Stress, coping, and depression: Testing a new hypothesis in a prospectively studied general population sample of U.S.-born Whites and Blacks
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1 Stress, coping, and depression: Testing a new hypothesis in a prospectively studied general population sample of U.S.-born Whites and Blacks Keyes K.M., Barnes D.M., Bates L.M. Columbia University, Department of Epidemiology, 722 West 168th Street, Suite #720E, NY 10032, United Abstract: The scarcity of empirically supported explanations for the Black/White prevalence difference in depression in the U.S. is a conspicuous gap in the literature. Recent evidence suggests that the paradoxical observation of decreased risk of depression but elevated rates of physical illness among Blacks in the U.S. compared with Whites may be accounted for by the use of coping behaviors (e.g., alcohol and nicotine consumption, overeating) among Blacks exposed to high stress levels. Such coping behaviors may mitigate deleterious effects of stressful exposures on mental health while increasing the risk of physical ailments. The racial patterning in mental and physical health outcomes could therefore be explained by this mechanism if a) these behaviors were more prevalent among Blacks than Whites and/or b) the effect of these behavioral responses to stress was differential by race. The present study challenges this hypothesis using longitudinal, nationally-representative data with comprehensive DSM-IV diagnoses. Data are drawn from 34,653 individuals sampled in Waves 1 ( ) and 2 ( ) as part of the US National Epidemiologic Survey on Alcohol and Related Conditions. Results showed that a) Blacks were less likely to engage in alcohol or nicotine consumption at low, moderate, and high levels of stress compared to Whites, and b) there was a significant three-way interaction between race, stress, and coping behavior for BMI only (F = 2.11, df = 12, p = 0.03), but, contrary to the hypothesis, elevated BMI was protective against depression in Blacks at low, not high, levels of stress. Further, engagement in unhealthy behaviors, especially at pathological levels, did not protect against depression in Blacks or in Whites. In sum, the impact of stress and coping processes on depression does not appear to operate differently in Blacks versus Whites. Further research testing innovative hypotheses that would explain the difference in Black/White depression prevalence is warranted Elsevier Ltd. Author Keywords: African Americans; Alcohol; Depression; Mental health; Obesity; Race; Socioeconomic position; Stress; USA Year: 2011 Source title: Social Science and Medicine Volume: 72 Issue: 5 Page : Cited by: 2 Link: Scorpus Link Document Type: Article Source: Scopus
2 Authors with affiliations: 1. Keyes, K.M., Columbia University, Department of Epidemiology, 722 West 168th Street, Suite #720E, NY 10032, United 2. Barnes, D.M., Columbia University, Department of Epidemiology, 722 West 168th Street, Suite #720E, NY 10032, United 3. Bates, L.M., Columbia University, Department of Epidemiology, 722 West 168th Street, Suite #720E, NY 10032, United References: 1. Baker, F.M., Diagnosing depression in African Americans (2001) Community Mental Health Journal, 37 (1), pp Benowitz, N.L., Drug therapy. Pharmacologic aspects of cigarette smoking and nicotine addition (1988) New England Journal of Medicine, 319 (20), pp Breslau, J., Javaras, K.N., Blacker, D., Murphy, J.M., Normand, S.T., Differential item functioning between ethnic groups in the epidemiological assessment of depression (2008) Journal of Nervous and Mental Disease, 196 (4), pp Breslau, J., Aguilar-Gaxiola, S., Kendler, K.S., Su, M., Williams, D., Kessler, R.C., Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample (2006) Psychologie Médicale, 36 (1), pp Brown, T., Critical race theory speaks to the sociology of mental health: mental health problems produced by racial stratification (2003) Journal of Health and Social Behavior, 44 (3), pp Centers for Disease Control and PreventionDallman, M.F., Pecoraro, N., Akana, S.F., la Fleur, S.E., Gomez, F., Houshyar, H., Chronic stress and obesity: a new view of " comfort food" (2003) Proceedings of the National Academy of Sciences of the United of America, 100 (20), pp Dohrenwend, B.P., (1998) Adversity, stress, and psychopathology,, Oxford University Press, USA, New York 8. Dohrenwend, B.P., The role of adversity and stress in psychopathology: some evidence and its implications for theory and research (2000) Journal of Health and Social Behavior, 41 (1), pp Dohrenwend, B.P., Inventorying stressful life events as risk factors for psychopathology: toward resolution of the problem of intracategory variability (2006) Psychological Bulletin, 132 (3), pp Gelman, A., Stern, H., The difference between " significant" and " not significant" is not itself statistically significant (2006) American Statistician, 60 (4), pp Geronimus, A.T., (1994) The weathering hypothesis and the health of African American women and infants: Implications for reproductive strategies and policy analysis. Power and decision: the social control of reproduction,, Harvard University Press, Cambridge, MA 12. Geronimus, A.T., Black/White differences in the relationship of maternal age to brithweight: a population based test of the weathering hypothesis (1996) Social Science & Medicine, 42 (4), pp Gibson, L.M., Hendricks, C.S., Integrative review of spirituality in African American breast cancer survivors (2006) Association of Black Nursing Faculty, 17 (2), pp Giger, J.N., Appel, S.J., Davidhizar, R., Davis, C., Church and spirituality in the lives of the African American community (2008) Journal of Transcultural Nursing, 19 (4), pp Grant, B.F., Hasin, D.S., Chou, S.P., Stinson, F.S., Dawson, D.A., Nicotine dependence and psychiatric disorders in the United : results from the national epidemiologic survey on alcohol and related conditions (2004) Archives of General Psychiatry, 61 (11), pp Grant, B.F., Goldstein, R.B., Chou, S.P., Huang, B., Stinson, F.S., Dawson, D.A., Sociodemographic and psychopathologic predictors of first incidence of DSM-IV substance use, mood and anxiety disorders: results from the Wave 2 National
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