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Association Between Stressful Life Events and Depression; Intersection of Race and Gender

  • Shervin Assari
  • Maryam Moghani Lankarani
Article

Abstract

Background

Although stressful life events (SLEs) and depression are associated, we do not know if the intersection of race and gender modifies the magnitude of this link. Using a nationally representative sample of adults in the USA, we tested if the association between SLE and major depressive episode (MDE) depends on the intersection of race and gender.

Methods

Data came from the National Survey of American Life (NSAL), 2003, a cross-sectional survey that enrolled 5899 adults including 5008 Blacks (African-Americans or Caribbean Blacks), and 891 Non-Hispanic Whites. Logistic regression was used for data analysis. Stressful life events (past 30 days) was the independent variable, 12-month MDE was the dependent variable, and age, educational level, marital status, employment, and region of country were controls.

Results

In the pooled sample, SLE was associated with MDE above and beyond all covariates, without the SLE × race interaction term being significant. Among men, the SLE × race interaction was significant, suggesting a stronger association between SLE and MDE among White men compared to Black men. Such interaction between SLE × race could not be found among women.

Conclusions

The association between SLE and depression may be stronger for White men than Black men; however, this link does not differ between White and Black women. More research is needed to better understand the mechanism behind race by gender variation in the stress–depression link.

Keywords

Ethic groups Major depressive episode Stressful life events Race Gender 

Notes

Acknowledgment

Funding/Support

The National Survey of American Life (NSAL) is mostly supported by the National Institute of Mental Health, with grant U01-MH57716. Other support came from the Office of Behavioral and Social Science Research at the National Institutes of Health and the University of Michigan. For this analysis, public data set was downloaded from Interuniversity Consortium for Political and Social Research (ICPSR), Institute for Social Research at University of Michigan.

Author Contributions

SA designed the work, analyzed the data, and drafted the manuscript. MML designed the work and revised the draft.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Informed Consent

Informed consent was obtained from all individual participants included in the study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res. 1967;11:213–8.PubMedCrossRefGoogle Scholar
  2. 2.
    Tennant C Life events, stress and depression: a review of the findings. Aust NZ J Psych. 2002;36:173–82.CrossRefGoogle Scholar
  3. 3.
    Paykel ES. Life events and affective disorders. Acta Psychiatr Scand. 2003;108:61–6.CrossRefGoogle Scholar
  4. 4.
    Estrada-Martínez LM, Caldwell CH, Bauermeister JA, Zimmerman MA. Stressors in multiple life-domains and the risk for externalizing and internalizing behaviors among African Americans during emerging adulthood. J Youth Adolesc 2012, 41(12):1600–12.Google Scholar
  5. 5.
    Hammen C Stress and depression. Annu Rev Clin Psychol. 2005;1:293–319.PubMedCrossRefGoogle Scholar
  6. 6.
    Mazure CM. Life stressors as risk factors in depression. Clin Psychol Sci Pract. 1998;5:291–313.CrossRefGoogle Scholar
  7. 7.
    Glass TA, Kasl SV, Berkman LF. Stressful life events and depressive symptoms among the elderly. Evidence from a prospective community study. J Aging Health. 1997;9(1):70–89.PubMedCrossRefGoogle Scholar
  8. 8.
    Brown GW, Harris TO. Depression. In life events and illness, ed. GW Brown, TO Harris, pp. 49–93. New York: Guilford 1989.Google Scholar
  9. 9.
    Cervilla JA, Molina E, Rivera M, Torres-González F, Bellón JA, Moreno B, Luna JD, Lorente JA, Mayoral F, King M, Nazareth I, PREDICT Study Core Group, Gutiérrez B. The risk for depression conferred by stressful life events is modified by variation at the serotonin transporter 5HTTLPR genotype: evidence from the Spanish PREDICT-Gene cohort. Mol Psychiatry. 2007;12(8):748–55.PubMedCrossRefGoogle Scholar
  10. 10.
    Assari S, Smith JR, Caldwell CH, Zimmerman MA. Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. Society. 2015;5(1):151–70.Google Scholar
  11. 11.
    Assari S, Watkins DC, Caldwell CH. Race attribution modifies the association between daily discrimination and major depressive disorder among blacks: the role of gender and ethnicity. J Racial Ethnic Health Disparities 2014, 1-a.Google Scholar
  12. 12.
    Vogt D, Vaughn R, Glickman ME, Schultz M, Drainoni ML, Elwy R, Eisen S. Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans. J Abnorm Psychol. 2011;120(4):797–806.PubMedCrossRefGoogle Scholar
  13. 13.
    Glei DA, Goldman N, Liu IW, Weinstein M. Sex differences in trajectories of depressive symptoms among older Taiwanese: the contribution of selected stressors and social factors. Aging Ment Health. 2013;17(6):773–83.PubMedPubMedCentralCrossRefGoogle Scholar
  14. 14.
    Kessler RC. The effects of stressful life events on depression. In: Spence JT, editor. Annual Review of Psychology. 48. Palo Alto: Annual Reviews Inc; 1997. p. 191–214.Google Scholar
  15. 15.
    Cohen S, Kessler RC, Gordon LU. Strategies for measuring stress in studies of psychiatric and physical disorders. In: Cohen S, Kessler RC, Gordon LU, editors. Measuring stress: a guide for health and social scientists. New York: Oxford University Press Inc; 1995. p. 3–26.Google Scholar
  16. 16.
    Ghafoori B, Barragan B, Palinkas L. Gender disparities in the mental health of urban survivors of trauma. J Aggress Maltreat Trauma. 2013;22(9):950–63.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Slopen N, Williams DR, Fitzmaurice GM, Gilman SE. Sex, stressful life events, and adult onset depression and alcohol dependence: are men and women equally vulnerable? Soc Sci Med. 2011;73(4):615–22.PubMedCrossRefGoogle Scholar
  18. 18.
    Keyes CL. The black-white paradox in health: flourishing in the face of social inequality and discrimination. J Pers. 2009;77(6):1677–706.PubMedCrossRefGoogle Scholar
  19. 19.
    Assari S, Burgard S, Zivin K. Long-term reciprocal associations between depressive symptoms and number of chronic medical conditions: longitudinal support for black–white health paradox. J Rac Ethnic Health Dispar. 2015;1-9.Google Scholar
  20. 20.
    Vines AI, Ta M, Esserman D, Baird DD. A comparison of the occurrence and perceived stress of major life events in black and white women. Women Health. 2009;49(5):368–80.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Williams DR, González HM, Neighbors H, Nesse R, Abelson JM, Sweetman J, Jackson JS. Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the national survey of American life. Arch Gen Psychiatry. 2007;64(3):305–15.PubMedCrossRefGoogle Scholar
  22. 22.
    Brown LJP, Powell J, Earls F. Stressful life events and psychiatric symptoms in black adolescent females. J Adolesc Res. 1989;4(2):140–51.CrossRefGoogle Scholar
  23. 23.
    Kirmayer L, Groleau D. Affective disorders in cultural context. Psychiatr Clin N Am. 2001;24(3):465–78.CrossRefGoogle Scholar
  24. 24.
    Hasler G Pathophysiology of depression: do we have any solid evidence of interest to clinicians? World Psychiatry. 2010;9(3):155–61.PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Hammen C Interpersonal stress and depression in women. J Affect Disord. 2003;74(1):49–57.PubMedCrossRefGoogle Scholar
  26. 26.
    Kendler KS, Gardner CO. Sex differences in the path-ways to major depression: a study of opposite-sex twin pairs. Am J Psychiatry. 2014;171(4):426–35.PubMedPubMedCentralCrossRefGoogle Scholar
  27. 27.
    Kelly MM, Tyrka AR, Anderson GM, Price LH, Carpen-ter LL. Sex differences in emotional and physiological responses to the Trier Social Stress test. J Behav Ther Exp Psychiatry. 2008;39(1):87–98.PubMedCrossRefGoogle Scholar
  28. 28.
    Nolen-Hoeksema S, Larson J, Grayson C. Explaining the gender difference in depressive symptoms. J Pers Soc Psychol. 1999;77:1061–72.PubMedCrossRefGoogle Scholar
  29. 28.
    Assari S, Micol-Foster V, Dejman M, Ayoubian A, Lankarani MM. Contextual Effects of Ethnicity, Gender, and Place on Depression; Case Study of War Related Stress for Kurdish Women. Int J Travel Med Global Health. 2015;3(2):1–6.CrossRefGoogle Scholar
  30. 29.
    Alegria M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G. Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health. 2007;97:68–75.PubMedPubMedCentralCrossRefGoogle Scholar
  31. 30.
    Jackson JS, Neighbors HW, Nesse RM, Trierweiler SJ, Torres M Methodological innovations in the National Survey of American Life. Int J Methods Psychiatr Res. 2004;13:289–98.PubMedCrossRefGoogle Scholar
  32. 31.
    Heeringa S, Wagner J, Torres M, Duan NH, Adams T, Berglund P Sample designs and sampling methods for the collaborative psychiatric epidemiology studies (CPES). Int J Methods Psychiatr Res. 2004;13:221–40.PubMedCrossRefGoogle Scholar
  33. 32.
    Turner RJ, Avison WR. Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender. J Health Soc Behav. 2003;44(4):488–505.PubMedCrossRefGoogle Scholar
  34. 33.
    Goosby BJ, Caldwell CH, Bellatorre A, Jackson JS. Ethnic differences in family stress processes among African-Americans and Black Caribbeans. J Afr Am Stud (New Brunsw). 2012;16(3):406–22 Epub 2011 Nov. 26.CrossRefGoogle Scholar
  35. 34.
    Kessler RC, Andrews G, Mroczek D, Ustun B, Wittchen H. The World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF). Int J Methods Psychiatr Res. 1998;7:171–85.CrossRefGoogle Scholar
  36. 35.
    Wittchen HU. Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994;28:57–84.PubMedCrossRefGoogle Scholar
  37. 36.
    Kessler RC, Wittchen H-U, Abelson JM, McGonagle KA, Schwarz N, Kendler KS. Kna¨uper B, Zhao S Methodological studies of the Composite International Diagnostic Interview (CIDI) in the US National Comorbidity Survey. Int J Methods Psychiatr Res. 1998;7:33–55.CrossRefGoogle Scholar
  38. 37.
    Kessler RC, Calabrese JR, Farley PA, Gruber MJ, Jewell MA, Katon W, Keck PE, Nierenberg AA, Sampson NA, Shear MK, Shillington AC, Stein MB, Thase ME, Wittchen HU. Composite International Diagnostic Interview screening scales for DSM-IV anxiety and mood disorders. Psychol Med. 2013;43(8):1625–37.PubMedCrossRefGoogle Scholar
  39. 38.
    Williams DR, Haile R, González HM, Neighbors H, Baser R, Jackson JS. The mental health of Black Caribbean immigrants: results from the National Survey of American Life. Am J Public Health. 2007;97(1):52–9.PubMedPubMedCentralCrossRefGoogle Scholar
  40. 39.
    Assari S, Lankarani MM, Moazen B. Religious beliefs may reduce the negative effect of psychiatric disorders on age of onset of suicidal ideation among Blacks in the United States. Int J Prev Med. 2012;3(5):358–64.PubMedPubMedCentralGoogle Scholar
  41. 40.
    Assari S, Moghani Lankarani M, Moghani LR. Ethnicity modifies the effects of anxiety and drug use on suicidal ideation among Black adults in the United States. Int J Prev Med. 2013;4(11a):1151.Google Scholar
  42. 41.
    Assari S Race and ethnicity, religion involvement, church-based social support and subjective health in United States: a case of moderated mediation. Int J Prev Med. 2013;4(2):208–17.PubMedPubMedCentralGoogle Scholar
  43. 42.
    Assari S, Smith JR, Caldwell CH, Zimmerman MA. Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. Society. 2015;5(1):151–70.Google Scholar
  44. 43.
    Keyes CLM. The Black–White paradox in health: flourishing in the face of social inequality and discrimination. J Pers. 2009;77(6):1677–706.PubMedCrossRefGoogle Scholar
  45. 44.
    Keyes CLM, Simoes EJ. To flourish or not: positive mental health and all-cause mortality. Am J Public Health. 2012;102(11):2164–72.PubMedPubMedCentralCrossRefGoogle Scholar
  46. 45.
    Piquero NL, Fox K, Piquero AR, Capowich G, Mazerolle P. Gender, General Strain Theory, negative emotions, and disordered eating. J Youth Adolesc. 2010;39(4):380–92.PubMedCrossRefGoogle Scholar
  47. 46.
    Grissom N, Bhatnagar S. Habituation to repeated stress: get used to it. Neurobiol Learn Mem. 2009;92(2):215–24.PubMedCrossRefGoogle Scholar
  48. 47.
    Hernandez DC, Pressler E. Gender disparities among the association between cumulative family-level stress & adolescent weight status. Prev Med. 2015;73:60–6.PubMedCrossRefGoogle Scholar
  49. 48.
    Johnson DP, Whisman MA. Gender differences in rumination: a meta-analysis. Personal Individ Differ. 2013;55(4):367–74.CrossRefGoogle Scholar
  50. 49.
    Barnes DM, Keyes KM, Bates LM. Racial differences in depression in the United States: how do subgroup analyses inform a paradox? Soc Psychiatry Psychiatr Epidemiol. 2013;48(12a):1941–9.PubMedCrossRefGoogle Scholar
  51. 50.
    Svetina M, Nastran K. Family relationships and post-traumatic growth in breast cancer patients. Psychiatr Danub. 2012;24(3):298–306.PubMedGoogle Scholar
  52. 51.
    Kleim B, Ehlers A. Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. J Trauma Stress. 2009;22(1):45–52.PubMedPubMedCentralCrossRefGoogle Scholar
  53. 52.
    Keyes CLM. The mental health continuum: from languishing to flourishing in life. J Health Soc Behav. 2002;43(2):207–22.PubMedCrossRefGoogle Scholar
  54. 53.
    Ryff, CD Keyes, CLM Hughes DL. Status inequalities, perceived discrimination, and eudaimonic well-being: do the challenges of minority life hone purpose and growth? J Health Soc Behav. 2003;44(3):275–291.Google Scholar
  55. 54.
    Gershuny BS, Thayer JF. Relations among psychological trauma, dissociative phenomena, and trauma-related distress: a review and integration. Clin Psychol Rev. 1999;19(5):631–57.PubMedCrossRefGoogle Scholar
  56. 55.
    Kubzansky L, Berkman L, Seeman T. Social conditions and distress in elderly person: findings from the MacArthur Studies of Successful Aging. J Gerontol Ser B Psychol Sci Soc Sci. 2000;55B(4):P238–46.CrossRefGoogle Scholar
  57. 56.
    Mills TL, Henretta JC. Racial, ethnic, and sociodemographic differences in the level of psychosocial distress among older Americans. Research on Aging. 2001;23:131–52.CrossRefGoogle Scholar
  58. 57.
    Mezuk B, Abdou CM, Hudson D, Kershaw KN, Rafferty JA, Lee H, Jackson JS. “White Box” epidemiology and the social neuroscience of health behaviors: the environmental affordances model. Soc Ment Health. 2013;1:3(2). doi: 10.1177/2,156,869,313,480,892.Google Scholar
  59. 58.
    Jackson JS, Knight KM, Rafferty JA. Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life-course. Am J Public Health 2010;100:933–939.Google Scholar
  60. 59.
    Finch LE, Tomiyama AJ. Comfort eating, psychological stress, and depressive symptoms in young adult women. Appetite. 2015 (15a):00334–7.Google Scholar
  61. 60.
    Jackson JS, Knight KM, Rafferty JA. Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course. Am J Public Health. 2010;100(5):933–9.PubMedPubMedCentralCrossRefGoogle Scholar
  62. 61.
    Grissom N, Bhatnagar S. Habituation to repeated stress: get used to it. Neurobiol Learn Mem. 2009;92(2):215–24.PubMedCrossRefGoogle Scholar
  63. 62.
    Weinberg MS, Bhatt AP, Girotti M, Masini CV, Day HE, Campeau S, Spencer RL. Repeated ferret odor exposure induces different temporal patterns of same-stressor habituation and novel-stressor sensitization in both hypothalamic-pituitary-adrenal axis activity and forebrain c-fos expression in the rat. Endocrinology. 2009;150(2):749–61.PubMedCrossRefGoogle Scholar
  64. 63.
    Teti M, Martin AE, Ranade R, et al. “I am a keep rising. I am a keep going forward, regardless”: exploring Black men’s resilience amid sociostructural challenges and stressors. Qual Health Res. 2012;22(4):524–33.PubMedCrossRefGoogle Scholar
  65. 64.
    Moradi B, Subich LM. A concomitant examination of the relations of perceived racist and sexist events to psychological distress for African American women. Counseling Psychol. 2003;431:451–69.CrossRefGoogle Scholar
  66. 65.
    Landrine H, Klonoff EA, Gibbs J, Manning V, Lund M. Physical and psychiatric correlates of gender discrimination: an application of the Schedule of Sexist Events. Psychol Women Q. 1995;19:473–92.CrossRefGoogle Scholar
  67. 66.
    Thomas AJ, Witherspoon KM, Speight SL. Gendered racism, psychological distress, and coping styles of African American women. Cult Divers Ethn Minor Psychol. 2008;14(4):307–14.CrossRefGoogle Scholar
  68. 67.
    Broman CL, Hamilton VL, Hoffman WS, Mavaddat R. Race, gender, and the response to stress: autoworkers’ vulnerability to long-term unemployment. Am J Community Psychol. 1995;23(6):813–42.PubMedCrossRefGoogle Scholar
  69. 68.
    Pugliesi K Gender and work stress: differential exposure and vulnerability. J Gend Cult Health. 1999;4:297–117.Google Scholar
  70. 69.
    McAdoo HP. Stress absorbing systems in Black families. Fam Relat. 1982;479–488.Google Scholar
  71. 70.
    Spitze G, Logan J. Gender differences in family support: Is there a payoff? The Gerontologist. 1989;29(1):108–13.PubMedCrossRefGoogle Scholar
  72. 71.
    Jang SJ, Johnson BR. Gender, religiosity, and reactions to strain among African Americans. Sociol Q. 2005;46(2):323–57.CrossRefGoogle Scholar
  73. 72.
    Mouzon DM. Relationships of choice: can friendships or fictive kin explain the race paradox in mental health? Soc Sci Res. 2014;44:32–43.PubMedCrossRefGoogle Scholar
  74. 73.
    Mouzon DM. Can family relationships explain the race paradox in mental health?”. J Marriage Fam. 2013;75:470–85.CrossRefGoogle Scholar
  75. 74.
    Wittink MN, Joo JH, Lewis LM, Barg FK. Losing faith and using faith: older African Americans discuss spirituality, religious activities, and depression. J Gen Intern Med. 2009;24(3):402–7.PubMedPubMedCentralCrossRefGoogle Scholar
  76. 75.
    Rutter M Resilience in the face of adversity. Protective factors and resistance to psychiatric disorder. Br J Psychiatry. 1985;147:598–611.PubMedCrossRefGoogle Scholar
  77. 76.
    Shorter-Gooden K Multiple resistance strategies: how African American women cope with racism and sexism. J Black Psychol. 2004;30(3):406–25.CrossRefGoogle Scholar
  78. 77.
    Chatters LM, Taylor RJ, Jackson JS, Lincoln KD. Religious coping among African Americans, Caribbean Blacks and Non-Hispanic Whites. J Comp Psychol. 2008;36(3):371–86.Google Scholar
  79. 78.
    DeCoster VA, Cummings S. Coping with type 2 diabetes: do race and gender matter? Soc Work Health Care. 2004;40(2):37–53.PubMedCrossRefGoogle Scholar
  80. 79.
    Heckman TG, Kochman A, Sikkema KJ, Kalichman SC, Masten J, Goodkin K. Late middle-aged and older men living with HIV/AIDS: race differences in coping, social support, and psychological distress. J Natl Med Assoc. 2000;92(9a):436–44.PubMedPubMedCentralGoogle Scholar
  81. 80.
    Amodeo M, Griffin ML, Fassler I, Clay C, Ellis MA. Coping with stressful events: influence of parental alcoholism and race in a community sample of women. Health Soc Work. 2007;32(4):247–57.PubMedCrossRefGoogle Scholar
  82. 81.
    McIlvane JM. Disentangling the effects of race and SES on arthritis-related symptoms, coping, and well-being in African American and White women. Aging Ment Health. 2007;11(5):556–69.PubMedCrossRefGoogle Scholar
  83. 82.
    Cano A, Mayo A, Ventimiglia M. Coping, pain severity, interference, and disability: the potential mediating and moderating roles of race and education. J Pain. 2006;7(7):459–468.Google Scholar
  84. 83.
    Dale D. Cumulative advantage/disadvantage and the life course: cross-fertilizing age and social science theory. J Gerontol: Series B. 2003;58(6):S327–37.CrossRefGoogle Scholar
  85. 84.
    Ulbrich P, Warheit GJ, Zimmerman RS Race, socioeconomic status, and psychological distress: an examination of differential vulnerability. J Health Soc Behav. 1989;30:131–46.PubMedCrossRefGoogle Scholar
  86. 85.
    George LK, Lynch SM. Race differences in depressive symptoms: a dynamic perspective on stress exposure and vulnerability. J Health Soc Behav. 2003;44(3):353–69.PubMedCrossRefGoogle Scholar
  87. 86.
    Hunt M, Auriemma J, Cashaw AC. Self-report bias and underreporting of depression on the BDI-II. J Pers Assess. 2003;80(1):26–30.PubMedCrossRefGoogle Scholar
  88. 87.
    Ward E, Mengesha M. Depression in African American men: a review of what we know and where we need to go from here. Am J Orthop. 2013;83(2 0 3):386–97.CrossRefGoogle Scholar
  89. 88.
    Watkins DC, Green BL, Rivers BM, Rowell KL. Depression and black men: implications for future research. J Men’s Health & Gender. 2006;3:227–35.CrossRefGoogle Scholar
  90. 89.
    Bryant-Bedell K, Waite R. Understanding major depressive disorder among middle-aged African American men. J Adv Nurs. 2010;66(9a):2050–60.PubMedGoogle Scholar
  91. 90.
    Kendrick L, Anderson NL, Moore B. Perceptions of depression among young African American men. Fam Community Health. 2007;30(1):63–73.PubMedCrossRefGoogle Scholar
  92. 91.
    Sandler IS. Guenther RT. Assessment of life stress events. Pp. 555–600 In:P Measurement Strategies in Health Psychology, edited by P. Karoly. New York: Wiley.1985.Google Scholar
  93. 92.
    McLean DE. Link BG. Unravelling complexity: strategies to refine concepts, measures, and research designs in the study of life events and mental health. Pp. 15–42 in Stress and Mental Health: Contemporary Issues and Prospects for the Future, edited by William R. Avison and Ian H. Gotlib. New York: Plenum.1994.Google Scholar
  94. 93.
    Wheaton B Sampling the Stress Universe. Pp. 77–114 In: Stress and mental health: contemporary i ssues and prospects for the future, edited by William R. Avison and Ian H. Gotlib. New York: Plenum; 1994.Google Scholar
  95. 94.
    Monroe SM. Life events assessment: current practices, emerging trends. Clin Psychol Rev. 1982;2:435–53.CrossRefGoogle Scholar
  96. 95.
    Zimmerman M Methodological issues in the assessment of life events: a review of issues and research. Clin Psychol Rev. 1983;3:339–70.CrossRefGoogle Scholar
  97. 96.
    Turner RJ, Wheaton B, Lloyd DA. The epidemiology of social stress. Am Sociol Rev. 1995;60:104–25 104–125.CrossRefGoogle Scholar
  98. 97.
    Takeuchi DT, Zane N, Hong S, Chae DH, Gong F, Gee GC, Walton E, Sue S, Alegria M. Immigration-related factors and mental disorder among Asian Americans. Am J Public Health. 2007;97:84–90.PubMedPubMedCentralCrossRefGoogle Scholar
  99. 98.
    Latkin CA, Curry AD, Hua W, Davey MA. Direct and indirect associations of neighborhood disorder with drug use and high-risk sexual partners. Am J Prev Med. 2007;32(6 Suppl):S234–41.PubMedPubMedCentralCrossRefGoogle Scholar
  100. 99.
    Williams DR, Neighbors HW, Jackson JS. Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003;93(2):200–8.PubMedPubMedCentralCrossRefGoogle Scholar
  101. 100.
    Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593–602.PubMedCrossRefGoogle Scholar
  102. 101.
    Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12 month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617–27.PubMedPubMedCentralCrossRefGoogle Scholar
  103. 103.
    Brown GW, Harris T. Social origins of depression. New York: Free Press; 1978.Google Scholar
  104. 104.
    Boardman JD, Alexander KB. Stress trajectories, health behaviors, and the mental health of black and white young adults. Soc Sci Med. 2011;72(10a):1659–66.PubMedPubMedCentralCrossRefGoogle Scholar
  105. 105.
    Holmes TH, Rahe RH. The Social Readjustment Rating Scale. J Psychosom Res. 1967;11:213–8.PubMedCrossRefGoogle Scholar

Copyright information

© W. Montague Cobb-NMA Health Institute 2015

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of MichiganAnn ArborUSA
  2. 2.Center for Research on Ethnicity, Culture and Health (CRECH), School of Public HealthUniversity of MichiganAnn ArborUSA

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