress responses. However, much is unknown still about the complex relationship between how race-related stressors are perceived and experienced and potential moderators such as strength of racial identity. This research examines the impact of a real-life stressor and strength of race identity on physiological responses to a social evaluative threat induced in the laboratory. Salivary cortisol measures were collected throughout a stressor protocol. African-American participants were also randomized to one of two conditions designed to promote either racial identification or student identification, before the experimental task. Unexpectedly, a highly publicized real-life racial stressor, the Duke Lacrosse (LaX) scandal, occurred during the course of the data collection. This allowed for pre-post LaX comparisons to be made on cortisol levels. These comparisons showed that across both priming conditions, participants post-LaX had highly elevated cortisol levels that were nonresponsive to the experimental stress task, while their pre-LaX counterparts had lower cortisol levels that exhibited a normal stress response pattern. Furthermore, this effect of LaX was significantly moderated by gender, with women having lower mean cortisol levels pre-LaX but significantly greater cortisol levels than all other groups post-LaX. These results suggest that recent exposure to race-related stress can have a sustained impact on physiological stress responses for African Americans.

Violations of people's dignity: Relationships of unfairness with the metabolic syndrome

The metabolic syndrome (MS) is a cluster of synergistic up [8]. Importantly, these racial health disparities persist at risk factors that predicts cardiovascular disease/diabetes. In this issue, De Vogli et al. [1] argued that the MS is more likely to develop in people of low socioeconomic status (SES) because they are at greater risk for frequent unfair treatment than are persons of high SES. They observed that after adjusting for SES, psychosocial and health behaviors, the association of unfairness and the MS was still significant, and unfairness was of similar importance to established psychobehavioral factors as an intervening variable between SES and the MS. The fact that SES did not fully explain variability in health problems and that unfair treatment is predictive of health problems independent of SES has great implications, especially when seen in the broader context of discrimination research. People are discriminated against because of race, religion, sexual orientation, as well as social position. Racial/ ethnic minorities and poor people who persistently experience discrimination have poorer health than people with greater power [2–4]. Black women are a prototypic group because they are targets of racial, gender, and economic discrimination. Indeed, the prevalence of lifetime racial discrimination, workplace abuse, and sexual harassment is generally low for all low-income ethnic groups, but 20–30% of black women report all three experiences [5]. Hypertension is one of several diseases associated with racism in Black women [6]. Moreover, black women who make race attributions during a racial stressor (e.g., being accused of shoplifting) have greater systolic blood pressure reactivity to that stressor than do those who do not make racial attributions [7]. Black women who report more incidents of discrimination (e.g., being treated unjustly by the police) also have a higher risk for breast cancer after a 6-year follow-

Effects of social stressors on cardiovascular reactivity in black and white women

Behavioral scientists have theorized that perceived racism in social interactions may account for some of the observed disparities in coronary heart disease between Black and White Americans. The objective was to examine whether racial stress influences cardiovascular reactivity, a risk factor for cardiovascular disease. We measured cardiovascular responses in Black and White women (n = 80) as they talked about 3 hypothetical scenarios: (a) being accused of shoplifting (racial stressor), (b) experiencing airport delays (nonracial stressor), and (c) giving a campus tour (control). Relative to White women, Black women had significantly greater mean diastolic blood pressure reactivity (3.81 vs. 0.25 mmHg; p < .05) in response to the racial stressor than in response to the nonracial stressor. Black women exhibited significantly lower heart rate during recovery following the racial stressor than during recovery following the nonracial stressor (-0.37 beats/min vs. 0.86 beats/min; p < .001). Among Black women, those who explicitly made race attributions during the racial stressor had greater systolic but not diastolic blood pressure reactivity than those who did not make racial attributions (8.32 mmHg vs. 2.17 mmHg; p < .05). These findings suggest that perceived racism in social interactions may contribute to increased physiological stress for Black women.