Discrimination, Church Support, Personal Mastery, and Psychological Distress Among Black People in the United States

Objective: This study used the stress process model to test the mediating effects of personal mastery and moderating effects of church-based social support on the relationship between everyday discrimination and psychological distress across three age groups of African American and Afro-Caribbean adults. Methods: Using a national sample of 5008 African Americans and Afro-Caribbean adults from the National Survey of American Life Study, this study employs structural equation modeling to investigate the relationships between everyday discrimination, personal mastery, church-based social support, and psychological disorders. Results: Everyday discrimination was an independent predictor of psychiatric disorders across all groups. Group- and age-specific comparisons revealed significant differences in the experience of everyday discrimination and psychiatric disorders. Mastery was a partial mediator of the relationship between discimination and psychiatric disorder among Afro-Caribbeans while church support was a significant moderator only among the young and older African Americans. Implications: Together, our study findings provide useful first steps towards developing interventions to reduce the adverse psychological impacts of everyday discrimination on African Americans and Afro-Caribbeans. Intervention efforts such as individual psychotherapy aimed to improve Afro-Caribbean individuals’ sense of mastery would be a partial solution to alleviating the adverse effects of discrimination on their psychological health.