Race, Psychosocial Vulnerability and Social Support Differences in Inner-city Women's Symptoms of Posttraumatic Stress Disorder

Overview

Journal Anxiety Stress Coping

Publisher Routledge

Specialties Psychology
Social Sciences

Date 2018 Oct 12

PMID 30306795

Citations 7

Authors

Allison E Gaffey

Frances Aranda

John W Burns

Yanina A Purim-Shem-Tov

Helen J Burgess

Jean C Beckham

Stephen Bruehl

Stevan E Hobfoll

Affiliations

Soon will be listed here.

Abstract

Background/objectives: Inner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health.

Methods/design: Mediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD.

Results: Despite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only.

Conclusions: Altogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.

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References

Sampson R . The neighborhood context of well-being. Perspect Biol Med. 2003; 46(3 Suppl):S53-64. View

Meints S, Miller M, Hirsh A . Differences in Pain Coping Between Black and White Americans: A Meta-Analysis. J Pain. 2016; 17(6):642-53. PMC: 4885774. DOI: 10.1016/j.jpain.2015.12.017. View

Gaffey A, Burns J, Aranda F, Purim-Shem-Tov Y, Burgess H, Beckham J . Social support, social undermining, and acute clinical pain in women: Mediational pathways of negative cognitive appraisal and emotion. J Health Psychol. 2018; 25(13-14):2328-2339. PMC: 9422983. DOI: 10.1177/1359105318796189. View

Kaniasty K, Norris F . Longitudinal linkages between perceived social support and posttraumatic stress symptoms: sequential roles of social causation and social selection. J Trauma Stress. 2008; 21(3):274-81. DOI: 10.1002/jts.20334. View

Blair K, Vythilingam M, Crowe S, McCaffrey D, Ng P, Wu C . Cognitive control of attention is differentially affected in trauma-exposed individuals with and without post-traumatic stress disorder. Psychol Med. 2012; 43(1):85-95. PMC: 4418499. DOI: 10.1017/S0033291712000840. View

Hardt J, Jacobsen C, Goldberg J, Nickel R, Buchwald D . Prevalence of chronic pain in a representative sample in the United States. Pain Med. 2008; 9(7):803-12. DOI: 10.1111/j.1526-4637.2008.00425.x. View

Oetzel J, Wilcox B, Archiopoli A, Avila M, Hell C, Hill R . Social support and social undermining as explanatory factors for health-related quality of life in people living with HIV/AIDS. J Health Commun. 2014; 19(6):660-75. DOI: 10.1080/10810730.2013.837555. View

Breslau N, Davis G, Andreski P, Peterson E . Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry. 1991; 48(3):216-22. DOI: 10.1001/archpsyc.1991.01810270028003. View

Ozer E, Best S, Lipsey T, Weiss D . Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003; 129(1):52-73. DOI: 10.1037/0033-2909.129.1.52. View

10.

Anakwenze U, Zuberi D . Mental health and poverty in the inner city. Health Soc Work. 2014; 38(3):147-57. DOI: 10.1093/hsw/hlt013. View

11.

Ndao-Brumblay S, Green C . Racial differences in the physical and psychosocial health among black and white women with chronic pain. J Natl Med Assoc. 2005; 97(10):1369-77. PMC: 2594730. View

12.

Preacher K, Rucker D, Hayes A . Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions. Multivariate Behav Res. 2016; 42(1):185-227. DOI: 10.1080/00273170701341316. View

13.

Thoits P . Life stress, social support, and psychological vulnerability: epidemiological considerations. J Community Psychol. 1982; 10(4):341-62. DOI: 10.1002/1520-6629(198210)10:4<341::aid-jcop2290100406>3.0.co;2-j. View

14.

Lipsky S, Kernic M, Qiu Q, Hasin D . Traumatic Events Associated With Posttraumatic Stress Disorder: The Role of Race/Ethnicity and Depression. Violence Against Women. 2015; 22(9):1055-74. PMC: 4884659. DOI: 10.1177/1077801215617553. View

15.

Frueh B, Brady K, de Arellano M . Racial differences in combat-related PTSD: empirical findings and conceptual issues. Clin Psychol Rev. 1998; 18(3):287-305. DOI: 10.1016/s0272-7358(97)00087-1. View

16.

Qureshi S, Long M, Bradshaw M, Pyne J, Magruder K, Kimbrell T . Does PTSD impair cognition beyond the effect of trauma?. J Neuropsychiatry Clin Neurosci. 2011; 23(1):16-28. DOI: 10.1176/jnp.23.1.jnp16. View

17.

Krieger N, Sidney S . Racial discrimination and blood pressure: the CARDIA Study of young black and white adults. Am J Public Health. 1996; 86(10):1370-8. PMC: 1380646. DOI: 10.2105/ajph.86.10.1370. View

18.

Anderson D, Saunders D . Leaving an abusive partner: an empirical review of predictors, the process of leaving, and psychological well-being. Trauma Violence Abuse. 2003; 4(2):163-91. DOI: 10.1177/1524838002250769. View

19.

Edwards R, Moric M, Husfeldt B, Buvanendran A, Ivankovich O . Ethnic similarities and differences in the chronic pain experience: a comparison of african american, Hispanic, and white patients. Pain Med. 2005; 6(1):88-98. DOI: 10.1111/j.1526-4637.2005.05007.x. View

20.

Olatunji B, Cisler J, Tolin D . Quality of life in the anxiety disorders: a meta-analytic review. Clin Psychol Rev. 2007; 27(5):572-81. DOI: 10.1016/j.cpr.2007.01.015. View