Racism-related stress and psychological distress: Black Women's Experiences Living with Lupus study.
Evelyn A HunterErica C SpearsConnor D MartzKara ChungThomas E Fuller-RowellS Sam LimCristina DrenkardDavid H ChaePublished in: Journal of health psychology (2020)
Disparate health consequences in African American women with systemic lupus erythematosus include greater severity of physical and psychological distress. Racism-related stress is also related to psychological distress correlates in this population. This study examined the relationships between racism-related experiences, psychological distress, and systemic lupus erythematosus activity in 430 African American women from the Black Women's Experiences Living with Lupus study. The structural equation model suggests that psychological distress mediates the relationship between racism-related stress and systemic lupus erythematosus disease activity. The impact of racism-related stress on systemic lupus erythematosus disease activity may occur primarily through their impact on psychological health variables. Implications for clinical care and future directions are explored.
Keyphrases
- systemic lupus erythematosus
- disease activity
- rheumatoid arthritis
- african american
- rheumatoid arthritis patients
- mental health
- ankylosing spondylitis
- healthcare
- juvenile idiopathic arthritis
- sleep quality
- public health
- polycystic ovary syndrome
- pregnant women
- palliative care
- skeletal muscle
- physical activity
- stress induced
- depressive symptoms
- chronic pain
- health insurance