Current and Cumulative Stress Experiences: A Model for Arab American Young Adults.

IF 1.5 4区医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2024-04-01 Epub Date: 2022-10-10 DOI:10.1177/10783903221110235

Maha Albdour, Thomas Templin, Samuele Zilioli, Jun Sung Hong, Mark A Lumley

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Abstract

Background: The effect of multiple stressors on immigrant young adults' endocrine functioning and health outcomes has not been comprehensively investigated.

Aims: This study tested a theoretical model of cumulative and current stressor effects on the hypothalamic-pituitary-adrenocortical (HPA) axis functioning and health-related quality of life (HRQL) among Arab American young adults.

Methods: Using a cross-sectional design, we recruited 160 participants, ages 18 to 24 years, from an urban university in the Midwest. Cumulative stress was assessed by self-report measures of childhood adversity, bullying victimization, and perceived ethnic discrimination. Current perceived stress was measured using the Perceived Stress Scale (PSS) while cortisol levels were measured in participants' hair. Structural equation modeling tested the effects of cumulative and current stress on cortisol and HRQL.

Results: Cumulative stress was negatively associated with HRQL (standardized path coefficient = -.51, p < .05). Interestingly, however, cumulative stress was inversely associated with hair cortisol level (standardized path coefficient = -.51, p < .05). Current stress was positively associated with cortisol level (standardized path coefficient = .43, p < .05) and negatively associated with the mental HRQL (standardized path coefficient < -.37, p < .05).

Conclusion: Cumulative stress exhibited a different effect on HPA functioning from current perceived stress. Mental health was significantly impaired by both cumulative and current perceived stress. Implications for mental health nursing practice and research among Arab Americans are discussed.

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当前和累积压力体验：阿拉伯裔美国年轻人的模式。

背景：目的：本研究检验了一个理论模型，即累积和当前压力对阿拉伯裔美国年轻人的下丘脑-垂体-肾上腺皮质轴（HPA）功能和健康相关生活质量（HRQL）的影响：我们采用横断面设计，从美国中西部一所城市大学招募了 160 名 18-24 岁的参与者。累积压力通过自我报告童年逆境、欺凌伤害和感知到的民族歧视来评估。当前感知的压力通过感知压力量表（PSS）进行测量，皮质醇水平则通过参与者的头发进行测量。结构方程模型检验了累积压力和当前压力对皮质醇和 HRQL 的影响：结果：累积压力与 HRQL 呈负相关（标准化路径系数 = -.51，p < .05）。但有趣的是，累积压力与毛发皮质醇水平成反比（标准化路径系数 = -.51，p < .05）。当前压力与皮质醇水平呈正相关（标准化路径系数 = .43，p < .05），与心理 HRQL 呈负相关（标准化路径系数 < -.37，p < .05）：结论：累积性压力对 HPA 功能的影响不同于当前感知到的压力。累积压力和当前感知压力都会严重损害心理健康。本文讨论了对美籍阿拉伯人心理健康护理实践和研究的启示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Psychiatric Nurses Association NURSING-PSYCHIATRY

CiteScore

5.30

自引率

0.00%

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期刊介绍： The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).