种族创伤与黑人母亲的心理健康:认知灵活性是否缓冲种族化压力的影响?

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2025-01-03 DOI:10.1007/s40615-024-02278-5
Gabriela S Revi, Lori A Francis
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引用次数: 0

摘要

种族压力对黑人的影响尤为严重,并增加了心理困扰和执行功能障碍的风险。然而,心理压力与认知灵活性(CF)之间的关系却鲜有证据可循,而认知灵活性是一种被认为是神经认知复原力因素的执行功能,因为它被证明反映了根据不断变化的环境刺激调整思想/行为的能力。因此,我们旨在研究种族化压力和心理困扰之间的关系以及 CF 的潜在缓冲作用。数据来自家庭生活项目,包括 372 位来自农村贫困家庭的黑人母亲。母亲们填写了一系列问卷,以评估社会人口统计学、种族化压力体验(RRSE)、心理压力(CES-D)和认知灵活性(WCST-64)。结果表明,心理困扰与种族化压力之间存在显著关联,即报告种族化压力较高的母亲报告的心理困扰也较高;在控制了一系列社会人口风险因素后,这种关系仍然显著。在心理压力与种族化压力之间的关系中,CF 并未成为一个重要的调节因素。研究结果凸显了种族化压力对心理困扰的潜在有害影响。种族化压力可能有其独特的方面,对心理困扰的风险产生不同的影响,而 CF 有可能缓冲这种关系。还需要进一步调查,以了解可能赋予黑人母亲对心理困扰的复原力的潜在机制。
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Racial Trauma and Black Mothers' Mental Health: Does Cognitive Flexibility Buffer the Effects of Racialized Stress?

Racialized stress disproportionately impacts Black individuals and confers increased risk for psychological distress and executive dysfunction. However, there is little evidence on psychological distress' association with cognitive flexibility (CF), an executive function theorized to be a neurocognitive resilience factor, as it is shown to reflect the ability to adapt thoughts/behaviors to changing environmental stimuli. As such, we aimed to examine the relation between racialized stress and psychological distress and the potential buffering effects of CF. Data were drawn from The Family Life Project and included 372 Black mothers from rural households experiencing poverty. Mothers completed a battery of questionnaires to assess sociodemographics, experiences with racialized stress (RRSE), psychological distress (CES-D), and their cognitive flexibility (WCST-64). Results evidenced a significant association between psychological distress and racialized stress, such that mothers who reported higher racialized stress reported higher psychological distress; this relation remained significant after controlling for a host of sociodemographic risk factors. CF did not emerge as a significant moderator of the relation between psychological distress and racialized stress. Findings highlight the potential deleterious effects of racialized stress on psychological distress. There may be unique facets of racialized stress that differentially impact the risk for psychological distress, and CF potentially buffers this relation. Further investigations are needed to understand the underlying mechanisms that may confer resilience to psychological distress amongst Black mothers.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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