The objective of the study was to determine the prevalence of depressive symptoms in African American medical clinic patients age 50 and older and to describe the presentation of depressive symptoms in this sample. Consecutive, consenting, African American patients age 50 and older in active treatme
A holistic model for understanding and predicting depressive symptoms in african-american women
β Scribed by Jerome Taylor; Delores Henderson; Beryl B. Jackson
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 962 KB
- Volume
- 19
- Category
- Article
- ISSN
- 0090-4392
No coin nor oath required. For personal study only.
β¦ Synopsis
A holistic model for understanding and predicting depressive symptoms in a sample of 289 African-American women was evaluated. Using a structural equation methodology, life events, social support, physical health problems, and internalized racialism were significant predictors of depressive symptoms. Although neither marital status nor religious orientation had predicted inverse effects on depressive symptoms, we found that the effects of socioeconomic status and developmental status on depressive symptoms were mediated through these and other variables specified in the model.
Survey and clinical studies indicate that women are more vulnerable to depression than men (Baskin, Bluestone, & Nelson, 1981; Gordon & Ledray, 1985). Among women, Blacks are more vulnerable than Whites (Eaton & Kessler, 1981; Frerichs, Aneshensel, & Clark, 1981). Given the higher risk of depression for Black women, the aim of this investigation is to evaluate the extent to which a holistic model of mental health problems is applicable to the specific problem of depressive symptoms in this population.
Taylor and Jackson's (1990aJackson's ( , 1990b) ) holistic model for understanding and predicting general mental health problems in African-American women features two background variables (developmental status and socioeconomic status), one physical status variable (physical health problems), one family structure variable (marital status), two ideological variables (religious orientation and internalized racialism), one social variable (social support), and one stress variable (life events). This model, which has been useful in explaining and predicting alcohol consumption in African-American women (Taylor & Jackson, 1990a, 1990b), is structured around eight hypotheses.
- Social support has an inverse effect on mental health problems (Beach, Arias,
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