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Mindfulness

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19-03-2019 | ORIGINAL PAPER

Past Discrimination, Race-Related Vigilance, and Depressive Symptoms: the Moderating Role of Mindfulness

Auteurs: Natalie N. Watson-Singleton, LaBarron K. Hill, Andrew D. Case

Gepubliceerd in: Mindfulness | Uitgave 9/2019

Abstract

Objectives

African Americans experience numerous adverse health consequences due to race-related stress. Yet, mindfulness may serve as a relevant and vital protective factor in the link between race-related stressors and depressive symptoms for this population.

Methods

Data from 190 African American participants, ages 18–53, were used to investigate if past discrimination and race-related vigilance, two types of race-related stressors, interactively predicted greater depressive symptomatology among this sample. We also assessed if mindfulness moderated the association between race-related stressors, as indicated by past discrimination and race-related vigilance, and depressive symptomatology.

Results

Our results indicated that past discrimination and race-related vigilance did not interactively predict depressive symptomatology in our sample; however, these stressors were independently related to greater depressive symptoms. Additionally, we found that greater levels of mindfulness were associated with lower levels of depressive symptoms, and mindfulness significantly moderated the association between both race-related stressors and depressive symptoms.

Conclusions

These findings support mindfulness’ ability to buffer the negative health consequences of past discrimination and race-related vigilance for African Americans. Additional conclusions and future research directions are discussed.

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Antony, M. M., Cox, B. J., Enns, M. W., Bieling, P. J., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. https://doi.org/10.1037/1040-3590.10.2.176.CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504.CrossRefPubMed

Barnes, S. M., & Lynn, S. J. (2010). Mindfulness skills and depressive symptoms: A longitudinal study. Imagination, Cognition and Personality, 30, 77–91. https://doi.org/10.2190/IC.30.1.e.CrossRef

Benjamin, E. J., Blaha, M. J., Chiuve, S. E., Cushman, M., Das, S. R., Deo, R., et al. (2017). Heart disease and stroke statistics—2017 update: A report from the American Heart Association. Circulation, 135. https://doi.org/10.1161/CIR.0000000000000485.

Bowleg, L. (2008). When Black + lesbian + woman ≠ Black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59(5–6), 312–325. https://doi.org/10.1007/s11199-008-9400-z.CrossRef

Brondolo, E., Kelly, K. P., Coakley, V., Gordon, T., Thompson, S., Levy, E., et al. (2005). The perceived ethnic discrimination questionnaire: Development and preliminary validation of a community version. Journal of Applied Social Psychology, 35(2), 335–365. https://doi.org/10.1111/j.1559-1816.2005.tb02124.x.CrossRef

Brondolo, E., Libby, D. J., Denton, E., Thompson, S., Beatty, D. L., Schwartz, J., et al. (2008). Racism and ambulatory blood pressure in a community sample. Psychosomatic Medicine, 70(1), 49–56. https://doi.org/10.1097/PSY.0b013e31815ff3bd.CrossRefPubMed

Brosschot, J. F. (2010). Markers of chronic stress: Prolonged physiological activation and (un)conscious perseverative cognition. Neuroscience and Biobehavioral Reviews, 35(1), 46–50. https://doi.org/10.1016/j.neubiorev.2010.01.004.CrossRefPubMed

Brown-Iannuzzi, J. L., Adair, K. C., Payne, B. K., Richman, L. S., & Fredrickson, B. L. (2014). Discrimination hurts, but mindfulness may help: Trait mindfulness moderates the relationship between perceived discrimination and depressive symptoms. Personality and Individual Differences, 56, 1–12. https://doi.org/10.1016/j.paid.2013.09.015.CrossRef

Burnett-Zeigler, I. E., Satyshur, M. D., Hong, S., Yang, A., Moskowitz J., T., & Wisner, K. L. (2016). Mindfulness based stress reduction adapted for depressed disadvantaged women in an urban Federally Qualified Health Center. Complementary Therapies in Clinical Practice, 25, 59–67. https://doi.org/10.1016/j.ctcp.2016.08.007.CrossRefPubMed

Cebolla, A., Galiana, L., Campos, D., Oliver, A., Soler, J., Demarzo, M., et al. (2018). How does mindfulness work? Exploring a theoretical model using samples of meditators and non-meditators. Mindfulness, 9(3), 860–870. https://doi.org/10.1007/s12671-017-0826-7.CrossRef

Christopher, M. S., Neuser, N. J., Michael, P. G., & Baitmangalkar, A. (2012). Exploring the psychometric properties of the Five Facet Mindfulness Questionnaire. Mindfulness, 3(2), 124–131. https://doi.org/10.1007/s12671-011-0086-x.CrossRef

Clark, R., & Adams, J. H. (2004). Moderating effects of perceived racism on John Henryism and blood pressure reactivity in Black female college students. Annals of Behavioral Medicine, 28(2), 126–131. https://doi.org/10.1207/s15324796abm2802_8.CrossRefPubMed

Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. American Psychologist, 54(10), 805–816.CrossRefPubMed

Clark, R., Benkert, R. A., & Flack, J. M. (2006). Large arterial elasticity varies as a function of gender and racism-related vigilance in Black youth. Journal of Adolescent Health, 39(4), 562–569. https://doi.org/10.1016/j.jadohealth.2006.02.012.CrossRef

Contrada, R. J., Ashmore, R. D., Gary, M. L., Coups, E., Egeth, J. D., Sewell, A., et al. (2001). Measures of ethnicity-related stress: Psychometric properties, ethnic group differences, and associations with well-being. Journal of Applied Social Psychology, 31(9), 1775–1820. https://doi.org/10.1111/j.1559-1816.2001.tb00205.x.CrossRef

Cook, B. L., Hou, S. S.-Y., Lee-Tauler, S. Y., Progovac, A. M., Samson, F., & Sanchez, M. J. (2018). A review of mental health and mental health care disparities research: 2011-2014. Medical Care Research and Review, 107755871878059. https://doi.org/10.1177/1077558718780592.

Cunningham, T. J., Croft, J. B., Liu, Y., Lu, H., Eke, P. I., & Giles, W. H. (2017). Vital signs: Racial disparities in age-specific mortality among Blacks or African Americans—United States, 1999–2015. MMWR. Morbidity and Mortality Weekly Report, 66(17), 444–456. https://doi.org/10.15585/mmwr.mm6617e1.CrossRefPubMedPubMedCentral

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. https://doi.org/10.3758/BRM.41.4.1149.CrossRefPubMed

Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177–190. https://doi.org/10.1007/s10862-006-9035-8.CrossRef

Forrest-Bank, S., & Jenson, J. M. (2015). Differences in experiences of racial and ethnic microaggression among Asian, Latino/Hispanic, Black, and White young adults. Journal of Sociology & Social Welfare, 42(1), 107–130.

Giatti, L., Camelo, L. D. V., Rodrigues, J. F. D. C., & Barreto, S. M. (2012). Reliability of the MacArthur scale of subjective social status-Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). BMC Public Health, 12(1), 1. https://doi.org/10.1186/1471-2458-12-1096.CrossRef

Graham, J. R., West, L. M., & Roemer, L. (2013). The experience of racism and anxiety symptoms in an African-American sample: Moderating effects of trait mindfulness. Mindfulness, 4(4), 332–341. https://doi.org/10.1007/s12671-012-0133-2.CrossRef

Hankerson, S. H., Fenton, M. C., Geier, T. J., Keyes, K. M., Weissman, M. M., & Hasin, D. S. (2011). Racial differences in symptoms, comorbidity, and treatment for major depressive disorder among. Black and White Adults, 103(7), 576–584. https://doi.org/10.1016/S0027-9684(15)30383-7.CrossRef

Hayes, A. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford.

Hicken, M. T., Lee, H., Ailshire, J., Burgard, S. A., & Williams, D. R. (2013). “Every shut eye, ain’t sleep”: The role of racism-related vigilance in racial/ethnic disparities in sleep difficulty. Race and Social Problems, 5(2), 100–112. https://doi.org/10.1007/s12552-013-9095-9.CrossRefPubMedPubMedCentral

Hicken, M. T., Lee, H., Morenoff, J., House, J. S., & Williams, D. R. (2014). Racial/ethnic disparities in hypertension prevalence: Reconsidering the role of chronic stress. American Journal of Public Health, 104(1), 117–123. https://doi.org/10.2105/AJPH.2013.301395.CrossRefPubMedPubMedCentral

Hicken, M. T., Lee, H., & Hing, A. K. (2018). The weight of racism: Vigilance and racial inequalities in weight-related measures. Social Science and Medicine, 199, 157–166. https://doi.org/10.1016/j.socscimed.2017.03.058.CrossRefPubMed

Hoggard, L. S., Byrd, C. M., & Sellers, R. M. (2015). The lagged effects of racial discrimination on depressive symptomotology and interactions with racial identity. Journal of Counseling Psychology, 62(2), 216–225. https://doi.org/10.1037/cou0000069.CrossRefPubMed

Hunt, J. B., Eisenberg, D., Lu, L., & Gathright, M. (2015). Racial/ethnic disparities in mental health care utilization among U.S. college students: Applying the institution of medicine definition of health care disparities. Academic Psychiatry, 39(5), 520–526. https://doi.org/10.1007/s40596-014-0148-1.CrossRefPubMed

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy/bpg016.CrossRef

LaVeist, T. A., Thorpe, R. J., Pierre, G., Mance, G. A., & Williams, D. R. (2014). The relationships among vigilant coping style, race, and depression. Journal of Social Issues, 70(2), 241–255. https://doi.org/10.1111/josi.12058.CrossRefPubMed

Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

Lilja, J. L., Lundh, L. G., Josefsson, T., & Falkenström, F. (2013). Observing as an essential facet of mindfulness: A comparison of FFMQ patterns in meditating and non-meditating individuals. Mindfulness, 4(3), 203–212. https://doi.org/10.1007/s12671-012-0111-8.CrossRef

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.CrossRefPubMed

Lyons, A. (2016). Mindfulness attenuates the impact of discrimination on the mental health of middle-aged and older gay men. Psychology of Sexual Orientation and Gender Diversity, 3(2), 227–235. https://doi.org/10.1037/sgd0000164.CrossRef

Malarkey, W. B., Jarjoura, D., & Klatt, M. (2013). Workplace based mindfulness practice and inflammation: A randomized trial. Brain, Behavior, and Immunity, 27(1), 145–154. https://doi.org/10.1016/j.bbi.2012.10.009.CrossRefPubMed

Mays, V., Cochran, S., & Barnes, N. (2007). Race, race-based discrimination, and health outcomes among African Americans. Annual Review of Psychology, 58, 201–225. https://doi.org/10.1146/annurev.psych.57.102904.190212.Race.CrossRefPubMedPubMedCentral

Mokdad, A. H., Ford, E. S., Bowman, B. A., Dietz, W. H., Vinicor, F., Bales, V. S., & Marks, J. S. (2003). Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. Journal of the American Medical Association, 289(1), 76–79. https://doi.org/10.1001/jama.289.1.76.CrossRefPubMed

Mouzon, D. M., Taylor, R. J., Keith, V. M., Nicklett, E. J., & Chatters, L. M. (2017). Discrimination and psychiatric disorders among older African Americans. International Journal of Geriatric Psychiatry, 32(2), 175–182. https://doi.org/10.1002/gps.4454.CrossRefPubMed

Neville, H. A., Heppner, P. P., Ji P. &, & Thye, R. (2004). The relations among general and race-related stressors and psychoeducational adjustment in Black students attending predominantly White institutions, Journal of Black Studies, 34(4), 599–618. doi: 10.1177/0021934703259168

Norton, P. J. (2007). Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups. Anxiety, Stress and Coping, 20(3), 253–265. https://doi.org/10.1080/10615800701309279.CrossRef

Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 89(2), 308–316. https://doi.org/10.1007/s11524-011-9654-6.CrossRef

Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., et al. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PLoS One, 10(9), 1–48. https://doi.org/10.1371/journal.pone.0138511.CrossRef

Pascoe, E., & Richman, L. S. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554. https://doi.org/10.1037/a0016059.CrossRefPubMedPubMedCentral

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879.CrossRefPubMed

Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. https://doi.org/10.1037/a0022658.CrossRefPubMed

Proulx, J., Croff, R., Oken, B., Aldwin, C. M., Fleming, C., Bergen-Cico, D., et al. (2018). Considerations for research and development of culturally relevant mindfulness interventions in American minority communities. Mindfulness, 9(2), 361-370. https://doi.org/10.1007/s12671-017-0785-z.

Schmitt, M. T., Branscombe, N. R., Postmes, T., & Garcia, A. (2014). The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin, 140(4), 921–948. https://doi.org/10.1037/a0035754.CrossRefPubMed

Seaton, E. K. (2009). Perceived racial discrimination and racial identity profiles among African American adolescents. Cultural Diversity and Ethnic Minority Psychology, 15(2), 137–144. https://doi.org/10.1037/a0015506.CrossRefPubMed

Shallcross, A. J., & Spruill, T. M. (2018). The protective role of mindfulness in the relationship between perceived discrimination and depression. Mindfulness, 9(4), 1100–1109. https://doi.org/10.1007/s12671-017-0845-4.CrossRefPubMed

Smart Richman, L., Blodorn, A., & Major, B. (2016). An identity-based motivational model of the effects of perceived discrimination on health-related behaviors. Group Processes & Intergroup Relations, 19(4), 415–425. https://doi.org/10.1177/1368430216634192.CrossRef

Sue, D. W., Capodilupo, C. M., & Holder, A. M. B. (2008). Racial microaggressions in the life experience of Black Americans. Professional Psychology: Research and Practice, 39(3), 329–336. https://doi.org/10.1037/0735-7028.39.3.329.CrossRef

Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. https://doi.org/10.1002/jclp.21996.CrossRefPubMed

Utsey, S. O., & Ponterotto, J. G. (1996). Development and validation of the Index of Race-Related Stress (IRRS). Journal of Counseling Psychology, 43(4), 490–501. https://doi.org/10.1037/0022-0167.43.4.490.CrossRef

Warner, L. R. (2008). A best practices guide to intersectional approaches in psychological research. Sex Roles, 59(5–6), 454–463. https://doi.org/10.1007/s11199-008-9504-5.CrossRef

Watson-Singleton, N. N., Walker, J. H., LoParo, D., Mack, S. A., & Kaslow, N. J. (2018). Psychometric evaluation of the Five Facet Mindfulness Questionnaire in a clinical sample of African Americans. Mindfulness, 9(1), 312–324. https://doi.org/10.1007/s12671-017-0776-0.CrossRef

Watson-Singleton, N. N., Black, A. R., & Spivey, B. N. (2019). Recommendations for a culturally-responsive mindfulness-based intervention for African Americans. Complementary Therapies in Clinical Practice, 34, 132–138. https://doi.org/10.1016/j.ctcp.2018.11.013.CrossRefPubMed

Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47. https://doi.org/10.1007/s10865-008-9185-0.CrossRefPubMed

Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. S. (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: Results from the National Survey of American Life. Archives of General Psychiatry, 64, 305–315. https://doi.org/10.1001/archpsyc.64.3.305.CrossRefPubMed

Woods-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15(3), 115–131. https://doi.org/10.1177/1533210110386776.CrossRefPubMedPubMedCentral

Woods-Giscombé, C. L., & Gaylord, S. a. (2014). The cultural relevance of mindfulness meditation as a health intervention for African Americans: Implications for reducing stress-related health disparities. Journal of Holistic Nursing. https://doi.org/10.1177/0898010113519010.

Zapolski, T. C. B., Faidley, M. T., & Beutlich, M. R. (2019). The experience of racism on behavioral health outcomes: The moderating impact of mindfulness. Mindfulness, 10(1), 168-178. https://doi.org/10.1007/s12671-018-0963-7.

Titel: Past Discrimination, Race-Related Vigilance, and Depressive Symptoms: the Moderating Role of Mindfulness
Auteurs: Natalie N. Watson-Singleton
LaBarron K. Hill
Andrew D. Case
Publicatiedatum: 19-03-2019
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 9/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-01143-5

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Abstract

Objectives

Methods

Results

Conclusions

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