Systematic Review: The Association Between Race-Related Stress and Trauma and Emotion Dysregulation in Youth of Color

Roach, Erika L.; Haft, Stephanie L.; Huang, Jingtong; Zhou, Qing

doi:10.1016/j.jaac.2022.04.013

Cited by 23 publications

(7 citation statements)

References 81 publications

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“…A large section of the research on the mental health consequences of racism has focused on stress [ 79 , 80 ]. The induction of attenuated psychotic symptomatology as a stress-induced mental state has received little attention in the context of measuring the association between racism exposure and adverse mental health.…”

Section: Discussionmentioning

confidence: 99%

Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism

Lazaridou

Schubert

Ringeisen

et al. 2022

Eur Arch Psychiatry Clin Neurosci

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Black people and People of Color are disproportionately affected by racism and show increased rates of psychosis. To examine whether racialized migrant groups are particularly exposed to racism and therefore have higher risks for psychosis, this paper (1) systematically assesses rates of psychosis among racialized migrant groups concerning the country of origin, and (2) analyzes interviews regarding the association of racism experiences with psychosis-related symptoms in racialized Black people and People of Color populations in Germany. We present an umbrella review of meta-analyses that report the incidence of positive symptoms (e.g., hallucinations and delusions) and negative symptoms (e.g., apathy and incoherent speech) of diagnosed schizophrenia, other non-affective psychotic disorders (e.g., schizoaffective disorder) or first-episode psychosis among migrants by country of origin. We also report 20 interviews with first- and second-generation migrants racialized as Black and of Color in Germany to capture and classify their experiences of racism as well as racism-associated mental health challenges. In the umbrella review, psychosis risk was greatest when migration occurred from developing countries. Effect size estimates were even larger among Caribbean and African migrants. In the qualitative study, the application of the constant comparative method yielded four subordinate themes that form a subclinical psychosis symptomatology profile related to experiences of racism: (1) a sense of differentness, (2) negative self-awareness, (3) paranoid ideation regarding general persecution, and (4) self-questioning and self-esteem instability. We here provide converging evidence from a quantitative and qualitative analysis that the risk of poor mental health and psychotic experiences is related to racism associated with minority status and migration.

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Section: Discussionmentioning

confidence: 99%

Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism

Lazaridou

Schubert

Ringeisen

et al. 2022

Eur Arch Psychiatry Clin Neurosci

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“…In contrast, a study of incarcerated persons with BPD reflected no racial differences in likelihood of violent behavior, suggesting that these differences may not generalize to carceral settings (Yasmeen et al, 2022). Although preliminary, some evidence suggests that emotion dysregulation, a core feature of BPD, may be linked to race-related stress and trauma among youth of color, highlighting a potential pathway by which structural racism may give rise to differences in symptom manifestation (Roach et al, 2023).…”

Section: Mental Health Inequities In Carceral Settingsmentioning

confidence: 99%

Prison or treatment? Gender, racial, and ethnic inequities in mental health care utilization and criminal justice history among incarcerated persons with borderline and antisocial personality disorders.

Edwards,

Epshteyn,

Diehl

et al. 2024

Law and Human Behavior

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Objective: Borderline and antisocial personality disorders are characterized by pervasive psychosocial impairment, disproportionate criminal justice involvement, and high mental health care utilization. Although some evidence suggests that systemic bias may contribute to demographic inequities in criminal justice and mental health care among persons experiencing these mental health conditions, no research to date has explicitly examined such differences. Hypotheses: Women and White persons would be more likely to endorse internalizing symptoms and have a more extensive history of mental health service utilization, whereas men, persons from minoritized racial groups, and persons identifying as Hispanic/Latino would be more likely to endorse externalizing symptoms and have more extensive histories of involvement with the criminal justice system. Method: This study examined gender, racial, and ethnic differences in symptom presentation, criminal justice history, and mental health care utilization in a sample of 314 adults with comorbid borderline and antisocial personality disorders enrolled in prison-based substance use treatment programs in the United States. Results: Results suggested that men with these personality disorders were more likely to have early extensive criminal justice involvement, whereas women and White people had more and subset of variables relevant to these analyses are also available via the Open Science Framework (https://osf.io/yue9r).Emily R. Edwards played a lead role in conceptualization, formal analysis, and writing-original draft and an equal role in writing-review and editing. Gabriella Epshteyn played a lead role in writing-review and editing and a supporting role in conceptualization, formal analysis, and writing-original draft. Caroline K. Diehl played a supporting role in conceptualization, writingoriginal draft, and writing-review and editing. Danny Ruiz played a supporting role in conceptualization, writing-original draft, and writing-review and editing. Brettland Coolidge played a supporting role in writing-original draft and writing-review and editing. Nicole H. Weiss played a supporting role in supervision and writing-review and editing. Lynda Stein played a supporting role in writing-review and editing.

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“…Furthermore, experiencing repeated trauma, known as poly-victimization, in youth, is associated with a greater likelihood of developing ED or greater severity of ED [24]. Importantly, there is also evidence that discrimination and exclusion (e.g., due to race or ethnicity) can exacerbate ED in children and young people [51]. Children who are forced to migrate or relocate, usually due to violence, war, and/or poverty, are at higher risk of psycho-physiological dysregulation and ED [52], due to the adverse and developmentally disruptive experiences prior to and during fleeing [53].…”

Section: Childhood Adverse Psycho-social Experiences and Factorsmentioning

confidence: 99%

A Narrative Review of the Efficacy of Interventions for Emotional Dysregulation, and Underlying Bio–Psycho–Social Factors

Easdale-Cheele,

Parlatini,

Cortese

et al. 2024

Brain Sciences

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In this narrative, comprehensive, and updated review of the literature, we summarize evidence about the effectiveness of interventions aimed at reducing emotion dysregulation and improving emotion regulation in children, adolescents, and adults. After introducing emotion dysregulation and emotion regulation from a theoretical standpoint, we discuss the factors commonly associated with emotion regulation, including neurobiological and neuropsychological mechanisms, and the role of childhood adverse experiences and psycho–social factors in the onset of emotion dysregulation. We then present evidence about pharmacological and non-pharmacological interventions aiming at improving emotion dysregulation and promoting emotion regulation across the lifespan. Although our review was not intended as a traditional systematic review, and the search was only restricted to systematic reviews and meta-analyses, we highlighted important implications and provided recommendations for clinical practice and future research in this field.

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Systematic Review: The Association Between Race-Related Stress and Trauma and Emotion Dysregulation in Youth of Color

Cited by 23 publications

References 81 publications

Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism

Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism

Prison or treatment? Gender, racial, and ethnic inequities in mental health care utilization and criminal justice history among incarcerated persons with borderline and antisocial personality disorders.

A Narrative Review of the Efficacy of Interventions for Emotional Dysregulation, and Underlying Bio–Psycho–Social Factors

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