Objective

This systematic review aims to summarize the current state of knowledge on the relations between race-related stress and trauma (RST) and emotion dysregulation, synthesize empirical research examining these associations in youth of color, and discuss clinical implications.

Method

We searched PubMed, ProQuest PsycInfo, and Web of Science for relevant articles on June 24, 2021. Eligible studies were empirical studies in peer-reviewed journals or from gray literature. They included a sample of participants (5-24 years of age) from racial and ethnic minority backgrounds and at least 1 measure of RST and emotion dysregulation. We evaluated target studies using the Quality Assessment for Diverse Studies and extracted information on associations between RST and emotion dysregulation, as well as mediators and moderators.

Results

Ultimately, 29 studies (78,173 participants) met inclusion criteria. A total of 28 studies were correlational, 16 were cross-sectional, and 12 were longitudinal. Greater RST was linked to greater emotion dysregulation in 78% of observed associations. Remaining associations were not significant. Relationships were mediated by types of coping, biological factors, and identity factors. RST was also related to several wellbeing outcomes through its relations with emotion dysregulation.

Conclusion

Results consistently demonstrated that greater exposure to RST is related to greater emotion dysregulation and decreased wellbeing in youth of color. These findings suggest that clinicians should incorporate the role of RST in case conceptualizations and treatment plans for this population. Future research should use multidimensional measures of RST and include experimental studies to examine the causal relationship between RST and emotion dysregulation.

中文翻译：

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系统评价：种族相关压力和创伤与有色人种青年情绪失调之间的关联

客观的

本系统综述旨在总结目前关于种族相关压力和创伤 (RST) 与情绪失调之间关系的知识，综合检验这些有色人种青少年中这些关联的实证研究，并讨论临床意义。

方法

我们于 2021 年 6 月 24 日在 PubMed、ProQuest PsycInfo 和 Web of Science 中搜索了相关文章。符合条件的研究是同行评审期刊或灰色文献中的实证研究。他们包括来自种族和少数族裔背景的参与者样本（5-24 岁）以及至少一项 RST 和情绪失调测量。我们使用多样化研究的质量评估评估了目标研究，并提取了 RST 与情绪失调以及中介和调节者之间关联的信息。

结果

最终，29 项研究（78,173 名参与者）符合纳入标准。共有 28 项研究是相关的，16 项是横断面的，12 项是纵向的。在 78% 的观察到的关联中，更大的 RST 与更大的情绪失调有关。其余关联不显着。关系由应对类型、生物因素和身份因素调节。RST 还通过其与情绪失调的关系与多种健康结果相关。

结论

结果一致表明，更多地接触 RST 与有色人种年轻人更大的情绪失调和幸福感下降有关。这些发现表明，临床医生应该将 RST 的作用纳入该人群的病例概念化和治疗计划中。未来的研究应该使用 RST 的多维测量，包括实验研究来检查 RST 和情绪失调之间的因果关系。