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Rumination as a Mediator of the Association Between Racial Discrimination and Depression Among Black YouthDonte L Bernard et al. J Racial Ethn Health Disparities. 2022 Oct.
. 2022 Oct;9(5):1937-1945. doi: 10.1007/s40615-021-01132-2. Epub 2021 Aug 19. AffiliationsItem in Clipboard
AbstractBackground: Racial discrimination constitutes a significant risk factor for depressive symptoms among Black youth. Rumination, a maladaptive self-regulatory stress response, is a notable pathway by which racial discrimination contributes to depressive symptoms among racial/ethnic minority adults. Yet, examinations of the mechanistic nature of rumination in the context of racial discrimination among racial/ethnic minority youth remain limited. The present study investigated rumination as a mediator of the association between racial discrimination and depressive symptoms among Black youth.
Methods: Data for the current study were drawn from baseline questionnaire responses of community recruited Black pre-and-early adolescents (N = 158, 53% female, Mage = 11.50) in the southeast USA participating in an ongoing longitudinal study examining the effects of interpersonal stressors on youth mental health outcomes.
Results: After adjusting for age and gender, mediation analyses revealed a significant indirect effect of racial discrimination on depressive symptoms through rumination, estimate = 0.29, 95% confidence interval [0.12, 0.47]. Racial discrimination was positively associated with rumination (b = .74, SE = .23, p = .001), and rumination, in turn, was positively associated with depressive symptoms (b = .40, SE = .06, p < .001).
Conclusion: Consistent with previous research, we found racial discrimination to be directly and indirectly associated with depressive symptoms among Black youth. Findings provide evidence of the cognitive burden of discriminatory experiences and suggest that rumination represents a potential pathway that can be targeted at early developmental stages to reduce the deleterious impact of racism-related stressors.
Keywords: Black youth; Depression; Racial discrimination; Racism-related stress; Rumination.
© 2021. W. Montague Cobb-NMA Health Institute.
Conflict of interest statementConflicts of interest/Competing interests: The authors have no relevant financial or non-financial interests to disclose.
FiguresFigure 1.
(a) Total effect path model…
Figure 1.
(a) Total effect path model of the association between racial discrimination and depressive…
Figure 1.(a) Total effect path model of the association between racial discrimination and depressive symptoms. (b) Indirect effect path model of the association between racial discrimination and depressive symptoms through rumination.
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