The Experience of Racism on Behavioral Health Outcomes: The Moderating Impact of Mindfulness

Tamika C B Zapolski, Micah T Faidley, Marcy Beutlich, Tamika C B Zapolski, Micah T Faidley, Marcy Beutlich

Abstract

Research shows that racial discrimination results in adverse behavioral health outcomes for African American young adults, including risk for depression, anxiety, and substance use. Although high levels of mindfulness have been shown to reduce risk for such health outcomes, it is unknown whether mindfulness can reduce risk as a consequence of racial discrimination, particularly among African Americans. Three-hundred and eighty-eight African American young adults between the ages of 18-24 (M=20.6, 62% female) completed measures assessing past year experiences of racial discrimination, depressive symptoms, anxiety symptoms, alcohol use, and trait mindfulness. A positive correlation was found between racial discrimination and the behavioral health outcomes, as well as a negative correlation between mindfulness and the behavioral health outcomes. Moreover, mindfulness was found to significantly moderate the effect of racial discrimination on mood symptoms. Although mindfulness was found to lessen the effect of racial discrimination on alcohol use, this difference was not statistically significant. In line with previous literature, racial discrimination was shown to have a negative impact on behavioral health outcomes among African Americans. Moreover, our findings provide support for the buffering effect of mindfulness on mood symptoms as a consequence discrimination. This suggests that increasing mindfulness may be an effective strategy to include in interventions targeting improvement in mood symptoms for African American young adults. However, alternative strategies may be more appropriate to address outcomes, such as alcohol use, as a consequence of racial discrimination.

Keywords: African American; alcohol use; anxiety; depression; mindfulness; racial discrimination.

Conflict of interest statement

Conflict of Interest: All authors have given final approval of the version to be published. My coauthors and I do not have any conflicts of interest or activities that might be interpreted as influencing the research submitted, and this study was conducted in accordance with APA ethical standards.

Figures

Figure 1
Figure 1

References

    1. Arnett JJ. Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist. 2000;55(5):469–480. doi: 10.1037//0003-066X.55.5.469.
    1. Baer RA, Lykins EL, Peters JR. Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators. The Journal of Positive Psychology. 2012;7(3):230–238. doi: 10.1080/17439760.2012.674548.
    1. Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006;13(1):27–45. doi: 10.1177/1073191105283504.
    1. Bamber MD, Schneider JK. Mindfulness-based meditation to decrease stress and anxiety in college students: A narrative synthesis of the research. Educational Research Review. 2016;18:1–32.
    1. Bodenlos JS, Wells SY, Noonan M, Mayrsohn A. Facets of dispositional mindfulness and health among college students. The Journal of Alternative and Complementary Medicine. 2015;21(10):645–652. doi: 10.1089/acm.2014.0302.
    1. Borrell LN, Roux AVD, Jacobs DR, Jr, Shea S, Jackson SA, Shrager S, Blumenthal RS. Perceived racial/ethnic discrimination, smoking and alcohol consumption in the Multi-Ethnic Study of Atherosclerosis (MESA) Preventive Medicine. 2010;51(3–4):307–312.
    1. Bowen S, Witkiewitz K, Dillworth TM, Chawla N, Simpson TL, Ostafin BD, Marlatt GA. Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors. 2006;20(3):343–347. doi: 10.1037/0893-164X.20.3.343.
    1. Bowen-Reid TL, Harrell JP. Racist experiences and health outcomes: An examination of spirituality as a buffer. Journal of Black Psychology. 2002;28(1):18–36. doi: 10.1177%2F0095798402028001002.
    1. Boynton MH, O’Hara RE, Covault J, Scott D, Tennen H. A mediational model of racial discrimination and alcohol-related problems among African American college students. Journal of Studies on Alcohol and Drugs. 2014;75(2):228–234. doi: 10.15288/jsad.2014.75.228.
    1. Brown KW, Ryan RM, Creswell JD. Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological inquiry. 2007;18(4):211–237. doi: 10.1080/10478400701598298.
    1. Brown DL, Tylka TL. Racial discrimination and resilience in African American young adults: Examining racial socialization as a moderator. Journal of Black Psychology. 2011;37(3):259–285. doi: 10.1177/0095798410390689.
    1. Brown-Iannuzzi JL, Adair KC, Payne BK, Richman LS, Fredrickson BL. Discrimination hurts, but mindfulness may help: Trait mindfulness moderates the relationship between perceived discrimination and depressive symptoms. Personality and Individual Differences. 2014;56:201–205. doi: 10.1016/j.paid.2013.09.015.
    1. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine. 1998;158(16):1789–1795. doi: 10.1001/archinte.158.16.1789.
    1. Chen P, Jacobson KC. Developmental trajectories of substance use from early adolescence to young adulthood: Gender and racial/ethnic differences. Journal of Adolescent Health. 2012;50(2):154–163. doi: 10.1016/j.jadohealth.2011.05.013.
    1. Chao RC, Mallinckrodt B, Wei M. Co-occurring presenting problems in African American college clients reporting racial discrimination distress. Professional Psychology: Research and Practice. 2012;43(3):199–207. doi: 10.1037/a0027861.
    1. Chavous TM. African American college students in predominantly White institutions of higher education: Considerations of race and gender. African American Research Perspectives. 2002;8(1):142–150.
    1. Clark TT. Perceived Discrimination, Depressive Symptoms, and Substance Use in Young Adulthood. Addictive Behaviors. 2014;39(6):1021–1025. doi: 10.1016/j.addbeh.2014.01.013.
    1. Coffey K, Hartman M. Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review. 2008;13(2):79–92. doi: 10.1177/1533210108316307.
    1. Coffey KA, Hartman M, Fredrickson BL. Deconstructing mindfulness and constructing mental health: Understanding mindfulness and its mechanisms of action. Mindfulness. 2010;1(4):235–253. doi: 10.1007/s12671-010-0033-2.
    1. Copeland W, Shanahan L, Costello EJ, Angold A. Cumulative prevalence of psychiatric disorders by young adulthood: A prospective cohort analysis from the Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry. 2011;50(3):252–261. doi: 10.1016/j.jaac.2010.12.014.
    1. Devine PG, Forscher PS, Austin AJ, Cox WTL. Long-term reduction in implicit race bias: A prejudice habit-breaking intervention. Journal of Experimental Social Psychology. 2012;48(6):1267–1278. doi: 10.1016/j.jesp.2012.06.003.
    1. Donovan RA, Galban DJ, Grace RK, Bennett JK, Felicié SZ. Impact of racial macro- and microaggressions in Black women’s lives: A preliminary analysis. Journal of Black Psychology. 2013;39(2):185–196. doi: 10.1177/0095798412443259.
    1. Dvořáková K, Kishida M, Li J, Elavsky S, Broderick PC, Agrusti MR, Greenberg MT. Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health. 2017;65(4):259–267. doi: 10.1080/07448481.2017.1278605.
    1. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149–1160.
    1. Forrest-Bank S, Jenson JM. Differences in experiences of racial and ethnic microaggression among Asian, Latino/Hispanic, Black, and White young adults. Journal of Sociology and Social Welfare. 2015;42(1):141–161.
    1. Fuller-Rowell T, Cogburn CD, Brodish AB, Peck SC, Malanchuk O, Eccles JS. Racial discrimination and substance use: Longitudinal associations and identity moderators. Journal of Behavioral Medicine. 2012;35(6):581–590. doi: 10.1007/s10865-011-9388-7.
    1. Garriott PO, Reiter S, Brownfield J. Testing the efficacy of brief multicultural education interventions in white college students. Journal of Diversity in Higher Education. 2016;9(2):158–169. doi: 10.1037/a0039547.
    1. Graham JR, West LM, Roemer L. The experience of racism and anxiety symptoms in an African-American sample: Moderating effects of trait mindfulness. Mindfulness. 2013;4(4):332–341. doi: 10.1007/s12671-012-0133-2.
    1. Greeson JM, Juberg MK, Maytan M, James K, Rogers H. A Randomized Controlled Trial of Koru: A Mindfulness Program for College Students and Other Emerging Adults. Journal of American College Health: J of ACH. 2014;62(4):222–233. doi: 10.1080/07448481.2014.887571.
    1. Hagman BT. Performance of the AUDIT in detecting DSM-5 alcohol use disorders in college students. Substance Use & Misuse. 2016;51(11):1521–1528. doi: 10.1080/10826084.2016.1188949.
    1. Hayes AF. PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling 2012
    1. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press; 2013.
    1. Hope EC, Hoggard LS, Thomas A. Emerging into adulthood in the face of racial discrimination: Physiological, psychological, and sociopolitical consequences for African American youth. Translational Issues in Psychological Science. 2015;1(4):342–351. doi: 10.1037/tps0000041.
    1. Hurd NM, Varner FA, Caldwell CH, Zimmerman MA. Does perceived racial discrimination predict changes in psychological distress and substance use over time? An examination among Black emerging adults. Developmental Psychology. 2014;50(7):1910–1918. doi: 10.1037/a0036438.
    1. Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research. 2013;47(3):391–400. doi: 10.1016/j.jpsychires.2012.11.015.
    1. Kabat-Zinn J. Wherever you go, there you are. New York: Hyperion; 1994.
    1. Kalinoski ZT, Steele‐Johnson D, Peyton EJ, Leas KA, Steinke J, Bowling NA. A meta‐analytic evaluation of diversity training outcomes. Journal of Organizational Behavior. 2013;34(8):1076–1104. doi: 10.1002/job.1839.
    1. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review. 2011;31(6):1041–1056. doi: 10.1016/j.cpr.2011.04.006.
    1. Kessler RC, Amminger GP, Aguilar‐Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry. 2007;20(4):359–364. doi: 10.1097/YCO.0b013e32816ebc8c.
    1. Kessler RC, Mickelson KD, Williams DR. The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior. 1999;40(3):208–230.
    1. Klonoff EA, Landrine H. Cross-validation of the schedule of racist events. Journal of Black Psychology. 1999;25(2):231–254. doi: 10.1177/0095798499025002006.
    1. Kogan SM, Yu T, Allen KA, Brody GH. Racial microstressors, racial self-concept, and depressive symptoms among male African Americans during the transition to adulthood. Journal of Youth and Adolescence. 2015;44(4):898–909. doi: 10.1007/s10964-014-0199-3.
    1. Kuyken W, Watkins E, Holden E, White K, Taylor RS, Byford S, Dalgleish T. How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy. 2010;48(11):1105–1112. doi: 10.1016/j.brat.2010.08.003.
    1. Lai CK, Marini M, Lehr SA, Cerruti C, Shin JL, Joy-Gaba JA, Nosek BA. Reducing implicit racial preferences: I. A comparative investigation of 17 interventions. Journal of Experimental Psychology: General. 2014;143(4):1765–1785. doi: 10.1037/a0036260.
    1. Landrine H, Klonoff EA. The schedule of racist events: A measure of racial discrimination and a study of its negative physical and mental health consequences. Journal of Black Psychology. 1996;22(2):144–168. doi: 10.1177/00957984960222002.
    1. Lewis TT, Cogburn CD, Williams DR. Self-reported experiences of discrimination and health: scientific advances, ongoing controversies, and emerging issues. Annual Review of Clinical Psychology. 2015;11:407–440. doi: 10.1146/annurev-clinpsy-032814-112728.
    1. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd. Sydney: Psychology Foundation; 1995.
    1. Lyons A. Mindfulness attenuates the impact of discrimination on the mental health of middle-aged and older gay men. Psychology of Sexual Orientation and Gender Diversity. 2016;3(2):227–235. doi: 10.1037/sgd0000164.
    1. Madkour AS, Jackson K, Wang H, Miles TT, Mather F, Shankar A. Perceived discrimination and heavy episodic drinking among African-American youth: Differences by age and reason for discrimination. Journal of Adolescent Health. 2015;57(5):530–536. doi: 10.1016/j.jadohealth.2015.07.016.
    1. Mahalik JR, Levine Coley R, McPherran Lombardi C, Doyle Lynch A, Markowitz AJ, Jaffee SR. Changes in health risk behaviors for males and females from early adolescence through early adulthood. Health Psychology. 2013;32(6):685–694. doi: 10.1037/a0031658.
    1. Masuda A, Anderson PL, Sheehan ST. Mindfulness and mental health among African American college students. Complementary Health Practice Review. 2009;14(3):115–127. doi: 10.1177/1533210110363893.
    1. Masuda A, Tully EC. The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. Journal of Evidence-Based Complementary & Alternative Medicine. 2012;17(1):66–71. doi: 10.1177/2156587211423400.
    1. O’Hara RE, Armeli S, Scott DM, Covault J, Tennen H. Perceived racial discrimination and negative mood-related drinking among African American college students. Journal of Studies on Alcohol and Drugs. 2015;76(2):229–236. doi: 10.15288/jsad.2015.76.229.
    1. Pascoe EA, Richman LS. Perceived discrimination and health: A meta-analytic review. Psychological Bulletin. 2009;135(4):531–554. doi: 10.1037/a0016059.
    1. Pearson MR, Liese BS, Dvorak RD. College student marijuana involvement: Perceptions, use, and consequences across 11 college campuses. Addictive Behaviors. 2017;66:83–89. doi: 10.1016/j.addbeh.2016.10.019..
    1. Pieterse AL, Carter RT, Evans SA, Walter RA. An exploratory examination of the associations among racial and ethnic discrimination, racial climate, and trauma-related symptoms in a college student population. Journal of Counseling Psychology. 2010;57(3):255–263. doi: 10.1037/a0020040.
    1. Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: Theory, method, and prescriptions. Multivariate Behavioral Research 42(1) 2007:185–227. doi: 10.1080/00273170701341316.
    1. Prelow HM, Mosher CE, Bowman MA. Perceived racial discrimination, social support, and psychological adjustment among African American college students. Journal of Black Psychology. 2006;32(4):442–454. doi: 10.1177/0095798406292677.
    1. Roberts KC, Danoff-Burg S. Mindfulness and health behaviors: Is paying attention good for you? Journal of American College Health. 2010;59(3):165–173. doi: 10.1080/07448481.2010.484452.
    1. Saunders JB, Aasland OG, Babor TF, De la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption‐II. Addiction. 1993;88(6):791–804. doi: 10.1111/j.1360-0443.1993.tb02093.x.
    1. Sellers RM, Caldwell CH, Schmeelk-Cone KH, Zimmerman MA. Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults. Journal of Health and Social behavior. 2003:302–317.
    1. Shallcross AJ, Spruill TM. The Protective Role of Mindfulness in the Relationship Between Perceived Discrimination and Depression. Mindfulness. 2017:1–10. doi: 10.1007/s12671-017-0845-4.
    1. Soble JR, Spanierman LB, Liao H. Effects of a brief video intervention on White university students’ racial attitudes. Journal of Counseling Psychology. 2011;58(1):151–157. doi: 10.1037/a0021158.
    1. Solorzano D, Ceja M, Yosso T. Critical race theory, racial microaggressions, and campus racial climate: The experiences of African American college students. Journal of Negro Education. 2000:60–73.
    1. Smart-Richman L, Pek J, Pascoe E, Bauer DJ. The effects of perceived discrimination on ambulatory blood pressure and affective responses to interpersonal stress modeled over 24 hours. Health Psychology. 2010;29(4):403–411. doi: 10.1037/a0019045.
    1. Steffen PR, McNeilly M, Anderson N, Sherwood A. Effects of perceived racism and anger inhibition on ambulatory blood pressure in African Americans. Psychosomatic medicine. 2003;65(5):746–750. doi: 10.1097/01.PSY.0000079380.95903.78.
    1. Suerken CK, Reboussin BA, Egan KL, Sutfin EL, Wagoner KG, Spangler J, Wolfson M. Marijuana use trajectories and academic outcomes among college students. Drug & Alcohol Dependence. 2016;162:137–145. doi: 10.1016/j.drugalcdep.2016.02.041.
    1. Swim JK, Hyers LL, Cohen LL, Fitzgerald DC, Bylsma WH. African American college students’ experiences with everyday racism: Characteristics of and responses to these incidents. Journal of Black Psychology. 2003;29:38–67. doi: 10.1177/0095798402239228.
    1. Vallejo Z, Amaro H. Adaptation of mindfulness-based stress reduction program for addiction relapse prevention. The Humanistic Psychologist. 2009;37(2):192–206. doi: 10.1080/08873260902892.
    1. Watkins DC, Green BL, Goodson P, Guidry JJ, Stanley CA. Using focus groups to explore the stressful life events of Black college men. Journal of College Student Development. 2007;48(1):105–118. doi: 10.1353/csd.2007.0009.
    1. Weinstein N, Brown KW, Ryan RM. A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality. 2009;43(3):374–385. doi: 10.1016/j.jrp.2008.12.008.
    1. Wahesh E, Lewis TF. Psychosocial correlates of AUDIT-C hazardous drinking risk status: Implications for screening and brief intervention in college settings. Journal of Drug Education. 2015;45(1):17–36. doi: 10.1177/0047237915596605.
    1. Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine. 2009;32(1):20–47. doi: 10.1007/s10865-008-9185-0.
    1. Williams DR, Mohammed SA. Racism and health I: Pathways and scientific evidence. American Behavioral Scientist. 2013;57(8):1152–1173. doi: 10.1177/0002764213487340.
    1. Womack VY, Sloan LR. The association of mindfulness and racial socialization messages on approach-oriented coping strategies among African Americans. Journal of Black Studies. 2017;48(4):408–426.
    1. Woods-Giscombé CL, Black AR. 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. 2010;15(3):115–131. doi: 10.1177/1533210110386776.

Source: PubMed

3
Předplatit