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. 2018 Dec;30(5):1817-1835.
doi: 10.1017/S0954579418001268.

Active coping moderates associations among race-related stress, rumination, and depressive symptoms in emerging adult African American women

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Active coping moderates associations among race-related stress, rumination, and depressive symptoms in emerging adult African American women

Labarron K Hill et al. Dev Psychopathol. 2018 Dec.

Abstract

Cross-sectional and longitudinal research has shown that race-related stress is associated with increased depressive symptoms among racial/ethnic minorities. Rumination has long been considered a maladaptive self-regulatory response to race-related stress, and growing evidence suggests that it may be an important link in the relation between race-related stress and depression. More adaptive forms of self-regulation, such as active coping, may counteract the negative impact of rumination. We examined the influence of rumination on the relation between race-related stress and depressive symptoms in a sample (N = 69) of young adult (mean age = 20 ± 1.5 years) African American women. We also considered the possible moderating effects of John Henryism, a form of persistent and determined goal striving, and vagally mediated heart rate variability, a purported biomarker of coping. Anticipatory race-related stress was indirectly associated with depressive symptoms through rumination: estimate = 0.07, 95% confidence interval [0.01, 0.16]. Both John Henryism and vagally mediated heart rate variability moderated the relationship between race-related stress and rumination; however, only John Henryism reliably influenced the indirect association between race-related stress and depression through rumination. We discuss these findings in the context of growing research examining the interplay between cultural and biological factors in the risk for poorer mental health.

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Figures

Figure 1.
Figure 1.
(a) Total effect path model of the association between everyday discrimination and race-related vigilance with depressive symptomatology. (b) Indirect effect path model of the association between everyday discrimination and race-related vigilance with depressive symptomatology through rumination.
Figure 2.
Figure 2.
(a) Interaction of everyday discrimination and John Henryism on rumination. (b) Interaction of everyday discrimination and vagally mediated heart rate variability on rumination. (c) Interaction of race-related vigilance and John Henryism on rumination. (d) Interaction of race-related vigilance and vagally mediated heart rate variability on rumination. Simple slope effects representing the moderated relation between race-related vigilance and everyday discrimination with rumination are presented at low (−1 SD, dotted line), average (mean, solid line), and high (+1 SD, dashed line) levels of John Henryism (Ns − 15, 42, and 12, respectively, for low, average, and high subgroups) and vagally mediated heart rate variability (Ns − 12, 21, and 36, respectively, for low, average, and high subgroups).
Figure 2.
Figure 2.
(a) Interaction of everyday discrimination and John Henryism on rumination. (b) Interaction of everyday discrimination and vagally mediated heart rate variability on rumination. (c) Interaction of race-related vigilance and John Henryism on rumination. (d) Interaction of race-related vigilance and vagally mediated heart rate variability on rumination. Simple slope effects representing the moderated relation between race-related vigilance and everyday discrimination with rumination are presented at low (−1 SD, dotted line), average (mean, solid line), and high (+1 SD, dashed line) levels of John Henryism (Ns − 15, 42, and 12, respectively, for low, average, and high subgroups) and vagally mediated heart rate variability (Ns − 12, 21, and 36, respectively, for low, average, and high subgroups).
Figure 3.
Figure 3.
Estimates of the conditional indirect effect of race-related stress on depressive symptoms, through rumination and at high and low levels of John Henryism and vmHRV, respectively. RRV, race-related vigilance. ED, everyday discrimination. RUM, rumination. DEP, depressive symptomatology. JH, John Henryism. vmHRV, vagally mediated heart rate variability.

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