Racism-related stress and psychological distress: Black Women’s Experiences Living with Lupus study

Author:

Hunter Evelyn A1ORCID,Spears Erica C2,Martz Connor D1,Chung Kara1,Fuller-Rowell Thomas E1,Lim S Sam3,Drenkard Cristina3,Chae David H1

Affiliation:

1. Auburn University, USA

2. University of North Texas Health Science Center, USA

3. Emory University, USA

Abstract

Disparate health consequences in African American women with systemic lupus erythematosus include greater severity of physical and psychological distress. Racism-related stress is also related to psychological distress correlates in this population. This study examined the relationships between racism-related experiences, psychological distress, and systemic lupus erythematosus activity in 430 African American women from the Black Women’s Experiences Living with Lupus study. The structural equation model suggests that psychological distress mediates the relationship between racism-related stress and systemic lupus erythematosus disease activity. The impact of racism-related stress on systemic lupus erythematosus disease activity may occur primarily through their impact on psychological health variables. Implications for clinical care and future directions are explored.

Publisher

SAGE Publications

Subject

Applied Psychology

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