When Reproduction Is No Longer Autonomous: Feeling Respected by Maternity Care Providers Moderates the Association Between Autonomy in Decision Making and Birth-Related PTSD Symptoms in a Community Sample of Postpartum Black Women

Lathan, Emma C.; Britt, Abby; Ravi, Meghna; Ash, Marcia J.; McAfee, Elizabeth; Wallace, Shimarith; Johnson, Colin; Woods‐Jaeger, Briana; Powers, Abigail; Michopoulos, Vasiliki

doi:10.1080/15299732.2023.2212406

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…Addressing mental illness and other stressors during pregnancy may help address health inequities in pregnancy outcomes, so it is important to provide adequate, culturally informed mental health care for Black pregnant individuals. Importantly, pregnant Black persons, regardless of socioeconomic status, face racist mistreatment at the hands of prenatal care providers, resulting in disproportionately high rates of negative pregnancy outcomes, like maternal mortality (Davis, 2019; Lathan et al, 2023; Sayyad et al, 2023). Thus, Black persons may be particularly mistrustful of healthcare providers during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Indirect effect of negative evaluations of therapy on the association between racial stress and posttraumatic stress disorder symptoms in pregnant Black persons.

Ravi,

Lathan,

Wallace

et al. 2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Black pregnant individuals are at disproportionate risk for posttraumatic stress disorder (PTSD) compared to other groups. A wealth of literature suggests racial stress contributes to this inequity, but cultural and structural mechanisms, such as perceived barriers to mental health treatment, underlying the relationship between racial stress and PTSD symptoms remain understudied. Negative evaluations of psychotherapy and stigma represent potential mechanisms, though no previous studies have examined these associations. To address this gap, we tested an indirect effect of racial stress on PTSD symptoms through perceived barriers to mental health treatment in pregnant Black individuals. Method: Mediation analyses were used to assess an indirect relationship between racial stress and PTSD symptoms through perceived barriers to mental health treatment. Results: At the bivariate level, racial stress was significantly associated with PTSD symptoms (r = .20, p = .03) and negative evaluations of therapy (r = .22, p = .02), but not with stigma (r = .140, p = .147). Negative evaluations of therapy were also associated with PTSD symptoms (r = .43, p , .001). There was an indirect effect of racial stress on PTSD symptoms through a negative evaluation of therapy, β = .08, SE = 0.04, CI [0.01, 0.18]. More specifically, racial stress was associated with a more negative evaluation of therapy, which was in turn associated with more PTSD symptoms. Conclusions: Results highlight the need for accessible and culturally competent mental health care for pregnant Black individuals. Clinical Impact StatementExperiencing more racial stress was associated with greater PTSD symptoms via a more negative evaluation of therapy in a sample of Black pregnant persons with few economic resources. Accessible, culturally informed therapy options for Black and pregnant individuals are needed.

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Section: Discussionmentioning

confidence: 99%

Indirect effect of negative evaluations of therapy on the association between racial stress and posttraumatic stress disorder symptoms in pregnant Black persons.

Ravi,

Lathan,

Wallace

et al. 2024

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

View full text Add to dashboard Cite

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Conceptualizing disparities and differences in the psychobiology of traumatic stress

Correa,

Michopoulos,

Stevens

et al. 2024

Journal of Traumatic Stress

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Understanding biological pathways that mediate trauma‐related psychopathology is a major goal for traumatic stress studies. There is growing interest in studying differences in neural, physiological, and behavioral correlates of traumatic stress across demographic groups (e.g., sex/gender, race/ethnicity). However, challenges remain in how to appropriately conceptualize the source, mechanisms, and practical utility of between‐group variation. The present brief conceptual review discusses ethnicity, race, and sex/gender‐related variability relevant to understanding the psychobiology of traumatic stress in the context of traumatic stress studies. We discuss recent evidence related to socioenvironmental influences on ethnoracial variability in the brain and behavior relevant to traumatic stress, as well as sex/gender associations in neurophysiology that may contribute to the development of adverse posttraumatic sequelae. We further synthesize these findings by discussing intersectional influences of sex/gender‐ and race/ethnicity‐related factors on trauma‐related physical and mental health outcomes. The present review provides an important foundation for future research on disparities and individual differences in traumatic stress to move the field toward more effective assessment and treatment approaches.

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When Reproduction Is No Longer Autonomous: Feeling Respected by Maternity Care Providers Moderates the Association Between Autonomy in Decision Making and Birth-Related PTSD Symptoms in a Community Sample of Postpartum Black Women

Cited by 2 publications

References 39 publications

Indirect effect of negative evaluations of therapy on the association between racial stress and posttraumatic stress disorder symptoms in pregnant Black persons.

Indirect effect of negative evaluations of therapy on the association between racial stress and posttraumatic stress disorder symptoms in pregnant Black persons.

Conceptualizing disparities and differences in the psychobiology of traumatic stress

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