A national examination of discrimination, resilience, and depressive symptoms during the COVID-19 pandemic: the All of Us Research Program

Frontiers in Psychology

Psychology

Emma Risner¹  Yao Xin¹  Chenziheng Allen Weng¹  Erica P. Wood²  Stephanie H. Cook³ 

[1] Department of Biostatistics, New York University School of Global Public Health, New York, NY, United States;Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York, NY, United States;Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York, NY, United States;Department of Biostatistics, New York University School of Global Public Health, New York, NY, United States;

关键词: discrimination;    mental health;    COVID-19;    resilience;    linear mixed modeling;   

DOI  :  10.3389/fpsyg.2023.1175452

 received in 2023-02-27, accepted in 2023-09-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveTo examine the impact of resilience on the association between discrimination and trajectories of depressive symptoms during the COVID-19 pandemic across racial and ethnic groups.MethodsData were drawn from 5 waves of the All of Us Research Program’s survey on the impact of COVID-19 on the lives of American adults. Linear mixed-effects models were fitted to assess the association between discrimination exposure throughout the pandemic and depressive symptoms over time. An interaction term was introduced between resilience and discrimination exposure to assess if resilience buffered the association between discrimination and depressive symptoms over time. Race-stratified linear mixed-effects models examined racial/ethnic differences in the association between resilience, discrimination, and depressive symptoms over time.ResultsFifty-one thousand nine hundred fifty-eight participants completed surveys between May and December of 2020. Results indicated that exposure to more discrimination was associated with increasing trajectories of depressive symptoms over time (b = 0.48, p < 0.001). However, resilience moderated the association between discrimination and well-being over time such that higher resilience mitigated the detrimental effect of experiencing discrimination on depressive symptoms across time (b = −0.02, p < 0.001).ConclusionIdentifying protective features such as resilience can promote the development of culturally tailored interventions to address mental health in the context of discrimination.

【 授权许可】

Unknown   
Copyright © 2023 Cook, Wood, Risner, Weng and Xin.