Examining stress and coping as a mediator for internalizing symptomatology: A comparison between sexual minority and majority first‐year college students

Riley, Tracey J.; Kirsch, Alexandra; Shapiro, Jenna B.; Conley, Colleen S.

doi:10.1016/j.adolescence.2016.03.005

Cited by 14 publications

(17 citation statements)

References 44 publications

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“…Consistent with previous research on sexual minority youth (Marshal et al, 2013) and first-year college students (Riley et al, 2016), we found that students in the SGM group reported significantly higher rates of depression when compared to those who self-identified as heterosexual. We also found that Hispanic race was associated with and predictive of higher levels of depression.…”

Section: Discussionsupporting

confidence: 90%

Estimated Cardiorespiratory Fitness Is Associated With Reported Depression in College Students

et al. 2019

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Depression is a serious but treatable health issue that affects college students at an alarming rate. Improved cardiorespiratory fitness (CRF) decreases depression risk and severity but this relationship has not been fully evaluated in the college student population. Non-exercise estimated CRF (eCRF) could be used to identify students at risk for or suffering from depression. This study investigated the associations of depression and eCRF in college students. Participants (N = 437) completed a survey which included demographic and student-status questions, eCRF variables, and a validated depression instrument. Descriptive, chi-square, t-test, regression, and odds ratio analyses were employed. Depression was associated with low-fitness (X2 = 4.660, P = 0.031) and eCRF below age-predicted CRF (t = 3.28, P < 0.001). Predictors of increased depression included low-fitness, sexual orientation, current depression treatment, and GPA (R2 = 0.145–0.159; Adj R2 = 0.135–0.149). Odd ratio analyses determined that low-fitness increased the risk of reporting depression (β = 2.39, P = 0.017, 95% CI = 1.17–4.872) which remained significant when adjusted (β = 2.478, P = 0.017, 95% CI = 1.175–5.229). Adjusted odds ratio analyses also indicated increased risk of reporting depression for those in a sexual minority (β = 2.582, P = 0.001, 95% CI = 1.44,4.629) and undergoing current depression treatment (β = 2.393, P < 0.001, 95% CI = 2.393–13.043). High levels of fitness did not reduce the odds of reporting depression compared to age predicted CRF. A simple eCRF algorithm can be used to identify college student depression.

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Section: Discussionsupporting

confidence: 90%

Estimated Cardiorespiratory Fitness Is Associated With Reported Depression in College Students

et al. 2019

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“…Przedworski et al (2015) Series of regressions After controlling for demographic variables, results suggested that social stressors decreased the magnitude of the association between sexual minority status and depression 27. Riley et al (2016) Series of regressions Bootstrapping…”

Section: Physical or Sexual Violencementioning

confidence: 99%

Mediators of the Disparities in Depression Between Sexual Minority and Heterosexual Individuals: A Systematic Review

2021

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Evidence suggests that sexual minorities (e.g., those identifying as lesbian, gay, or bisexual) experience increased rates of depression compared to heterosexual individuals. Minority stress theory suggests that this disparity is due to stigma experienced by sexual minorities. Stigma processes are proposed to contribute to reduced coping/support resources and increased vulnerability processes for mental health problems. This review provided a systematic examination of research assessing the evidence for mediating factors that help explain such disparities. A literature search was conducted using the databases PubMed, PsycINFO, and Web of Science. The review included 40 identified studies that examined mediators of sexual minority status and depressive outcomes using a between-group design (i.e., heterosexual versus sexual minority participants). Studies of adolescents and adult samples were both included. The most common findings were consistent with the suggestion that stressors such as victimization, harassment, abuse, and increased stress, as well as lower social and family support, may contribute to differing depression rates in sexual minority compared to heterosexual individuals. Differences in psychological processes such as self-esteem and rumination may also play a role but have had insufficient research attention so far. However, caution is needed because many papers had important methodological shortcomings such as the use of cross-sectional designs, inferior statistical analyses for mediation, or measures that had not been properly validated. Although firm conclusions cannot be drawn, the current evidence base highlights many factors potentially suitable for further exploration in high-quality longitudinal research or randomized studies intervening with the potential mediators.

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“…Previous studies shows that anxiety, depression, and stress are more frequent among SGM students (14,82). Minority students consider the diverse educational environment as essential or as an advantage in several one-institutional surveys (22,83).…”

Section: Discrimination and Diversity In The Universitymentioning

confidence: 96%

“…Perceived stress could have a signi cant impact on the performance of students and on burnout (93)(94)(95). Some studies reported the prevalence of higher stress levels among minority students (14)(15)(16)82). Some studies raise the issue that the performance of students, professional personality, and habits related to alcohol or drug consumption are in uenced by intense stress as well (87,89,95).…”

Section: Experienced Stress and Burnoutmentioning

confidence: 99%

Burn-out and mental health of minority medical students in Hungarian medical education.

Szél¹,

Győrffy²

2020

Preprint

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Background Previous researches suggested that minority students are more exposed to discrimination and mistreatment at university, therefore may have higher risk of mental and physical health problems. Methods An online questionnaire was conducted among medical students of the 4 Hungarian medical universities (N=530). The survey contained questions about general demographic data, health behavior, burnout, mental and physical health issues and discrimination. Results 29.6% of students self-identified as minority. High level burnout was indicated by 48.1% of respondents, while another 27.0% showed moderate level. High level burn-out was associated with minority status (84.6% vs. 71.0%; p<0.001), discrimination (83.0% vs. 68.5%, p< 0.001), lower level of social support (89.0% vs 69.0%, p<0.001) and higher levels of perceived stress (57.1% vs. 95.4%) in the chi-squared test. Higher scores on trait (B = 0.123; p<0.001) and state anxiety (B = 0.082; p<0.001) subscales of STAI and lower score of resilience (B= -0.168; p<0.001) were significantly associated with higher level of burnout in the univariate model. In our final analysis, perceived stress, resilience, minority identity and experienced discrimination remained significant. Conclusions Belonging to a minority community might need to be considered an essential factor leading to burnout in Hungarian medical students. Our research suggests that minority medical students have poorer mental health and higher risk for burnout.

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Examining stress and coping as a mediator for internalizing symptomatology: A comparison between sexual minority and majority first‐year college students

Cited by 14 publications

References 44 publications

Estimated Cardiorespiratory Fitness Is Associated With Reported Depression in College Students

Estimated Cardiorespiratory Fitness Is Associated With Reported Depression in College Students

Mediators of the Disparities in Depression Between Sexual Minority and Heterosexual Individuals: A Systematic Review

Burn-out and mental health of minority medical students in Hungarian medical education.

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