Evidence map›Paper›PMID 32597677›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2020

Persistence of skin-deep resilience in African American adults.

Gene H Brody, Tianyi Yu, Edith Chen, Gregory E Miller

Abstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

  1. Article
  2. 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
    Article
  3. Article
  4. Article
  5. Skin-deep resilience in Black youth: Striving and sleep reactivity to daily stress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Skin-deep resilience in the Black women's experiences living with lupus study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  12. Article
  13. Changes in daily stress reactivity and changes in physical health across 18 years of adulthood.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  14. Reflections on resilience.Development and psychopathology · 2024
    Article
  15. Article
  16. Social Defeat Stress Model for Adolescent C57BL/6 Male and Female Mice.Journal of visualized experiments : JoVE · 2024
    Article
  17. Socioeconomic disadvantage and high-effort coping in childhood: evidence of skin-deep resilience.Journal of child psychology and psychiatry, and allied disciplines · 2024
    Article
  18. Article
  19. Article
  20. 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

4 authors.

Gene H BrodyCenter for Family Research, University of Georgia.ORCID 0000-0002-2244-6797
Tianyi YuCenter for Family Research, University of Georgia.
Edith ChenDepartment of Psychology, Northwestern University.
Gregory E MillerDepartment of Psychology, Northwestern University.

Funding

RURAL AFRICAN AMERICAN YOUNG ADULTS' PATHWAYS TO PSYCHOSOCIAL AND PHYSICAL HEALTHR01HD030588 · NICHD · UNIVERSITY OF GEORGIA (UGA) · PI EHRLICH, KATHERINE BABCOCK · 1993 to 2023
$12.0M
Vulnerability to Drug Use & HIV: Advancing Prevention for Rural African AmericansP30DA027827 · NIDA · UNIVERSITY OF GEORGIA · PI BRODY, GENE H. · 2009 to 2018
$10.2M
Research Support CoreP50DA051361 · NIDA · UNIVERSITY OF GEORGIA · PI EHRLICH, KATHERINE BABCOCK · 2020 to 2024
$9.7M
National Institute of Child Health and Human DevelopmentNICHD NIH HHS R01 HD030588NIDA NIH HHS P30 DA027827NIDA NIH HHS P50 DA051361
6 · The paper itself

Abstract

objectiveThe skin-deep resilience pattern suggests that, for low-socioeconomic-status African American youths, the ability to maintain high self-control and to persist with efforts to succeed may act as a double-edged sword, facilitating academic success and adjustment while undermining physical health. We extend research by following a sample of rural African Americans, asking whether the skin-deep resilience pattern, evident during adolescence, persists into adulthood by increasing susceptibility to metabolic syndrome (MetS) and insulin resistance (IR).

methodsThe sample included 368 11-year-old African Americans, their parents, and their teachers. Parents provided data on family poverty across ages 11-18 years. Teachers provided data on youths' planful self-control across ages 11-13 years. At age 27 years, participants completed questionnaires about educational attainment and psychological adjustment and provided a fasting blood sample from which MetS and IR were assessed.

resultsRegardless of years spent living in poverty, planful self-control during childhood was associated with college graduation (p < .001) and with low levels of depressive symptoms (p = .016) and antisocial behavior (p = .028). For participants exhibiting high levels of self-control, however, living more years in poverty across adolescence was associated with a greater number of MetS components that met clinical cutoff criteria (p = .018) and greater IR (p = .016) during adulthood.

conclusionsThe skin-deep resilience pattern persists into adulthood, particularly among those who spent more of their adolescence living in poverty, and increases vulnerability to MetS and IR while it also promotes college graduation and positive psychological adjustment. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Indexed as

Resilience, PsychologicalAdolescentAdultBlack or African AmericanChildFemaleHumansMaleUnited StatesYoung Adult

Identifiers

PMID32597677
PMCPMC8169037

What OpenQuestion holds

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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.