Sleep and Fatigue as Mediators of Racial Discrimination and Internalizing Symptoms in Black Adolescent-Caregiver Dyads.
Sleep and Fatigue as Mediators of Racial Discrimination and Internalizing Symptoms in Black Adolescent-Caregiver Dyads.
复制标题
睡眠和疲劳是黑人青少年-看护者二人种族歧视和内化症状的中介。
DOI：
10.1007/s10802-023-01069-6
复制
发表时间：
2023
影响因子：
2.5
通讯作者：
Valrie,Cecelia
中科院分区：
文献类型：
--
作者：
Shipman-Lacewell,Jelaina;Hagiwara,Nao;Green,Tiffany;Jones,Heather;Belgrave,Faye;Valrie,Cecelia
虽然黑人个体的种族歧视和内化症状之间的联系已经确立，但我们对影响这种联系的机制和背景因素（如睡眠和家庭背景）的理解仍然有限。本研究考察了睡眠和疲劳作为黑人青少年照顾者二元组中种族歧视和内化症状之间关系的中介。使用来自黑人青少年（Mage= 14.36，女性49.5%）及其照顾者（Mage= 39.25，女性75.9%）的风险和恢复力的大型调查研究的数据，我们使用行动者-伴侣相互依赖模型扩展调解（APIMeM）来测试179对夫妇中种族歧视、睡眠因素和内化症状的关联。显着的行动者效应表明，睡眠障碍和疲劳独立介导了种族歧视与青少年及其照顾者内化症状的关联。此外，我们还发现了伴侣效应，即青少年的歧视经历与照顾者的内化症状通过照顾者疲劳间接相关。没有发现照顾者歧视经历对青少年结局的直接或间接影响。研究结果强调了睡眠和疲劳在黑人青少年和成年人的种族歧视和内化症状之间的联系中所起的重要作用；以及家庭背景在这种联系中可能扮演的角色。针对黑人的心理健康和睡眠干预措施应解决种族歧视对内化症状的影响，并强调以家庭为重点的干预措施。
While the association of racial discrimination and internalizing symptoms in Black individuals is well established, we still have a limited understanding of mechanisms and contextual factors influencing this association, such as sleep and the family context. The present study examined sleep and fatigue as mediators underlying the relationship between racial discrimination and internalizing symptoms within Black adolescent-caregiver dyads. Using data from a larger survey study of risk and resilience in Black adolescents (Mage= 14.36, 49.5% female) and their caregivers (Mage= 39.25, 75.9% female), we used the Actor-Partner Interdependence Model extended Mediation (APIMeM) to test associations of racial discrimination, sleep factors, and internalizing symptoms among 179 dyads. Significant actor effects revealed that sleep disturbance and fatigue independently mediated the association of racial discrimination and internalizing symptoms among adolescents and caregivers. Additionally, partner effects were found, such that adolescents’ experiences of discrimination were indirectly associated with their caregivers’ internalizing symptoms via caregiver fatigue. No direct or indirect effects of caregiver experiences of discrimination on adolescent outcomes were found. The findings highlight the important role sleep and fatigue play in the link between racial discrimination and internalizing symptoms among Black adolescents and adults; and the role that the family context may play in this association. Mental health and sleep interventions for Black individuals should address the impact of racial discrimination on internalizing symptoms, with an emphasis on family-focused interventions.