The costs of high self-control in Black and Latino youth with asthma: Divergence of mental health and inflammatory profiles

The costs of high self-control in Black and Latino youth with asthma: Divergence of mental health and inflammatory profiles
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DOI:
10.1016/j.bbi.2019.02.031
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发表时间:
2019-08-01
影响因子:
15.1
通讯作者:
Miller, Gregory E.
Miller, Gregory E.
中科院分区:
医学1区
文献类型:
--
作者:
Chen, Edith;Shalowitz, Madeleine U.;Miller, Gregory E.

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心理学上的新证据表明了一个悖论,即少数族裔青年在追求学业成功时的高度自我控制可能会以身体健康为代价。这项研究测试了哮喘的表层弹性假说——努力学习的少数民族青年是否有良好的心理结果,但哮喘结果较差。被医生诊断为哮喘的青少年(276名,年龄12.99岁;白人155名,黑人/拉丁裔121名)完成了关于学校压力的访谈和自我控制问卷。结果包括心理健康(焦虑/抑郁)和与哮喘相关的体外免疫过程(淋巴细胞Th-1和Th-2细胞因子的产生,以及对糖皮质激素抑制的敏感性)。在一年的随访中追踪了医生接触情况。对于经历高水平学校压力的少数族裔青少年,更强的自我控制能力与更少的心理健康症状相关(β = 0.20, p
Emerging evidence in psychology suggests a paradox whereby high levels of self-control when striving for academic success among minority youth can have physical health costs. This study tested the skin-deep resilience hypothesis in asthma-whether minority youth who are striving hard to succeed academically experience good psychological outcomes but poor asthma outcomes. Youth physician-diagnosed with asthma (N = 276, M age = 12.99; 155 = White, 121 = Black/Latino) completed interviews about school stress and a self-control questionnaire. Outcomes included mental health (anxiety/depression) and ex-vivo immunologic processes relevant to asthma (lymphocyte Th-1 and Th-2 cytokine production, and sensitivity to glucocorticoid inhibition). Physician contacts were tracked over a one-year follow-up. For minority youth experiencing high levels of school stress, greater self-control was associated with fewer mental health symptoms (beta = 0.20, p