Understanding Associations Between Race/Ethnicity, Experiences of Discrimination, and Psychotic-like Experiences in Middle Childhood - 28/09/22
, Mallory J. Klaunig, PhD b, c, Nourhan M. Elsayed, MA d, Rita L. Taylor, BA d, Samantha Y. Jay, MA b, Jason Schiffman, PhD b, cAbstract |
Objective |
The present study aimed to examine factors that may account for race/ethnicity differences in psychotic-like experiences (PLEs) in a middle childhood sample, including evidence for experiences of discrimination as a psychosocial mediator of these differences.
Method |
In a sample of 9- to 10-year-olds (N = 10,839) from the Adolescent Brain Cognitive Development Study, we compared PLEs across racial/ethnic groups. We also examined whether experiences of discrimination indirectly linked racial/ethnic identity and PLEs and whether social support moderated this indirect association.
Results |
Differences between racial/ethnic groups were found in the endorsement of PLEs, such that Black and Hispanic participants endorsed higher levels of PLEs compared with Asian, multiracial/multiethnic, and White participants. These differences were accounted for in part by experiences of discrimination, an indirect effect that was in turn attenuated by increased social support.
Conclusion |
This is the first study to suggest that the experience of discrimination may indirectly link the association between racial/ethnic differences and endorsement of PLEs using the Prodromal Questionnaire–Brief Child Version and additionally that social support may act as a moderator of this mediation. Results provide evidence that social inequities such as racial discrimination may contribute to increases in PLEs. These findings shed further light on the links between structural racism and mental health inequities for people in minoritized groups.
Le texte complet de cet article est disponible en PDF.Key words : ABCD Study, ethnicity, experiences of discrimination, psychotic-like experiences, race
Plan
| Drs. Karcher and Klaunig contributed equally to this work. |
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| This work was supported by the National Institute of Mental Health (NIMH; K23MH121792-01 and L30 MH120574-01 to N.R.K.). |
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| This article is part of a special series devoted to addressing bias, bigotry, racism, and mental health disparities through research, practice, and policy. The series is edited by Assistant Editor Eraka Bath, MD, Deputy Editor Wanjikũ F.M. Njoroge, Associate Editor Robert R. Althoff, MD, PhD, and Editor-in-Chief Douglas K. Novins, MD. |
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| Data used in the preparation of this article were obtained from the Adolescent Brain Cognitive Development (ABCD) Study (abcdstudy.org), held in the NIMH Data Archive (NDA). This is a multisite, longitudinal study designed to recruit more than 10,000 children age 9-10 and follow them over 10 years into early adulthood. The ABCD Study is supported by the National Institutes of Health (NIH) and additional federal partners under award numbers U01DA041022, U01DA041028, U01DA041048, U01DA041089, U01DA041106, U01DA041117, U01DA041120, U01DA041134, U01DA041148, U01DA041156, U01DA041174, U24DA041123, U24DA041147, U01DA041093, and U01DA041025. A full list of supporters is available at federal-partners.html. A listing of participating sites and a complete listing of the study investigators can be found at Consortium_Members.pdf. ABCD consortium investigators designed and implemented the study and/or provided data but did not necessarily participate in analysis or writing of this report. This manuscript reflects the views of the authors and may not reflect the opinions or views of the NIH or ABCD consortium investigators. The ABCD data repository grows and changes over time. The ABCD data used in this report came from DOI 10.15154/1519007. |
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| Author Contributions |
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| Conceptualization: Karcher, Klaunig, Elsayed, Taylor, Jay, Schiffman |
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| Formal analysis: Karcher |
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| Supervision: Schiffman |
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| Visualization: Karcher |
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| Writing – original draft: Karcher, Klaunig |
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| Writing – review and editing: Karcher, Klaunig, Elsayed, Taylor, Jay, Schiffman |
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| The authors thank the families participating in the ABCD Study. In conducting analyses, drafting, and editing the paper, all authors have considered their positionality and proximity to the race/ethnicity groups described in the current paper. The authors would also like to thank the ABCD Justice Equity Diversity and Inclusion (JEDI) Responsible Use of Data Workgroup for their work ensuring the responsible use of ABCD Study data. |
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| Disclosure: Dr. Karcher has received funding from NIMH (K23MH121792-01 and L30 MH120574-01). Dr. Schiffman has received funding from the Substance Abuse and Mental Health Services Administration (SM081092-01) and NIMH (R01 MH112545-03, U01 MH124639-01). Ms. Elsayed has received funding from the National Science Foundation (DGE-1745038). Dr. Klaunig and Mss. Taylor and Jay have reported no biomedical financial interests or potential conflicts of interest. |
Vol 61 - N° 10
P. 1262-1272 - octobre 2022 Retour au numéro
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