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- Genre: Doctoral Dissertation
- Creators: Arizona State University
- Member of: Theses and Dissertations
- Resource Type: Text
- Status: Published
Description
The primary aim of this study was to investigate resilient profiles in low-income Mexican American (MA) mothers. MA mothers are part of an under researched population, the fastest growing ethnic minority group, and have the highest birth rate in the United States, presenting a significant public health concern. The transition to motherhood can be an emotionally and physically complex time for women, particularly in the context of a stressful low-income environment. Although most low-income women navigate this transition well, a significant number of mothers develop moderate to severe depressive symptoms. The proposed research investigated profiles of resilience during the prenatal period using a person-centered approach via latent profile analysis. In alignment with current resilience theories, several domains of resilience were investigated including psychological, social, and cultural adherence (e.g., maintaining specific cultural traditions). Concurrent prenatal depressive symptoms and stress were correlated with the profiles in order to establish validity. Six week postpartum depressive symptoms and physiological processes (e.g., overall cortisol output, heart rate variability, and sleep) were also predicted by the prenatal resilient profiles. The resulting data revealed three separate profiles: low-resource, high-resource Anglo, and high-resource Mexican. These resilience profiles had differential associations with concurrent depressive symptoms and stress, such that women in the high-resource profiles reported less depressive symptoms and stress prenatally. Further, profile differences regarding cortisol output, resting heart rate variability, were also found, but there were no differences in insomnia symptoms. Profile classification also moderated the effects of prenatal economic stress on postpartum depressive symptoms, such that women in the high-resource Mexican profile were at risk for higher postpartum depressive symptoms under high economic stress compared to the high-resource Anglo group, which demonstrated a more resilient response. Overall, the results suggest the presence of multiple clusters of prenatal resilience within a sample of MA mothers facing health disparities, with various effects on perinatal mental health and postpartum physiological processes. The results also highlight the need for multi-dimensional models of resilience and the possible implications for interventions.
ContributorsGress Smith, Jenna L (Author) / Luecken, Linda J. (Thesis advisor) / Gonzales, Nancy (Committee member) / Okun, Morris (Committee member) / Zautra, Alex (Committee member) / Arizona State University (Publisher)
Created2014
Description
This dissertation used the risk and resilience framework to examine the associations between perceived racial discrimination, family racial socialization, nativity status, and psychological distress. Regression analyses were conducted to test the links between perceived racial discrimination and psychological distress and the moderation on these associations by family racial socialization and nativity status. Results suggest, for U.S.-born adolescents, cultural socialization strengthened the relation between subtle racial discrimination and anxiety symptoms. In addition, promotion of mistrust buffered the relations of both subtle and blatant racial discrimination on depressive symptoms. For foreign-born adolescents, promotion of mistrust exacerbated the association between blatant racial discrimination and depressive symptoms. Overall, the findings revealed the detrimental effects of perceived racial discrimination on the mental health of Asian American adolescents, how some family racial socialization strategies strengthen or weaken the relation between perceived racial discrimination and psychological distress, and the different ways foreign-born and U.S-born adolescents may interpret racial discrimination and experience family racial socialization.
ContributorsBurrola, Kimberly S (Author) / Yoo, Hyung Chol (Thesis advisor) / Umaña-Taylor, Adriana J. (Thesis advisor) / Eggum, Natalie (Committee member) / Kulis, Stephen (Committee member) / Updegraff, Kimberly (Committee member) / Arizona State University (Publisher)
Created2012
Description
Type 2 diabetes mellitus (T2DM) is a chronic disease affecting more than ten percent of the U.S. adults. Approximately 50 percent of people with diabetes fail to achieve glycemic targets of A1C levels below seven percent. Poor glycemic control disproportionately affects minority populations such as Korean Americans (KAs). Successful diabetes self-management requires a comprehensive approach that takes into account depression, sleep, and acculturation to achieve good glycemic control. Therefore, the purposes of this study were to: 1) describe the levels of glycemic control, depressive symptoms, sleep quality and duration, and acculturation; 2) examine an association of depressive symptoms with glycemic control; 3) identify mediational roles of sleep quality and sleep duration of less than 6 hours between depressive symptoms and glycemic control; and 4) explore a moderation role of acculturation between depressive symptoms and glycemic control in KAs with T2DM. This is a cross-sectional, descriptive correlational study. A total of 119 first generation KAs with T2DM were recruited from Korean communities in Arizona. A1C levels, the Center for Epidemiological Studies Depression Scale, the Pittsburgh Sleep Quality Index, the Suinn-Lew Asian Self-Identity Acculturation scale, the International Physical Activity Questionnaire, and the Berlin Questionnaire were measured. Descriptive statistics, multiple regression analyses, path analyses, and the Sobel tests were conducted for data analyses of this study. Poor glycemic control (A1C ≥ 7 %), high depressive symptoms (CES-D ≥ 16), poor sleep quality (PSQI > 5), and short sleep duration (< 6 hours) were prevalent among KAs with T2DM. The mean score of acculturation (2.18) indicated low acculturation to Western culture. Depressive symptoms were revealed as a significant independent predictor of glycemic control. Physical activity was negatively associated with glycemic control, while cultural identity was positively related to glycemic control. Sleep quality and sleep duration of less than 6 hours did not mediate the relationship between depressive symptoms and glycemic control. Acculturation did not moderate the association between depressive symptoms and glycemic control. Diabetes self-management interventions of a comprehensive approach that considers depressive symptoms, sleep problems, and cultural differences in minority populations with T2DM are needed.
ContributorsJeong, Mihyun (Author) / Reifsnider, Elizabeth G. (Thesis advisor) / Belyea, Michael (Committee member) / Petrov, Megan (Committee member) / Kelly, Lesly (Committee member) / Arizona State University (Publisher)
Created2017
Description
Socioeconomic status (SES) is one of the most well researched constructs in developmental science, yet important questions underly how to best model it. That is, are relations with SES always in the same direction or does the direction of association change at different levels of SES? In this dissertation, I conducted a meta-analysis using individual participant data (IPD) to examine two questions: 1) Does a nonmonotonic (quadratic) model of the relations between components of SES (i.e., income, years of education, occupation status/prestige), depressive symptoms, and academic achievement fit better than a monotonic (linear) model? and 2) Is the magnitude of relation moderated by developmental period, gender/sex, or race/ethnicity? I hypothesized that there would be more support for the nonmonotonic model. Moderation analyses were exploratory.
I identified nationally representative IPD from the Inter-university Consortium for Political and Social Research (ICPSR). I included 59 datasets, which represent 23 studies (e.g., Add Health) and 1,844,577 participants. Higher income (β = -0.11; β = 0.10), years of education (β = -0.09; β = 0.13), and occupational status (β = -0.04; β = 0.04) and prestige (β = -0.03; β = 0.04) were associated with a linear decrease in depressive symptoms and increase in academic achievement, respectively. Higher income (β = 0.05), years of education (β = 0.02), and occupational status/prestige (β = 0.02) were quadratically associated with a decrease in depressive symptoms followed by a slight increase at higher levels of income and a diminishing association towards higher levels of education and occupational status/prestige. Higher income was also quadratically associated with academic achievement (β = -0.03). I found evidence that these associations varied between developmental periods and racial/ethnic samples, but I did not find evidence of variation between females and males.
I integrate these findings with three conclusions: (1) more is not always better and (2) there are unique contexts and resources associated with different levels of SES that (3) operate in a dynamic fashion with other cultural systems (e.g., racism), which affect the integrated actions between the individual and context. I outline several measurement implications and limitations for future research directions.
ContributorsKorous, Kevin M. (Author) / Causadias, José M (Thesis advisor) / Bradley, Robert H (Thesis advisor) / Luthar, Suniya S (Committee member) / Levy, Roy (Committee member) / Arizona State University (Publisher)
Created2021
Description
Subjective social status (SSS) is a marker of perceived social rank that has been linked with depressive symptoms over and above objective socioeconomic status (SES),
but longitudinal studies are limited. SSS has been theorized to capture perceived relative
versus absolute deprivation and the corresponding psychosocial processes underlying
status-based disparities in health. The literature suggests that upward social comparisons
inherent in appraising SSS may confer psychosocial risk, which may in turn increase risk
for depressive symptoms and stress-related inflammation involved in the pathogenesis of
depression. However, no studies have examined whether interpersonal and biological
factors simultaneously contribute to the inverse relation between SSS and depressive
symptoms. This study examined whether (1) lower SSS was longitudinally associated
with increased depressive mood symptoms, independent of income, and (2) whether
higher social strain and lower social support simultaneously mediated the SSS—
depressive mood symptoms relation directly and indirectly through higher interleukin-6
(IL-6). This study utilized secondary data from a representative community sample of
804 middle-aged adults taking part in a study of healthy aging between 2007 and 2012.
Plasma levels of IL-6 and self-reported SSS, social support, and social strain were
assessed at baseline, followed by an assessment of depressive mood symptoms by phone
interview on average 20 months later. Results from multiple regression analysis revealed
that lower SSS predicted higher depressive symptoms at follow-up after adjustment for
sociodemographic characteristics and baseline depressive mood symptoms. Path analysis
indicated that social strain significantly mediated the relation between SSS and
depressive mood symptoms, but not after adjustment for baseline mood symptoms.
Lower social support mediated the relation between lower SSS and higher depressive
symptoms, but relations were non-significant in adjusted models. Contrary to predictions,
paths including IL-6 were not significant. Lower SSS may represent a robust risk factor
for subsequent depressive mood symptoms above and beyond income, in line with the
conceptualization of SSS as a measure of relative deprivation. Further research
examining biopsychosocial mechanisms would elucidate the implications of perceived
low status and inform intervention efforts aimed at reducing the global burden of
depressive symptoms.
ContributorsMoore, Shannon Victoria (Author) / Davis, Mary (Thesis advisor) / Luecken, Linda (Committee member) / Anderson, Samantha (Committee member) / Infurna, Frank (Committee member) / Arizona State University (Publisher)
Created2021