ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2025
Skin-deep resilience in the Black women's experiences living with lupus study.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The WONE Index as a Multidimensional Assessment of Stress Resilience: A Development and Validation Study.Journal of medical Internet research · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe skin-deep resilience hypothesis suggests that Black Americans from disadvantaged backgrounds who attain academic or professional success despite social obstacles may paradoxically experience adverse physical health outcomes. This study examined skin-deep resilience among a sample of Black women with systemic lupus erythematosus (SLE), a disease sensitive to psychosocial stress.
methodData were from 426 Black women with SLE from metropolitan Atlanta, Georgia, United States, recruited to the Black Women's Experiences Living with Lupus (BeWELL) Study. Multivariable linear regression models examined cross-sectional associations between adverse childhood experiences (ACEs) and SLE disease activity, and whether educational attainment and racial discrimination moderated this relationship.
resultsThere was a significant three-way interaction between educational attainment, ACEs, and racial discrimination,
conclusionFindings indicate that among Black women living with SLE, resilience to childhood adversity conferred worse physical health resulting from greater exposure to racial discrimination. Although educational attainment is traditionally conceptualized as protective for health, it may come with unintended physiological tolls for high-achieving Black women with SLE from disadvantaged backgrounds. Interventions aimed at "building resilience" without addressing underlying structural and social inequities could exacerbate racial health inequities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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