The Cumulative Influence of Perceived Discrimination, Stress, and Coping Responses on Symptoms of Depression Among Young African American Mothers

Author:

Millender Eugenia1ORCID,Harris Rachel M.2,Bagneris Jessica R.3,Marks Laura R.4ORCID,Barcelona Veronica5,Wong Frank Y.6,Crusto Cindy A.7,Taylor Jacquelyn Y.8

Affiliation:

1. Eugenia Millender, PhD, MS, RN, PMHNP-BC, CDE, FAAN, Center of Population Sciences for Health Equity, Florida State University, Tallahassee, FL, USA

2. Rachel M. Harris, MSW, Florida State University, Tallahassee, FL, USA

3. Jessica R. Bagneris, LMSW, Florida State University, Tallahassee, FL, USA

4. Laura R. Marks, PhD, Florida State University, Tallahassee, FL, USA

5. Veronica Barcelona, PhD, MSN, MPH, RN, PHNA-BC, Columbia University School of Nursing, New York, NY, USA

6. Frank Y. Wong, PhD, Center of Population Sciences for Health Equity, Florida State University, Tallahassee, FL, USA

7. Cindy A. Crusto, PhD, Yale University School of Medicine, New Haven, CT, USA

8. Jacquelyn Y. Taylor, PhD, PNP-BC, RN, FAHA, FAAN, Center for Research on People of Color, Columbia University School of Nursing, New York, NY, USA

Abstract

Background: African American women have an elevated risk for experiencing depressive symptoms, and discrimination, stress, and coping contribute to symptoms of depression. Aims: We aimed to examine the associations between discrimination, stress, and coping on symptoms of depression among young African American mothers. Methods: In this retrospective study, we utilized a hierarchical linear regression to explore the effects of perceived racial discrimination, stress, and general and discrimination-related coping responses on depressive symptoms in a sample of African American mothers ( N = 250). The data were drawn from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure study (InterGEN), a study conducted between 2014 and 2019 and based in Connecticut. Results: After accounting for maternal age, level of education, and income, greater perceived racial discrimination ( p = .03), higher levels of stress ( p < .001), greater engagement in avoidance coping ( p < .001), and use of passive coping responses to discrimination ( p = .04) were uniquely associated with increased depressive symptoms. Other forms of coping, specifically, problem-solving and support seeking, did not appear to influence depressive symptoms in this sample. Conclusion: The findings highlight the negative impact of discrimination, heightened stress, and maladaptive coping on the emotional health of young African American mothers.

Funder

National Institute of Nursing Research

National Heart, Lung, and Blood Institute

Publisher

SAGE Publications

Subject

Pshychiatric Mental Health

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