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- All Subjects: Depression
- All Subjects: Mental Health
Description
Latinx sexual minority adults experience diverse types of discrimination, including heterosexism and ethnic/racial discrimination, which may contribute to worse physical health. Yet little research has examined how intersectional forms of discrimination, for example, discrimination within another marginalized community contribute to physical health. Greater experiences of discrimination can lead to greater psychological distress which may then exacerbate physical symptoms. It was hypothesized that the association between intersecting forms of discrimination and physical symptom severity would be mediated by psychological distress. Participants (N = 369) identified as Latinx/Hispanic/Latino and as a sexual or gender minority. Data were collected via a self-report web-based survey. Using structural equation modeling, this study tested two theory-informed structure equation models (SEM) proposing pathways between perceived general and within-group discrimination (i.e., Model 1 = racism and racism within LGBTQ+ community; Model 2 = heterosexism and heterosexism within ethnic/racial community), psychological distress (i.e., anxiety and depression), and physical symptom severity. Both structural models demonstrated good fit to the data. As hypothesized, heterosexist discrimination (β = .184, p = .007) and racist discrimination (β = .284, p = .001) significantly predicted higher physical symptom severity in their respective models. Depression symptoms significantly mediated the association between ethnic/racial discrimination and physical symptom severity (β = .189, p = .003). Similarly, greater frequency of heterosexism within one’s ethnic/racial community was indirectly related with worse physical symptoms severity via depression (β = .200, p = .002). No other indirect effects were significant. Findings from this study support that Latinx sexual minority adults may be at risk for discrimination from outside and within their own minority groups which has detrimental effects on health. Noteworthy, depressive symptoms appeared to mediate the effects of heterosexism in one’s ethnic/racial group on physical symptoms. These results highlight how overlapping forms of stigma have differential effects on health via psychological distress. These findings have important clinical and scientific implications in understanding how overlapping forms of discrimination affect health among Latinx sexual minority adults.
ContributorsRenteria, Roberto (Author) / Capielo Rosario, Cristalís (Thesis advisor) / Cerezo, Alison (Committee member) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2022
Description
As recent government administrations prioritized the criminalization and deportation of immigrants, Latinx are in danger of being targeted by police. Thus, it is important to investigate and assess Latinx views of the police in the US in order to create safe communities and reduce crime. To date, no instrument has captured Latinx perceptions of police beyond the frequency of past experience and global perception of the treatment of the general public. Therefore, creating a psychometrically supported measure that captures the unique perceptions of police among the Latinx population is necessary. The current study aims to psychometrically validate the Latinx Perceptions of Police Scale (LPOPS) (e.g., evidence of validity and reliability via confirmatory factor analysis, internal consistency, convergent and concurrent validity, mean differences among groups, and measurement invariance testing). The study’s final analytic sample included 248 individuals self-identified as Latinx using an online survey. Results from the confirmatory factor analysis confirmed the three-factor model of the LPOPS with a Cronbach’s alpha above 0.85. The LPOPS contains 19 items and three subscales: Police Views of Latinx, Anxiety of Interacting with Police Officers, and Fear of Police Abuse. Results from the Pearson bivariate analysis provided evidence of convergent validity as there were associations between the LPOPS subscales, past measures of view of police (e.g., Perception of Police Scale, Police and Law Enforcement Scale), and other psychological constructs (e.g., anxiety, depression, stress, discrimination). Further, results of the multi-group confirmatory analysis indicated that the LPOPS could be used among (race; skin-tone). Lastly, participants who reported darker skin tones reported higher mean scores on the Anxiety of Interacting with Police Officers and Fear of Police Abuse subscales. By further validating a scale that captures perceptions of police among Latinx in a quantitative way, researchers can begin exploring its association with various mental health outcomes.
ContributorsAltamirano, Elizabeth (Author) / Dillon, Frank (Thesis advisor) / Capielo, Cristalis (Committee member) / Vargas, Edward D. (Committee member) / Arizona State University (Publisher)
Created2022
Description
Despite the growing numbers of foreign-born Latina young adult immigrants in the United States, this population is underrepresented in psychological science. Building upon previous literature, this study examines the moderating effect of acculturation and enculturation on the relationship between depression and alcohol use quantity and frequency among 530 young Latina women (ages 18-23 years) who recently immigrated to the United States (i.e., approximately 12 months prior to assessment). Acculturation (i.e., the process of immersion into
another culture) lessened the positive link between depression and alcohol use quantity and frequency. Those with higher levels of acculturation reported less symptoms of depression and alcohol use. Enculturation (i.e., the process of immersion to one’s own ethnic culture) increased the positive link between depression and alcohol quantity and frequency. Implications for culturally competent counseling for this underserved and understudied population are discussed.
another culture) lessened the positive link between depression and alcohol use quantity and frequency. Those with higher levels of acculturation reported less symptoms of depression and alcohol use. Enculturation (i.e., the process of immersion to one’s own ethnic culture) increased the positive link between depression and alcohol quantity and frequency. Implications for culturally competent counseling for this underserved and understudied population are discussed.
ContributorsWinn, Larren (Author) / Dillon, Frank (Thesis advisor) / Pereira, Jennifer (Committee member) / Capielo-Rosario, Cristalís (Committee member) / Arizona State University (Publisher)
Created2020
Description
Over 25% of children in the United States suffer from a chronic illness, and close to 70% of all childhood deaths are due to chronic illness. Prevalence of childhood chronic illness continues to increase, and as a result, the pervasiveness of parents faced with stress associated with caregiving for their child with a chronic illness is also rising. The Stress Process Model (SPM) conceptualizes the caregiving experience as a multidimensional process influenced by the caregiving context, primary and secondary stressors, resources, and caregiver outcomes. Utilizing the SPM, the goals of this study were to examine the relations between caregiving stress (role overload and role strain) and resources (instrumental support, social support, and positive attitudes) and psychological outcomes (depression and anxiety) to determine whether resources moderated the associations between caregiving stress and psychological outcomes.
Participants included 200 parent caregivers of a child with a chronic illness. Participants responded to an online survey that measured demographics, role overload (Role Overload scale), role strain (The Revised Caregiver Burden Measure), instrumental support and social support (Medical Outcomes Survey), positive attitudes about caregiving (Brief Assessment Scale for Caregivers), depression (Patient Health Questionnaire-9), and anxiety (Generalized Anxiety Disorder scale-7). Pearson correlations and six hierarchical regression models were tested to examine caregiving stress, resources, and psychological outcomes.
Consistent with the study hypotheses, positive correlations between caregiving stress (role overload and role strain) and depression and anxiety were found. Negative correlations were found between resources (instrumental support, social support, positive attitudes) and depression and anxiety. Both instrumental support and social support had negative moderating effects on the relations between role overload and psychological outcomes (depression and anxiety). Positive attitudes also negatively moderated the relations between role strain and psychological outcomes. Thus, when participants reported high instrumental and social support, they also reported low depression and anxiety, even when role overload was high. Participants also reported low anxiety and depression when they reported high positive attitudes, even when role strain was high. Implications of these findings are discussed.
Participants included 200 parent caregivers of a child with a chronic illness. Participants responded to an online survey that measured demographics, role overload (Role Overload scale), role strain (The Revised Caregiver Burden Measure), instrumental support and social support (Medical Outcomes Survey), positive attitudes about caregiving (Brief Assessment Scale for Caregivers), depression (Patient Health Questionnaire-9), and anxiety (Generalized Anxiety Disorder scale-7). Pearson correlations and six hierarchical regression models were tested to examine caregiving stress, resources, and psychological outcomes.
Consistent with the study hypotheses, positive correlations between caregiving stress (role overload and role strain) and depression and anxiety were found. Negative correlations were found between resources (instrumental support, social support, positive attitudes) and depression and anxiety. Both instrumental support and social support had negative moderating effects on the relations between role overload and psychological outcomes (depression and anxiety). Positive attitudes also negatively moderated the relations between role strain and psychological outcomes. Thus, when participants reported high instrumental and social support, they also reported low depression and anxiety, even when role overload was high. Participants also reported low anxiety and depression when they reported high positive attitudes, even when role strain was high. Implications of these findings are discussed.
ContributorsJohnson, Courtney Kerber (Author) / Kurpius, Sharon (Thesis advisor) / Dillon, Frank (Committee member) / Tracey, Terence (Committee member) / Arizona State University (Publisher)
Created2020
Description
Adolescent substance use is a complex and significant public health concern that has received considerable attention among researchers and practitioners (Gray & Squeglia, 2018). The purpose of this dissertation was to examine factors associated with substance use intervention effects and to develop subgroups of risk factors for Mexican adolescents. This dissertation utilizes secondary data from a randomized controlled trial of the school-based substance use universal prevention program, keepin’ it REAL (kiR). The dissertation included two studies. Study 1: This study tested a model on the efficacy of the school-based substance use universal prevention program, keepin’ it REAL, among a sample of Mexican adolescents (N = 3,742, 11-17 years old). Study 1 analysis included Structural Equation Modeling and results demonstrated that participation in kiR positively predicted alcohol resistance strategies and those alcohol resistance strategies were negatively and significantly associated with alcohol use. Further, depressive symptomology was a moderator of intervention effects as the effects of kiR on resistance strategies increased as the level of depressive symptomology increased. Study 2: this study explored subgroups (classes) of Mexican adolescents (N = 5,520, 11-14 years old) based on their experiences with violence (witnessing, victimization, and perpetration), depressive symptomology, and substance use (alcohol, tobacco, and marijuana). Using Latent Class Analysis (LCA) four empirically, well-differentiated classes emerged representing adolescents various risk typologies (Moderate Risk-Violence at 55% of the sample, Low Risk at 35%, High Risk at ~8%; and Moderate Risk-Substance Use at ~2%) Implications for research and practice are discussed across both studies.
ContributorsArévalo Avalos, Marvyn R (Author) / Spanierman, Lisa (Thesis advisor) / Dillon, Frank (Committee member) / Marsiglia, Flavio (Committee member) / Arizona State University (Publisher)
Created2021
Description
Homeless individuals encounter barriers such as lack of health insurance, increased cost of care and unavailability of resources. They have increased risk of comorbid physical disease and poor mental health. Depression is a prevalent mental health disorder in the US linked to increased risk of mortality. Literature suggests depression screening can identify high-risk individuals with using the patient health questionnaire (PHQ-9).
The objective of this project is to determine if screening identifies depression in the homeless and how it impacts healthcare access. Setting is a local organization in Phoenix offering shelter to homeless individuals. An evidence-based project was implemented over two months in 2019 using convenience sampling. Intervention included depression screening using the PHQ-9, referring to primary care and tracking appointment times. IRB approval obtained from Arizona State University, privacy discussed, and consent obtained prior to data collection. Participants were assigned a random number to protect privacy.
A chart audit tool was used to obtain sociodemographics and insurance status. Descriptive statistics used and analyzed using Intellectus. Sample size was (n = 18), age (M = 35) most were White-non-Hispanic, 44% had a high school diploma and 78% were insured. Mean score was 7.72, three were previously diagnosed and not referred. Three were referred with a turnaround appointment time of one, two and seven days respectively. No significant correlation found between age and depression severity. A significant correlation found between previous diagnosis and depression severity. Attention to PHQ-9 varied among providers and not always addressed. Future projects should focus on improving collaboration between this facility and providers, increasing screening and ensuring adequate follow up and treatment.
ContributorsParamo, Cinthia Arredondo (Author) / Thrall, Charlotte (Thesis advisor)
Created2020-05-04
Description
Among Latinxs living in the United States (U.S.), AfroLatinx individuals are more susceptible to dying from COVID-19 because of pre-existing health conditions such as diabetes, heart disease, and hypertension (Chapman, 2020). These health disparities, in turn, have been associated with economic inequalities AfroLatinx communities face in the U.S. due to discrimination and racism (Weinstein et al., 2017). Scholars have called attention to the need to focus on AfroLatinx populations, given the systematic denial of AfroLatinx experiences in the psychological literature (Sanchez, 2021) and the systemic and institutional barriers AfroLatinx face when seeking physical and mental health support (Borrell, 2005). Using Borrell's (2005) framework for studying the determinants of health disparities affecting AfroLatinxs, in Study 1, I examined the association between individual characteristics (e.g., socioeconomic indicators), psychosocial factors (e.g., economic distress), and contextual factors (e.g., discrimination) reported by AfroLatinx adults and emotional and physical health problems during the COVID-19 pandemic. As an expansion of Borrell's model, I also examined whether having a pre-existing condition can help explain mental health distress above and beyond other determinants of health disparity. Study 2 built on the first study by helping identify the specific areas of stress and needs identified by AfroLatinxs during the COVID-19 pandemic. The second aim of Study 2 was to determine the more frequent and effective strategies AfroLatinxs with pre-existing conditions used to cope with COVID-19-related stressors and needs.
ContributorsFaison, Alexis Duckett (Author) / Capielo Rosario, Cristalís (Thesis advisor) / Dillon, Frank (Committee member) / Vasquez, Elisa (Committee member) / Arizona State University (Publisher)
Created2024