The current study examined the link between racial-ethnic microaggressions and psychological distress among 308 Asian American (n = 164) and Latinx American (n = 144) college students (54% female). Additionally, coping strategies (engagement and disengagement) were examined as potential mediators in this link. A confirmatory factor analysis (CFA) of the Racial-Ethnic Microaggressions Scale (REMS) was conducted to test the factor structure with an Asian American and Latinx American emerging adult population (Ages 18-26). A multigroup path analysis of the analytic model was then performed to examine the hypothesized relations between racial-ethnic microaggressions, coping strategies, and psychological distress among Asian American and Latinx American participants. Results of the CFA did not support the original 6-factor structure of the REMS in this sample. However, a 1-factor structure (i.e., total scale score) indicated good fit. Findings from the path analysis indicated that among the total sample, racial-ethnic microaggressions were directly linked to increased psychological distress. Furthermore, engagement coping strategies partially mediated this relationship and were linked to less psychological distress. (PsycINFO Database Record

The current study examined the links between perceived discrimination, marianismo gender role beliefs, racial-ethnic socialization (preparation for bias), coping strategies (engagement vs. disengagement), and mental health outcomes among 211 Latina college students. First, the authors investigated predictions about mediation effects of ethnic socialization and marianismo in the association between perceived discrimination and coping strategies. Second, they tested predictions about mediation effects of coping strategies in the link between perceived discrimination and mental health outcomes. Results of path analyses showed that perceived discrimination was positively related to familismo and spiritual marianismo pillars, preparation for bias, and engagement coping strategies. Furthermore, the link between perceived discrimination and engagement coping strategies was partially mediated via preparation for bias. Finally, perceived discrimination, disengagement coping strategies and self-silencing marianismo attitudes were negatively linked to mental health. Overall, these findings highlight the complex ways in which coping strategies are linked with one's ethnic and gender socialization and related to perceived discrimination and mental health outcomes.

Background Numerous cases of scurvy secondary to diet limitations have been reported in the literature with most being boys with special needs. To date, the focus of the literature describing vitamin C deficiency has been the medical sequelae of the deficiency. There has been little attention given underlying diet limitations causing the vitamin C deficiency. Case presentation A five-year-old female with typical development initially presented with rash, then later for pain in both lower extremities. After evaluation revealed vitamin C deficiency, she was admitted into an intensive day treatment feeding program. A feeding assessment found she had life-long problems with eating and had a diet that never exceeded ten foods. Across the course of treatment, she learned to eat 29 new foods. At six-month follow-up her body mass index had increased from the 1st to the 61st percentile. At one-year follow-up her body mass index was at the 85th percentile. All sequalae of her deficiency resolved. Conclusions This case is unusual as most reported studies describe males with special needs. The severity of her eating issues suggest providers may consider referral to allied health professionals to address diet limitations for both children identified with nutrient deficiencies as well as children whose selective eating places them at risk for nutritional deficiencies or problems with growth. The child we described was anemic, like 42% of children described in the case literature on scurvy and like 32% of the children in this literature, our patient was underweight. In the literature, comorbid nutrient deficiencies were reported in 22% of the scurvy case studies. We suggest vitamin C supplementation is a necessary component for addressing vitamin C deficiency, but insufficient for addressing the diet limitations causing the nutrient deficiency. Electronic supplementary material The online version of this article (10.1186/s12887-019-1437-3) contains supplementary material, which is available to authorized users.

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