Yijie Wang,Qi Huang,Daeun Kim,Jiayi Liu,Sylvia Lin,Youchuan Zhang,Juan Del Toro,Sauro Civitillo
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The associations exhibited a similar pattern for negative mental health but were not significant for positive mental health.\r\n\r\nCONCLUSION\r\nFindings highlighted a small but meaningful within-person association between daily racial-ethnic discrimination and compromised mental health among young people. 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引用次数: 0
摘要
目的:对青少年和年轻人的种族-民族歧视与心理健康进行深入的纵向研究。对于提供效应量的研究,荟萃分析分别综合了人与人之间和人与人之间的关联。方法于2024年11月在PsycINFO、PsycArticles、Web of Science和Pubmed进行文献检索。所有纳入的研究均按样本、背景、设计、测量和结果进行编码。研究质量也进行了评估。使用稳健方差估计,在元回归框架中分别合成了人内相关性和人之间相关性。结果系统评价从24个独立数据源(即项目)中确定了37项研究,4,323名参与者和126,864个可能的数据点。虽然在生态瞬间评估(EMA)研究中,歧视始终与同一时刻较差的心理健康有关,但在接下来的时刻或在同一天或第二天的日常日记研究中进行检查时,这些关联更加复杂。荟萃分析综合了来自22项研究(15个独立项目)、2,932名参与者和103,160个可能数据点的100个效应值。歧视与较差的心理健康相关,在人内水平上存在小效应(r = - 0.08),在人之间水平上存在小到中等效应(r = - 0.22)。这种关联在消极心理健康方面表现出类似的模式,但在积极心理健康方面不显著。结论:研究结果强调了日常种族-民族歧视与年轻人心理健康受损之间存在微小但有意义的个人内部关联。预防和干预可以解决每天遭受歧视的问题,以防止压力随着时间的推移而积累。
Systematic Review and Meta-Analysis: Racial-Ethnic Discrimination and Young People's Mental Health in Intensive Longitudinal Studies.
OBJECTIVE
This systematic review examined intensive longitudinal studies on racial-ethnic discrimination and mental health among adolescents and young adults. For studies that provided effect sizes, meta-analysis synthesized within-person and between-person associations separately.
METHOD
Literature search was conducted in November 2024 across PsycINFO and PsycArticles, Web of Science, and Pubmed. All included studies were coded by sample, context, design, measurement, and results. Study quality was also assessed. Within-person and between-person correlations were synthesized separately in a meta-regression framework using robust variance estimations.
RESULTS
The systematic review identified 37 studies from 24 independent data sources (i.e., projects), 4,323 participants, and 126,864 possible data points. While discrimination was consistently related to poorer mental health at the same moment in ecological momentary assessment (EMA) studies, these associations were more mixed when examined in the next moments or in daily diary studies on the same day or next days. The meta-analysis synthesized 100 effect sizes from 22 studies (15 independent projects), 2,932 participants, and 103,160 possible data points. Discrimination was associated with poorer mental health in a small effect size at the within-person level (r = -.08) and in a small-to-moderate effect size at the between-person level (r = -.22). The associations exhibited a similar pattern for negative mental health but were not significant for positive mental health.
CONCLUSION
Findings highlighted a small but meaningful within-person association between daily racial-ethnic discrimination and compromised mental health among young people. Prevention and intervention can address daily exposure to discrimination to prevent stress accumulation over time.
期刊介绍:
The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families.
We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings.
In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health.
At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.