Social Pain Minimization Mediates Discrimination's Effect on Sleep Health.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2024-11-07 DOI:10.1080/15402002.2024.2423296

Jonathan W Kunstman, Shruti S Kinkel-Ram, Kyle L Benbow, Jeffrey M Hunger, April R Smith, Wendy Troop-Gordon, Michael R Nadorff, Keith B Maddox

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引用次数: 0

Abstract

Objective: Discrimination disrupts sleep and contributes to race-based health inequities for Black Americans, but less is known about the psychological mechanisms underlying this relation. The current work tests whether emotion invalidation, termed Social Pain Minimization (SPM), mediates discrimination's negative effects on sleep quality. We focus on the experiences of Black Americans because of racism's disproportionate effect on the health outcomes of Black individuals in the U.S.

Methods: Four studies with cross-sectional (Studies 1a-1b) and cross-lagged panel designs (Studies 2-3; N_total = 1,176) were used. Discrimination and SPM were assessed with established measures and self-reported sleep quality was assessed with three different operationalizations including the short form Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep-Related Impairment (SRI) subscale and composites of the Insomnia Severity Index (ISI).

Results: Cross-sectional (Studies 1a-1b) and longitudinal mediation analyses (Studies 2-3) indicated discrimination's negative effect on sleep quality partially operated through SPM (Study 1a, 95% CI = [-.24, -.016]); Study 1b, 95% CI = [-.22, -.03]; Study 2, 95% CI = [-.268, -.007]]; Study 3, 95% CI = [-0.043, -.002]).

Conclusion: Beyond its direct negative effect on sleep, discrimination also operates through SPM to reduce sleep quality. Emotion invalidation stemming from discrimination damages sleep.

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社交痛苦最小化可调节歧视对睡眠健康的影响

目的：歧视会扰乱美国黑人的睡眠，造成基于种族的健康不平等，但人们对这种关系的心理机制知之甚少。目前的研究工作检验了情绪无效（即社会痛苦最小化（SPM））是否能调节歧视对睡眠质量的负面影响。我们将重点放在美国黑人的经历上，因为种族主义对美国黑人的健康结果造成了不成比例的影响：采用横截面（研究 1a-1b）和交叉滞后面板设计（研究 2-3；总人数 = 1,176）的四项研究。采用已确立的测量方法对歧视和SPM进行评估，并采用三种不同的操作方法对自我报告的睡眠质量进行评估，包括患者报告结果测量信息系统（PROMIS）的睡眠相关损害（SRI）子量表和失眠严重程度指数（ISI）的复合量表：横向（研究 1a-1b）和纵向中介分析（研究 2-3）表明，歧视对睡眠质量的负面影响部分是通过 SPM 产生的（研究 1a，95% CI = [-.24，-.016]）；研究 1b，95% CI = [-.22，-.03]；研究 2，95% CI = [-.268，-.007]]；研究 3，95% CI = [-0.043，-.002]）：除了对睡眠的直接负面影响外，歧视还会通过 SPM 降低睡眠质量。由歧视引起的情绪失效会损害睡眠。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.