Evidence map›Paper›PMID 30818034›Full record

ArticleBrain, behavior, and immunity2019

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

Edith Chen, Madeleine U Shalowitz, Rachel E Story, Robin Hayen, Adam K K Leigh, Lauren C Hoffer, Makeda K Austin, Phoebe H Lam, Gene H Brody, Gregory E Miller

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. The costs and benefits of striving: Subclinical cardiovascular disease, depression, and hostility as children navigate adversity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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  6. Reflections on resilience.Development and psychopathology · 2024
    Article
  7. Review
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  9. What Are the Health Consequences of Upward Mobility?Annual review of psychology · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Neuroimaging Markers of Resiliency in Youth at Clinical High Risk for Psychosis: A Qualitative Review.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2021
    Review
  14. Persistence of skin-deep resilience in African American adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Edith ChenNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA. Electronic address: edith.chen@northwestern.edu.
Madeleine U ShalowitzNorthShore University HealthSystem, Center for Clinical Research Informatics, Evanston, IL, USA.
Rachel E StoryNorthShore University HealthSystem, Department of Medicine, Evanston, IL, USA.
Robin HayenNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Adam K K LeighNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Lauren C HofferNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Makeda K AustinNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Phoebe H LamNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Gene H BrodyUniversity of Georgia, Center for Family Research, Athens, GA, USA.
Gregory E MillerNorthwestern University, Institute for Policy Research & Department of Psychology, Evanston, IL, USA.
Northwestern University · USCenter for Clinical Research (United States) · USNorthShore University HealthSystem · USUniversity of Georgia · US

Funding

Multi-Level Understanding of Social Contributors to SES Disparities in AsthmaR01HL108723 · NHLBI · NORTHWESTERN UNIVERSITY · PI CHEN, EDITH · 2012 to 2016
$2.0M
NHLBI NIH HHS R01 HL108723
6 · The paper itself

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 youth. In minority youth struggling with school, high levels of self-control are detrimental to asthma inflammatory profiles and clinical outcomes. This suggests the need for health monitoring to be incorporated into academic programs to ensure that 'overcoming the odds' does not lead to heightened health risks in minority youth.

Indexed as

Academic SuccessAdolescentAsthmaBlack or African AmericanChildCytokinesDepressionFemaleHispanic or LatinoHumansMaleMental DisordersMental HealthMinority GroupsRisk FactorsSelf-ControlCytokinesAsthmaImmunePsychological stressRace

Identifiers

PMID30818034
PMCPMC6660352
OpenAlexW2916363295

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.