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September 10, 2024

Cover of American Journal of Orthopsychiatry (small) Chronic experiences of racial discrimination significantly contribute to the onset and severity of depression and anxiety among Black youths as they transition through adolescence. Understanding and managing racial discrimination can be tough for young people because it can happen unexpectedly and in different ways throughout the day. Thus, youths exposed to racial discrimination might ruminate on these experiences in an attempt to understand and make sense of such encounters, which could unintentionally worsen and prolong their negative mood and increase the risk for mental health problems. Previous studies suggest that stress-induced rumination generally increases with age, yet no studies have examined whether rumination in the aftermath of racial discrimination is age dependent. To address this gap, Bernard et al. investigated whether rumination mediated the link between racial discrimination and anxiety and depressive symptoms and whether these relationships vary by age among Black children and adolescents.

Data were drawn from baseline questionnaire responses from 158 Black youths between 7 and 16 years of age who took part in a larger longitudinal study examining the effects of interpersonal stressors on youth mental health outcomes. Bernard et al. found that among Black youths, racial discrimination was associated with elevated endorsements of rumination, which were in turn associated with elevated reports of depression and anxiety concerns. The authors also found that developmental age differentially affected the pathway from racial discrimination to depressive symptoms via rumination. Specifically, the ruminative pathway linking racial discrimination and anxiety symptoms was stronger among the sample’s older youths, relative to younger youths. In other words, as youths get older, they may become more likely than their younger counterparts to engage in rumination after experiences of discrimination, which subsequently increases their risk of reporting depressive symptoms. Although the examination of gender effects was not a primary aim of the study, the authors also found that girls, regardless of age and relative to boys, were at increased vulnerability to report rumination, anxiety, and depression.

This study is unique in that it is the first to demonstrate that rumination in the context of racial discrimination is an important determinant of internalizing symptoms and that the degree to which Black youths ruminate may change as a function of age. Results support the notion that the way individuals cope with discriminatory events can significantly affect their mental health, perhaps even beyond the event itself. This may be especially relevant for Black girls and older adolescents, who may face compounded challenges from intersecting marginalized identities and more frequent experiences of racial discrimination. Collectively, these findings signal that culturally centered interventions targeting the reduction of rumination and other perseverative coping strategies could be particularly effective in promoting resilience among Black youths in the face of racism-related experiences.

This article is in the Clinical Psychology topic area.

Citation

Bernard, D. L., López, C. M., Banks, D. E., Hahn, A. M., & Danielson, C. K. (2023). Developmental differences in the impact of racial discrimination on depression and anxiety among Black youth: Examining rumination as a mechanism. American Journal of Orthopsychiatry, 93(4), 293–303. https://doi.org/10.1037/ort0000679

About the authors

Donte L. Bernard, PhD, is an assistant professor in the Department of Psychological Sciences at the University of Missouri—Columbia. His research examines how Black youths identify, cope with, and navigate racism-related experiences across sensitive developmental periods.

Cristina M. López, PhD, is an associate professor in the National Crime Victims Research & Treatment Center at the Medical University of South Carolina. Her research focuses on identifying barriers to mental health treatment engagement, using culturally tailored interventions to improve access for underserved populations, and assessing provider-level factors affecting youth and family involvement in community-based therapy.

Devin E. Banks, PhD, is an assistant professor in the Department of Psychiatry at the Washington University School of Medicine in St. Louis. Her research focuses on improving racial equity in the research and treatment of substance use and related behavioral health outcomes among Black people.

Austin M. Hahn, PhD, is an assistant professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina. His research program focuses on developing intervention approaches to reduce substance use and risky sexual behaviors and using advanced analytic methods to understand complex risk behavior.

Carla Kmett Danielson, PhD, is a professor in the National Crime Victims Research & Treatment Center at the Medical University of South Carolina. Her research focuses on trauma-related treatment and prevention strategies among high-risk adolescents and traditionally underserved populations.

Date created: September 2024