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Different Mechanisms Link Internalized Racism to Externalizing Symptomology Among Black American Adolescent Boys and Girls - 27/09/24

Doi : 10.1016/j.jaac.2023.11.011 
Ava Reck, MS a, , Aminah Bradley-Pikes, BS a, Sycarah Fisher, PhD a, Steven M. Kogan, PhD a, b
a University of Georgia, Athens, Georgia 
b Center for Family Research, University of Georgia, Athens, Georgia 

Correspondence to Ava J. Reck, Department of Human Development and Family Science, University of Georgia, Athens, 1095 College Station Road, Athens, GA 30602Department of Human Development and Family ScienceUniversity of GeorgiaAthens1095 College Station RoadAthensGA30602

Abstract

Objective

Emerging research and theory suggests that the internalization of racist ideas and attitudes, internalized racism, poses a significant threat to Black American adolescents' and increases their risk of externalizing symptomology. Prospective, empirical research linking internalized racism to externalizing symptoms among Black American adolescents and the mechanisms explaining this link is scarce. We hypothesize that internalized racism will forecast externalizing symptoms indirectly, via effects on poor self-regulation and depressive symptoms. We also examine potential sex differences in the pathways linking internalized racism to externalizing symptoms.

Method

A random sample of 445 Black American adolescents and their primary caregivers were recruited from 8 counties in rural Georgia. Participants provided survey data annually when adolescents were aged 13, 14, 15, and 16 years. Direct, indirect, and multigroup hypotheses were tested with structural equation modeling.

Results

Internalized racism assessed at ages 13 and 14 years forecast increased externalizing at age 16, both directly, and indirectly, via increases in poor self-regulation and depressive symptoms. Sex moderated the indirect pathways linking internalized racism and externalizing. Poor self-regulation significantly mediated the path between internalized racism and externalizing symptoms among Black American male youth. Depressive symptoms significantly mediated the pathway between internalized racism and externalizing symptoms among Black American female adolescents.

Conclusion

Findings suggest behavioral treatment directions for male and female Black American adolescents experiencing depressive symptoms.

Plain language summary

Little is known about the influence of internalization of racist ideas and attitudes, often referred to as internalized racism, on Black youths’ development of externalizing symptoms. In this study, the authors surveyed 445 Black youths annually at ages 13, 14, 15, and 16 years. Internalized racism at ages 13 and 14 predicted increased externalizing symptoms at age 16. Among boys, depressive symptoms mediated the path between internalized racism and externalizing symptoms. Among girls, struggles with self-regulation mediated the path between internalized racism and externalizing symptoms.

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Key words : internalized racism, Black American adolescents, externalizing symptoms, self-regulation, depressive symptoms


Plan


 Dr. Kogan was a principal investigator of the grant in which this research was supported, Award Number R01AA021774 from the National Institute on Alcohol Abuse and Alcoholism and was co-investigator on a second grant that supported this research, Award Number P50DA051361 from the National Institute on Drug Abuse. The content is solely the authors' responsibility and does not necessarily represent the official views of the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, or the National Institutes of Health.
 All data for this study are stored on a secure data storage site. Deidentified data may be requested by qualified researchers under a data distribution agreement by contacting Dr. Steven Kogan at smkogan@uga.edu.
 This article is part of a special series devoted to addressing bias, bigotry, racism, and mental health disparities through research, practice, and policy. The 2023 Antiracism Team includes Deputy Editor Lisa R. Fortuna, MD, MPH, MDiv, Consulting Editor Andres J. Pumariega, MD, PhD, Diversity, Equity, and Inclusion Emerging Leaders Fellows Tara Thompson-Felix, MD, and Amalia Londoño Tobón, MD, 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.
 Ms. Reck and Dr. Kogan served as the statistical experts for this research.
 Author Contributions
Conceptualization: Reck, Bradley-Pikes, Fisher, Kogan
Formal analysis: Reck
Funding acquisition: Kogan
Investigation: Reck
Methodology: Reck
Project administration: Kogan
Validation: Bradley-Pikes
Visualization: Reck
Writing – original draft: Reck
Writing – review and editing: Reck, Bradley-Pikes, Fisher, Kogan
 Disclosure: Drs. Fisher and Kogan and Mss. Reck and Bradley-Pikes have reported no biomedical financial interests or potential conflicts of interest.


© 2023  American Academy of Child and Adolescent Psychiatry. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 63 - N° 10

P. 1005-1013 - octobre 2024 Retour au numéro
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