Evidence map›Paper›PMID 37328141›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2023

Intergenerational Transmission of Depression: Examining the Roles of Racism and Trauma Among Black Mothers and Youth.

Yara Mekawi, Martha N Ishiekwene, Asha N Jimenez, Maryam Ware, Sierra E Carter, Anaïs F Stenson, Tanja Jovanovic, Bekh Bradley-Davino, Abigail Powers

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
6.4field-weighted citation impact, top 4% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Racial Discrimination and Trauma Symptoms Among Black Adolescent-Caregiver Dyads.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
  7. Bidirectional Links Between Maternal and Adolescent Depression: Separating Between and Within Dyad Differences.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Yara MekawiUniversity of Louisville, Louisville, Kentucky. Electronic address: yara.mekawi@louisville.edu.
Martha N IshiekweneGeorgia State University, Atlanta, Georgia.
Asha N JimenezGeorgia State University, Atlanta, Georgia.
Maryam WareUniversity of Louisville, Louisville, Kentucky.
Sierra E CarterGeorgia State University, Atlanta, Georgia.
Anaïs F StensonWayne State University, Detroit, Michigan.
Tanja JovanovicWayne State University, Detroit, Michigan.
Bekh Bradley-DavinoEmory School of Medicine, Atlanta, Georgia; Atlanta Veterans Affairs Medical Center, North Druid Hills, Georgia.
Abigail PowersEmory School of Medicine, Atlanta, Georgia.
Georgia State University · USEmory University · USUniversity of Louisville · USWayne State University · US

Funding

Mechanisms of Intergenerational Impact of Maternal TraumaR01HD071982 · NICHD · EMORY UNIVERSITY · PI BRADLEY, BEKH · 2013 to 2017
$2.1M
NICHD NIH HHS R01 HD071982
6 · The paper itself

Abstract

objectiveRacism is a multifaceted system of oppression that disproportionately harms Black mothers and children across the lifespan. Despite reliable evidence that racism is associated with worse mental health outcomes (eg, increased depressive symptoms), less is known about potential intergenerational effects of Black mothers' experiences of racism on children's mental health, as well as how traumatic experiences influence these pathways. In this cross-sectional quantitative study, we aimed (1) to replicate the finding that maternal experiences of racism are associated with both maternal and child depression; (2) to identify whether maternal experiences of racism are indirectly associated with child depression via the effect of maternal depression; and (3) to test whether the indirect effect of racism on child depression via maternal depression is conditioned on maternal trauma.

methodBlack mothers and their children (N = 148 dyads) were recruited from an urban hospital and were interviewed about their experiences of racism, trauma, and mental health symptoms. The mothers' average age was 35.16 years (SD = 8.75) and the children's average age was 10.03 years (SD = 1.51).

resultsFirst, we found that maternal experiences of racism were associated with more severe maternal depression (r = 0.37, p < .01) as well as more severe child depression (r = 0.19, p = .02). Second, we found that maternal experiences of racism were indirectly associated with child depression through the effect of maternal depression (ab = 0.76, 95% CI = 0.26, 1.37). Third, we found that maternal trauma exposure moderated this indirect effect such that, at relatively lower levels of maternal trauma exposure, the indirect effect of maternal experiences of racism on child depression was nonsignificant (ω

conclusionThese findings suggest that the indirect effect of maternal experiences of racism on child depression through the effect of maternal depression depends on the degree of maternal trauma exposure. This study advances the literature by shedding light on key processes that can explain the intergenerational effects of racism as well as contextual factors that can exacerbate racism's downstream consequences across generations.

Indexed as

DepressionRacismAdolescentAdultChildCross-Sectional StudiesFemaleHumansMental HealthMothersdepressionintergenerationalmaternal stressracismtrauma

Identifiers

PMID37328141
PMCPMC10543601
OpenAlexW4380742468

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.