COVID-19 Racism and Chinese American Families' Mental Health: A Comparison between 2020 and 2021.

This study compared rates of multiple forms of COVID-19 racism-related discrimination experiences, fear/worries, and their associations with mental health indices among Chinese American parents and youth between 2020 and 2021. Chinese American parents of 4- to 18-year-old children and a subsample of their 10- to 18-year-old adolescents completed surveys in 2020 and 2021. A high percentage of Chinese American parents and their children continued to experience or witness anti-Chinese/Asian racism both online and in person in 2021. Parents and youth experienced less vicarious discrimination in person but more direct discrimination (both online and in person) and reported poorer mental health in 2021 than in 2020. Associations with mental health were stronger in 2021 than in 2020 for parents' and/or youth's vicarious discrimination experiences, perceptions of Sinophobia, and government-related worries, but weaker only for parents' direct discrimination experiences. The spillover effect from parents' vicarious discrimination experiences and Sinophobia perceptions to all youth mental health indices were stronger in 2021 than in 2020. Chinese American families experienced high rates of racial discrimination across multiple dimensions, and the detrimental impacts on their mental health were still salient in the second year of the pandemic. Vicarious and collective racism may have even stronger negative impacts on mental health and well-being later in the pandemic. Decreasing health disparities for Chinese Americans and other communities of color requires extensive, long-term national efforts to eliminate structural aspects of racism.

COVID-19 Stressful Life Events and Chinese Adolescents' Mental Health: Examining Resilience, Peer Relationship, and Parenting as Moderators

The current study examines intrapersonal characteristics or factors (i.e., resilience), peer (i.e., quality of peer relationships), and family processes (i.e., parental involvement, critical comparison) as potential risk and protective factors for mental health of Chinese adolescents during COVID- 19 pandemic. A total of 504 seventh-grade students (52% boys) and their caregivers in Beijing, China completed an online survey in September 2020. Youth reported experiencing various COVID-19-related stressful life events (i.e., conflicts with parents, poor learning environment and efficiency, family financial pressure), and about 15% reported slightly elevated scores of mental health difficulties. Findings suggested personal resilience and quality of peer relationship predicted positive mental health (i.e., covitality or co-occurrence of positive psychological dispositions) and less mental health difficulties. Parent's critical comparison intensified the negative link between stressful life events and youth mental health. Implications for promoting youth mental health as schools reopen are discussed.

The relations between COVID-19 stress, social connectedness, and mental health: a longitudinal investigation comparing Chinese and American college students

College students in the U.S. and China have faced significant challenges during COVID-19. Data were collected from 120 Amerian students (Mage = 19.48, SDage = 1.30) and 119 Chinese students (Mage = 18.61, SDage = 0.91) in November, 2019 and March, 2020 to examine risk and protective factors for mental health (depression, anxiety, life satisfaction) during the pandemic, and potential cultural and gender differences. Results indicated that the frequency and impact of COVID-19-related stressful life events predicted deterioration of mental health over time, while social connectedness before the pandemic buffered the negative impact of COVID-19 stressful life events on life satisfaction. Chinese students reported higher levels of social connectedness and larger impact of COVID-19-related stressful life events, but lower frequency of stressful life events than American students. Stressful life events and social connectedness predicted mental health outcomes similarly for Chinese and American students. Gender differences were identified. Females reported more stressful life events, higher levels of depression, anxiety and less life satisfaction during COVID-19 than males. In addition, the frequency of stressful life events had a stronger impact on depression and anxiety for females compared with males. It is important to implement prevention and intervention programs to promote social connections and wellbeing among college students, especially among female students.

Asian American University Students' Adjustment, Coping, and Stress during the COVID-19 Pandemic

The COVID-19 outbreak caused global disruptions in all aspects of life. Social distancing regulations were enforced in an attempt to halt virus spread. Universities across the country closed for in-person instruction and activities, transitioning to remote learning. University students faced unprecedented challenges and stressors, especially Asian American students due to COVID-19-associated xenophobic attitudes, harassment, and assault against people of Asian complexions. The purpose of this study was to examine the experiences, coping, stress, and adjustment of Asian American students during the COVID-19 pandemic. Secondary analyses were conducted on the survey responses of 207 participants (n = 103 Asian American university students, n = 104 non-Asian American students) from a larger-scale study, which focused on adaptation to the university, perceived stress, ways of coping, and COVID-19-specific factors. A series of independent samples t tests and regression analyses showed significant relationships between some university adjustment factors, ways of coping methods, and race with perceived stress and COVID-19 factors. Implications, limitations, and ideas for future directions in research are discussed.

Asian American University Students' Adjustment, Coping, and Stress during the COVID-19 Pandemic.

The COVID-19 outbreak caused global disruptions in all aspects of life. Social distancing regulations were enforced in an attempt to halt virus spread. Universities across the country closed for in-person instruction and activities, transitioning to remote learning. University students faced unprecedented challenges and stressors, especially Asian American students due to COVID-19-associated xenophobic attitudes, harassment, and assault against people of Asian complexions. The purpose of this study was to examine the experiences, coping, stress, and adjustment of Asian American students during the COVID-19 pandemic. Secondary analyses were conducted on the survey responses of 207 participants (n = 103 Asian American university students, n = 104 non-Asian American students) from a larger-scale study, which focused on adaptation to the university, perceived stress, ways of coping, and COVID-19-specific factors. A series of independent samples t tests and regression analyses showed significant relationships between some university adjustment factors, ways of coping methods, and race with perceived stress and COVID-19 factors. Implications, limitations, and ideas for future directions in research are discussed.

Age-varying associations between Chinese American parents' racial-ethnic socialization and children's difficulties during the COVID-19 pandemic

Parental racial-ethnic socialization (RES) can be an important resource for Chinese American youth as they navigate the highly racialized and Sinophobic context of the coronavirus disease (COVID-19) pandemic. We used time-varying association models to examine Chinese American parents' engagement in six types of racial-ethnic socialization (RES) practices during the COVID-19 pandemic and their associations with child difficulties across child ages 4-18 years and child gender. Five hundred Chinese American parents (Mage = 43.5 years, SD = 6.5;79% mothers) with 4-18-year-old children (Mage = 11.7 years, SD = 3.9;48% girls) reported on their RES practices and children's adjustment difficulties. Parents' use of maintenance of heritage culture and cultural pluralism RES did not vary for children at different ages, whereas they used more awareness of discrimination RES for older children than younger children. Parents engaged in more maintenance of heritage culture RES during early adolescence and more concealing Chinese connection RES during middle adolescence with their daughters than sons. Maintenance of heritage culture and cultural pluralism RES contributed to fewer child difficulties during early to middle adolescence, respectively. However, avoidance of outgroups and concealing Chinese connection RES strategies contributed to more child difficulties across most child ages. Awareness of discrimination and awareness of COVID-19 discrimination RES were associated with more child difficulties during early to middle adolescence during the pandemic, with the association peaking at around child age 14. Findings highlight the role of child age and gender in parents' RES and implications for their adjustment during COVID-19, and inform culturally and developmentally tailored interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement This study suggests that Chinese American parents emphasize different racial-ethnic socialization practices with their children of different ages and gender during the racialized coronavirus disease (COVID-19) pandemic. Early to middle adolescence appears to be a key developmental period during which certain parent racial-ethnic socialization practices are more strongly associated with child adjustment. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

COVID-19 Stressful Life Events and Chinese Adolescents’ Mental Health: Examining Resilience, Peer Relationship, and Parenting as Moderators

The current study examines intrapersonal characteristics or factors (i.e., resilience), peer (i.e., quality of peer relationships), and family processes (i.e., parental involvement, critical comparison) as potential risk and protective factors for mental health of Chinese adolescents during COVID- 19 pandemic. A total of 504 seventh-grade students (52% boys) and their caregivers in Beijing, China completed an online survey in September 2020. Youth reported experiencing various COVID-19-related stressful life events (i.e., conflicts with parents, poor learning environment and efficiency, family financial pressure), and about 15% reported slightly elevated scores of mental health difficulties. Findings suggested personal resilience and quality of peer relationship predicted positive mental health (i.e., covitality or co-occurrence of positive psychological dispositions) and less mental health difficulties. Parent’s critical comparison intensified the negative link between stressful life events and youth mental health. Implications for promoting youth mental health as schools reopen are discussed.

Need for cognitive closure and trust towards government predicting pandemic behavior and mental health: comparing United States and China.

Residents of the United States and China have responded very differently to the implementation of COVID-19 preventive measures. This study introduces the uncertainty reduction theory and the need for cognitive closure (NFC) framework into the context of a public health crisis and compares models across the United States and China. Specifically, we collected survey data to examine how NFC, trust in government, and attitudes toward preventive measures predicted pandemic compliance behaviors, depressive symptoms, and life satisfaction among 745 college students (399 from China and 346 from the United States). Chinese participants trusted their government more, believed COVID preventive measures to be more beneficial, and reported more pandemic compliance and fewer depressive symptoms than U.S. PARTICIPANTS: Trust in government and attitudes towards preventive measures mediated the relationships between NFC and pandemic compliance behaviors among Chinese participants but not U.S. PARTICIPANTS: NFC predicted better mental health outcomes among participants in China compared to U.S. PARTICIPANTS: Trust in government mediated NFC and mental health outcomes among Chinese participants. Trust in government predicted better mental health (fewer depressive symptoms and more life satisfaction) in both the United States and China. Theoretical and practical implications of these findings for promoting mental health and pandemic compliance behavior during the COVID-19 pandemic are discussed.

COVID-19 stressful life events and mental health: Personality and coping styles as moderators.

OBJECTIVE: To examine the role of COVID-19-specific stressful life events (SLE) in predicting depression, anxiety, and life satisfaction, and if personality traits (extraversion and neuroticism), and coping styles (problem-focused coping and avoidance coping) moderated these relations. PARTICIPANTS: Data were collected from 371 college students (Mage = 20.59; SDage = 2.58) from one large university of the Mid-Atlantic region in the U.S. METHODS: Participants completed an online survey measuring COVID-19 related stressful life events (adapted from a tool developed to measure stressful life events during the SARS pandemic; Costa et al., 2001; Main et al., 2011), personality (the Mini-Markers; Saucier, 1994), coping styles (by using a measure developed by Aldrige-Gerry et al., 2011), depression (PHQ-9; Kroenke et al., 2011), anxiety (GAD-7; Spitzer et al., 2006), and life satisfaction (Student's Life Satisfaction Scale, Huebner, 1996) between March 27th and April 27th, 2020. RESULTS: Path analysis results showed that extraversion and avoidance coping style moderated the effects of SLE on depression and anxiety symptoms; neuroticism and avoidance coping style moderated the relation between SLE and life satisfaction. The moderation results also differed by gender. CONCLUSIONS: These findings indicated that the COVID-19 pandemic had deleterious effects on college students' mental health, where extraversion emerged as a protective factor, while neuroticism and avoidance coping style were risk factors. These findings underscore the importance of paying special attention to college students' mental health needs and promoting appropriate coping strategies in the light of the current pandemic.

Parent work-life conflict and adolescent adjustment during COVID-19: Mental health and parenting as mediators.

Coronavirus disease (COVID-19) pandemic is an unprecedented challenging time for parents and adolescents. The present study examines the role of parent work-life conflict on adolescent adjustment (i.e., academic engagement and mental health) and family processes (i.e., parental mental health and parenting) as potential mediators for this association. A total of 692 middle school students (53.2% boys; Mage = 13.54 years, SDage = 0.58) and their parents (29.6% fathers and 70.4% mothers; Mage = 44.75 years, SDage = 4.14 years) completed an online survey in May 2020 in Beijing, China. Results indicated that many parents (24.6%) experienced work-life conflicts amid the COVID-19 pandemic. Findings also showed that parent work-life conflict was negatively associated with youth academic engagement and mental health indirectly through parental mental health difficulties and parenting behavior (parental control, autonomy granting, and parental involvement). In addition, parental mental health difficulties had direct and indirect effects on youth adjustment via parenting behaviors, such that parental involvement and autonomy granting predicted greater academic engagement and covitality (co-occurrence of positive traits and positive mental health), whereas the parental control predicted youth mental health difficulties. Our findings extend prior research by examining the pathways linking parental work-life conflict to youth adjustment during COVID-19. Findings are discussed in terms of how to better support families and promote better youth academic engagement and well-being during COVID-19. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The roles of resilience, peer relationship, teacher-student relationship on student mental health difficulties during COVID-19.

The present cross-sectional study aimed to (a) expand our understanding of the role of risk and resilience factors for adolescent adjustment during coronavirus disease (COVID-19) and (b) examine personal resilience, peer and teacher-student relationships as protective factors against mental health difficulties. A total of 3,662 students from 4th to 11th grades in Urumchi, China completed a survey in June 2020. Urumchi is an ethnically diverse city, with nearly 40% of the population in this school district being ethnic minority students. The schools of Urumchi closed in February 2020 and reopened in April 2020. The results of latent moderated structural equation modeling suggested that peer victimization was associated with greater mental health difficulties in students. Personal resilience and teacher-student relationships were promotive factors for better mental health and also served as a buffer from the negative effect of peer victimization on mental health. The results also showed divergent patterns for elementary versus secondary school students as well as gender differences. Implications for how schools can support students during COVID-19 were discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Asian Americans' racial discrimination experiences during COVID-19: Social support and locus of control as moderators

Using a cross-sectional survey design, we examined whether social support was a stress buffer against direct online and vicarious general racial discrimination for 218 Asian/Asian American college students in the early phase of the COVID-19 pandemic, and whether the buffering effect depended on external locus of control (external LOC). An alarming percentage of Asian/Asian American students reported direct online (58.7%) and vicarious racial discrimination (88.1%). Moderated moderation with bootstrap analysis revealed detrimental effects of direct online and vicarious racial discrimination on mental health, and protective effects of social support and low external LOC. Importantly, we found several significant Racial discrimination x Social support x External LOC interaction effects. High levels of social support were only consistently found to be a significant buffer against direct online racial discrimination for those with moderate-to-high external LOC. Results indicated that the buffering effect of social support depended on external LOC and the type of racial discrimination during the current pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement Asian/Asian American college students with limited social support and high external LOC were especially vulnerable to racism-related psychological symptoms during the early phase of the COVID-19 pandemic. High levels of social support were a buffer against direct online racial discrimination for those with high external LOC. Social support may be less effective as a stress buffer for vicarious racial discrimination. It is important to promote coping strategies that are consistent with one's values and beliefs and responsive to the nature of the racial stressors. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Chinese American adolescents' experiences of COVID-19 racial discrimination: Risk and protective factors for internalizing difficulties.

OBJECTIVE: The coronavirus disease 2019 (COVID-19) pandemic has fueled anti-Asian racism and xenophobia in the United States, which negatively impact Asian Americans' adjustment. To identify risk and protective factors for Chinese American adolescents' mental health, the present study examined: (1) the associations between Chinese American adolescents' experiences of COVID-19-related racial discrimination and their internalizing difficulties; (2) the moderating roles of: (a) adolescents' bicultural identity integration (BII; harmony and blendedness dimensions separately) and (b) parents' promotion of mistrust ethnic-racial socialization (PMERS); and (c) the interplay between BII and PMERS in the associations between racial discrimination and internalizing difficulties. METHOD: Participants included 211 Chinese American adolescents of 10-18 years old (M age = 13.92, SD = 2.33; 48% girls) and their parents (M age = 46.18 years, SD = 5.17; 81% mothers). RESULTS: Overall, adolescents' experiences of COVID-19-related racial discrimination were associated with more internalizing difficulties, and this association was buffered by BII harmony and blendedness and exacerbated by PMERS. However, a complex interplay among specific BII dimensions and parental PMERS in the associations between racial discrimination and adolescent internalizing problems was revealed. Adolescents with lower levels of BII blendedness were more vulnerable to the negative effects of racial discrimination on their internalizing problems and more susceptible to their parents' PMERS; adolescents who reported higher levels of BII harmony and perceived lower levels of parental PMERS were more protected from the negative effects of racial discrimination on their internalizing problems. CONCLUSION: Both adolescents' and parents' contributions should be considered simultaneously in promoting resilience in Chinese American families. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

COVID-19 Racism and Mental Health in Chinese American Families.

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has fueled xenophobia against Chinese Americans. We examined the rates of 6 types of COVID-19 racism and racial discrimination experienced by Chinese American parents and youth and the associations with their mental health. METHODS: We recruited a population-based sample of Chinese American families to participate in this self-reported survey study conducted from March 14, 2020, to May 31, 2020. Eligible parent participants identified as ethnically/racially Chinese, lived in the United States, and had a 4- to 18-year-old child; their eligible children were 10 to 18 years old. RESULTS: The sample included 543 Chinese American parents (mean [SD] age, 43.44 [6.47] years; 425 mothers [78.3%]), and their children (N = 230; mean [SD] age, 13.83 [2.53] years; 111 girls [48.3%]). Nearly half of parents and youth reported being directly targeted by COVID-19 racial discrimination online (parents: 172 [31.7%]; youth: 105 [45.7%]) and/or in person (parents: 276 [50.9%]; youth: 115 [50.2%]). A total of 417 (76.8%) parents and 176 (76.5%) youth reported at least 1 incident of COVID-19 vicarious racial discrimination online and/or in person (parents: 481 [88.5%]; youth: 211 [91.9%]). A total of 267 (49.1%) parents and 164 (71.1%) youth perceived health-related Sinophobia in America, and 274 (50.4%) parents and 129 (56.0%) youth perceived media-perpetuated Sinophobia. Higher levels of parent- and youth-perceived racism and racial discrimination were associated with their poorer mental health. CONCLUSIONS: Health care professionals must attend to the racism-related experiences and mental health needs of Chinese Americans parents and their children throughout the COVID-19 pandemic via education and making appropriate mental health referrals.