“什么不会杀死你,让你更强大”:心理社会资源与黑人老年人的心理健康。

Uchechi A Mitchell, Ann W Nguyen, Aminah McBryde-Redzovic, Lauren L Brown
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引用次数: 0

摘要

一项强有力的研究表明,尽管美国黑人面临社会和经济劣势以及系统性种族主义,但他们患精神疾病的可能性比白人低。这种心理健康悖论在生命历程的各个年龄段都得到了证明,包括成年期。黑人精神障碍患病率较低的主要解释之一与心理社会资源对心理健康的影响有关。心理社会资源可以通过生理和心理途径直接或间接支持心理健康。它们还可以减轻歧视的社会压力源和其他压力源对心理困扰和精神疾病的不利影响。黑人老年人可能特别受益于心理社会资源,因为他们一生都在经历和克服逆境。尽管这种压力适应周期会对身体产生影响,但它可能有助于心理健康恢复。在本章中,我们回顾了心理社会资源与心理健康之间关系的研究。本章首先简要回顾了黑人-白人心理健康悖论以及心理社会资源影响心理健康的机制。然后,我们回顾了对美国黑人特别突出的个人、人际和社区层面的心理社会资源的研究。在本章中,我们重点介绍了专门针对黑人老年人的研究,并讨论了每种资源与他们心理健康和心理功能的文化相关性。
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"What Doesn't Kill You, Makes You Stronger": Psychosocial Resources and the Mental Health of Black Older Adults.

A robust body of research has shown that Black Americans are less likely than Whites to have psychiatric disorders despite the social and economic disadvantage and systemic racism that they face. This mental health paradox has been demonstrated across all ages of the life course, including older adulthood. One of the prevailing explanations for the lower prevalence of psychiatric disorders among Blacks pertains to the influence of psychosocial resources on mental health. Psychosocial resources can directly or indirectly support mental health through physiological and psychological pathways. They can also mitigate the adverse effects of social stressors of discrimination and other stressors on psychological distress and mental illness. Black older adults may particularly benefit from psychosocial resources because they have had a lifetime of experiencing and overcoming adversity. Although this cycle of stress adaptation can wear away at the physical body, it may facilitate mental health resilience. In this chapter, we review research on the relationship between psychosocial resources and mental health. The chapter begins with a brief review of the Black-White mental health paradox and the mechanisms through which psychosocial resources operate to influence mental health. We then review research on intrapersonal, interpersonal, and community-level psychosocial resources that are particularly salient for Black Americans. Throughout the chapter we highlight research specifically focused on Black older adults and discuss the cultural relevance of each resource to their mental health and psychological functioning.

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