Race-based rejection sensitivity partially accounts for the relationship between racial discrimination and distressing attenuated positive psychotic symptoms
Race-based rejection sensitivity partially accounts for the relationship between racial discrimination and distressing attenuated positive psychotic symptoms
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DOI：
10.1111/eip.12184
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发表时间：
2016-10-01
影响因子：
2
通讯作者：
Ellman, Lauren M.
中科院分区：
文献类型：
--
作者：
Anglin, Deidre M.;Greenspoon, Michelle;Ellman, Lauren M.
自我报告的种族歧视的经验已与连续的精神病的经验，在种族和少数民族人口，然而，这种关系的潜在机制尚不清楚。基于种族的拒绝敏感性（RS-种族）与关于成为种族歧视目标的思想入侵有关;因此，本研究的目的是确定RS-种族是否解释了种族歧视和种族和少数民族人群中精神病样经历之间的关系。对种族和少数民族人群进行精神病风险自我报告量表（即前驱症状问卷（PQ）），提供对经历痛苦（APPS-痛苦）的减弱阳性精神病症状总数的维度评估。参与者还完成了歧视问卷和拒绝敏感度的经验，Race.ResultsHierarchical线性回归分析显示，RS-种族和种族歧视都显着相关的较高水平的APPS-苦恼。间接影响的Bootstrapping分析表明，RS-种族部分占种族歧视和APPS-distress.ConclusionAlthough的横截面性质的数据限制了因果推理的结论之间的关系，我们的研究结果表明，种族歧视和RS-种族可能都是重要的了解风险的困扰在种族和少数民族的年轻人的精神病谱。一些报告种族歧视的人可能更容易受到APPS困扰，部分原因是他们焦虑地期待受到种族歧视，这应该在前瞻性临床高风险研究中进一步探讨。
AimSelf-reported experiences of racial discrimination have been associated with a continuum of psychotic experiences in racial and ethnic minority populations; however, the underlying mechanisms of this relationship are not yet clear. Race-based rejection sensitivity (RS-race) has been associated with thought intrusions about being the target of racial discrimination; therefore, the present study aimed to determine whether RS-race accounts for the relationship between racial discrimination and psychotic-like experiences in racial and ethnic minority populations.MethodsA sample of 644 young adults from a US urban, predominantly immigrant, and racial and ethnic minority population was administered a self-report inventory of psychosis risk (i.e. Prodromal Questionnaire (PQ)), providing a dimensional assessment of the total number of attenuated positive psychotic symptoms experienced as distressing (APPS-distress). Participants also completed the Experiences of Discrimination Questionnaire and the Rejection Sensitivity Questionnaire-Race.ResultsHierarchical linear regression analyses revealed that RS-race and racial discrimination were both significantly related to higher levels of APPS-distress. Bootstrapping analyses of indirect effects indicated that RS-race partially accounted for the relationship between racial discrimination and APPS-distress.ConclusionAlthough the cross-sectional nature of the data limits conclusions about causal inference, our findings do suggest that racial discrimination and RS-race may both be important for understanding risk for distress in the psychotic spectrum among racial and ethnic minority young adults. Some individuals who report racial discrimination may be more vulnerable to APPS-distress in part because they are anxiously anticipating being racially slighted, and this should be explored further in prospective clinical high-risk studies.