ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2023
Network stressors, personal stressors, and ambulatory blood pressure in African-American women-Does superwoman schema play a role?
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 19 citations in OpenAlex.
- The role of the 'obligation to help others' within the superwoman schema: implications for physical activity in African American women with low activity levels.Journal of behavioral medicine · 2026Trial
- Balancing Resilience and Vulnerability: An Integrative Review of the Strong Black Woman Schema in Nursing Education and Leadership.Nursing open · 2026Review
- Heightened Risk of Myocardial Ischemia With Mental Stress Among Black Women Survivors of a Myocardial Infarction in Midlife.Journal of the American Heart Association · 2026Article
- Validating the factor structure of the superwoman schema instrument in a cohort of black women with SLE.Lupus · 2026Article
- Superwoman schema, motherhood status, and subclinical atherosclerosis among African American women.Psychoneuroendocrinology · 2026Article
- Police-related Stress and Carotid Intima Media Thickness Among African American Women.Biopsychosocial science and medicine · 2026Article
- Associations between obesity class and ambulatory blood pressure curves in African American women.Obesity (Silver Spring, Md.) · 2025Article
- Superwoman schema and arterial stiffness in Black American women: assessing the role of environmental mastery.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- "I Could Feel His Sadness and Disdain as He Told Me": A Qualitative Analysis of Black Women's Accounts of Vicarious Racism.Sociological perspectives : SP : official publication of the Pacific Sociological Association · 2024Article
- Associations Between the Superwoman Schema, Stress, and Cardiovascular Health Among African-American Women.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Does stress from incarceration of family and friends contribute to signs of early vascular ageing in African American women?Journal of epidemiology and community health · 2024Article
- Protocol of the HARMONY study: A culturally relevant, randomized-controlled, stress management intervention to reduce cardiometabolic risk in African American women.Contemporary clinical trials · 2024Article
- Rationale, design, and participant characteristics of the FAITH! Heart Health+ study: An exploration of the influence of the social determinants of health, stress, and structural racism on African American cardiovascular health.Contemporary clinical trials · 2024Article
- The Role of Psychosocial Stress on Cardiovascular Disease in Women: JACC State-of-the-Art Review.Journal of the American College of Cardiology · 2024Review
- Data Interoperability for Ambulatory Monitoring of Cardiovascular Disease: A Scientific Statement From the American Heart Association.Circulation. Genomic and precision medicine · 2024Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveLife stressors have been linked to cardiovascular risk; however, studies typically focus on stressors that directly impact the individual, that is, personal stressors. Research suggests that women, particularly African-American women, may be more vulnerable to network stressors that involve family members and friends-potentially due to norms around needing to be a "Superwoman." Yet few studies have examined these phenomena.
methodWe examined associations between network, versus personal, stressors, and elevated blood pressure (BP) in N = 392 African-American women aged 30-46. Questionnaire-assessed negative life events were classified into upsetting network or personal stressors. BP was assessed in clinic and via 48-hr ambulatory monitoring. Linear and logistic regression models examined associations between type of stressors and 48-hr daytime and nighttime systolic BP (SBP) and diastolic BP (DBP), and sustained hypertension after adjusting for relevant covariates. Interactions with questionnaire-assessed superwoman schema (SWS) were tested in exploratory analyses.
resultsIn age and sociodemographic-adjusted models, network stressors were significantly associated with daytime SBP, β (SE) = 2.01 (0.51), p ≤ .0001, and DBP, β (SE) = 1.59 (0.37), p ≤ .0001, but personal stressors were not (p values > .10). Associations persisted after adjustment for cardiovascular and psychosocial risk factors. Patterns were similar for nighttime BP and sustained hypertension. There were no interactions with SWS.
conclusionsNetwork, but not personal, stressors were associated with elevated rates of daytime SBP and DBP, as well as sustained hypertension in African-American women, irrespective of SWS endorsement. Future research is needed to determine whether stress-management interventions focused on network stressors might impact BP in this high-risk population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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