The costs of high self-control in Black and Latino youth with asthma: Divergence of mental health and inflammatory profiles

Brain, Behavior, and Immunity
Edith ChenGregory E Miller

Abstract

Emerging evidence in psychology suggests a paradox whereby high levels of self-control when striving for academic success among minority youth can have physical health costs. This study tested the skin-deep resilience hypothesis in asthma- whether minority youth who are striving hard to succeed academically experience good psychological outcomes but poor asthma outcomes. Youth physician-diagnosed with asthma (N = 276, M age = 12.99; 155 = White, 121 = Black/Latino) completed interviews about school stress and a self-control questionnaire. Outcomes included mental health (anxiety/depression) and ex-vivo immunologic processes relevant to asthma (lymphocyte Th-1 and Th-2 cytokine production, and sensitivity to glucocorticoid inhibition). Physician contacts were tracked over a one-year follow-up. For minority youth experiencing high levels of school stress, greater self-control was associated with fewer mental health symptoms (beta = -0.20, p < .05), but worse asthma inflammatory profiles (larger Th-1 and Th-2 cytokine responses, lower sensitivity to glucocorticoid inhibition), and more frequent physician contacts during the one-year follow-up (beta's ranging from 0.22 to 0.43, p's < .05). These patterns were not evident in White y...Continue Reading

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Citations

Oct 3, 2020·Journal of Research on Adolescence : the Official Journal of the Society for Research on Adolescence·Danielle R HatchimonjiMaurice J Elias
Aug 14, 2020·Biological Psychiatry : Cognitive Neuroscience and Neuroimaging·Teresa VargasVijay A Mittal
Dec 24, 2020·SSM - Population Health·Lauren Gaydosh, Sara McLanahan
Aug 8, 2021·Journal of Behavioral Medicine·Edith ChenMesmin Destin
Sep 29, 2021·Annual Review of Psychology·Edith ChenGregory E Miller

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