Cited by 79Racial and Ethnic Identity ResearchSocial and Intergroup PsychologyCounseling Practices and Supervision

The Associations Between Internalized Racism, Racial Identity, and Psychological Distress

Open access
Willis, Henry A., Sosoo, Effua E., Bernard, Donte L., Neal, Aaron, Neblett, Enrique W.·2021·Emerging Adulthood

Abstract

Internalized racism, or the acceptance of negative stereotypes about one’s own racial group, is associated with psychological distress; yet, few studies have explored the longitudinal impact of internalized racism on the psychological well-being of African American emerging adults. Furthermore, racial identity’s role as a protective factor in the context of internalized racism remains unclear. This study examined the longitudinal impact of internalized racism on psychological distress (depressive and anxiety symptoms) and the moderating role of racial identity beliefs among 171 African American emerging adults. Full cross-lagged panel models revealed no main effects of internalized racism beliefs on psychological distress. However, several racial identity beliefs moderated the relationship between internalized racism beliefs and changes in psychological distress over a year later. Initial levels of alteration of physical appearance, internalization of negative stereotypes, and hair change internalized racism beliefs were related to subsequent psychological distress, but only for those with certain levels of racial centrality, private regard, public regard, and assimilationist, humanist, and nationalist ideology beliefs. These findings suggest that, over time, internalized racism and racial identity beliefs can combine to influence the psychological well-being of African American emerging adults.

AI snapshot

Written from the paper’s full text.

TL;DR

This longitudinal study tested whether internalized racism beliefs predict later depressive and anxiety distress among African American emerging adults and whether racial identity moderates those associations. Full cross-lagged models found no main effects of internalized racism on distress, but several racial identity beliefs moderated the links between specific internalized racism dimensions and later distress.

Key findings

  • In full cross-lagged panel models, internalized racism beliefs at W1 did not predict greater W3 depression or anxiety distress after covariates: e.g., biased representation of history → depression β = −0.08, p = .30; alteration of physical appearance → anxiety β = −0.07, p = .25; internalization of negative stereotypes → anxiety β = 0.07, p = .30; hair change → depression β = −0.09, p = .20.
  • Internalization of negative stereotypes interacted with racial centrality for W3 anxiety (β = 0.15, p = .04): at high racial centrality, internalization of negative stereotypes was positively associated with anxiety (b = .15, p = .03), while it was unrelated at low and moderate centrality.
  • Hair change beliefs interacted with private regard for W3 depression (β = −0.21, p = .01): at high private regard, hair change beliefs were negatively associated with depression (b = −.25, p = .01), but unrelated at low and moderate private regard.
  • Hair change beliefs also interacted with racial centrality (β = 0.22, p = .00), private regard (β = −0.17, p = .01), public regard (β = 0.15, p = .02), and nationalist ideology (β = −0.14, p = .03) for W3 anxiety; alteration of physical appearance interacted with private regard (β = −0.20, p = .01) and humanist ideology (β = −0.13, p = .04) for W3 anxiety.

Methods

  • Longitudinal study of 171 African American emerging adults (69% female; W1 mean age = 18.3, SD = .47, range 18–20) recruited from a predominantly White institution; data came from two successive cohorts beginning in 2013, with W1 and W3 approximately 8 months apart.
  • Measures included the Internalized Racial Oppression Scale (IROS) for internalized racism dimensions, the short form of the Multidimensional Inventory of Black Identity (MIBI-S) for racial identity, the Daily Life Experiences Scale (DLE) for racial discrimination, and the SCL-90-R depression and anxiety subscales for psychological distress.
  • Analyses used full cross-lagged panel models in Mplus v. 8.4 with full information maximum likelihood estimation; each internalized racism subscale was modeled separately, with all seven racial identity dimensions and their two-way interactions with internalized racism included simultaneously, controlling for initial distress and relevant covariates.

Limitations

  • The paper states limits to generalizability because the sample was from a single geographic location and predominantly female; some internalized racism subscales had low reliability, and some racial identity scales had modest reliability due to few items, possibly reducing detection of racial identity effects.
  • The paper states that conceptual similarities and differences between internalized racism and racial identity remain unresolved, and future research should clarify how they are distinct.
  • The text also makes evident that some findings were based on interactions that “approached significance” and require careful evaluation in a larger sample, and all measures were self-report.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1177/21676968211005598

Cites

53 of 53 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

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  • Findingown data

    Initial levels of hair change internalized racism beliefs were related to subsequent psychological distress only for those with certain levels of racial identity beliefs.

    “Initial levels of alteration of physical appearance, internalization of negative stereotypes, and hair change internalized racism beliefs were related to subsequent psychological distress, but only for those with certain levels of racial centrality, private regard, public regard, and assimilationist, humanist, and nationalist ideology beliefs.”
    Quote in the paperSubstantial claim
  • Findingown data

    Full cross-lagged panel models revealed no main effects of internalized racism beliefs on psychological distress.

    “Full cross-lagged panel models revealed no main effects of internalized racism beliefs on psychological distress.”
    Quote in the paperSubstantial claim
  • Findingown data

    Initial levels of internalization of negative stereotypes internalized racism beliefs were related to subsequent psychological distress only for those with certain levels of racial identity beliefs.

    “Initial levels of alteration of physical appearance, internalization of negative stereotypes, and hair change internalized racism beliefs were related to subsequent psychological distress, but only for those with certain levels of racial centrality, private regard, public regard, and assimilationist, humanist, and nationalist ideology beliefs.”
    Quote in the paperSubstantial claim
  • Findingown data

    Several racial identity beliefs moderated the relationship between internalized racism beliefs and changes in psychological distress over a year later.

    “However, several racial identity beliefs moderated the relationship between internalized racism beliefs and changes in psychological distress over a year later.”
    Quote in the paperSubstantial claim
  • Findingown data

    Initial levels of alteration of physical appearance internalized racism beliefs were related to subsequent psychological distress only for those with certain levels of racial identity beliefs.

    “Initial levels of alteration of physical appearance, internalization of negative stereotypes, and hair change internalized racism beliefs were related to subsequent psychological distress, but only for those with certain levels of racial centrality, private regard, public regard, and assimilationist, humanist, and nationalist ideology beliefs.”
    Quote in the paperSubstantial claim
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    Findingown data

    Women and participants with more prior discrimination experiences at W1 reported decreased alteration of physical appearance beliefs at W3.

    “Women and participants with more prior discrimination experiences at W1 reported decreased alteration of physical appearance beliefs at W3.”
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    Findingown data

    Alteration of physical appearance beliefs were negatively associated with anxiety distress at high levels of private regard, but unrelated to anxiety distress at low and moderate levels of private regard.

    “Simple slope analyses revealed that alteration of physical appearance beliefs were negatively associated with anxiety distress at high levels of private regard (b = −.18, p = .02), but unrelated to anxiety distress at low (b = .05, p = .50) and moderate (b = −.06, p = .25) levels of private regard (Figure 2A).”
    Quote in the paperSubstantial claim
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    Findingown data

    The model examining hair change beliefs and psychological distress had excellent fit to the data (CFI = 1.00, TLI = 1.00, RMSEA = .00 [.00, .04], χ2(99) = 95.45, p = .58).

    “The fit indices for the model examining hair change beliefs and psychological distress (Figure 1D) suggested excellent fit to the data (CFI = 1.00, TLI = 1.00, RSMEA = .00 [.00, .04], χ2(99) = 95.45, p = .58).”
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    Findingown data

    Several significant interactions emerged in the hair change model, and this model was the only one to contain a significant result for depressive symptom distress.

    “Several significant interactions emerged in the hair change model, and this model was the only one to contain a significant result for depressive symptom distress.”
    Quote in the paperSubstantial claim
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    Findingown data

    Higher levels of alteration of physical appearance attitudes at Time 1 were associated with decreased anxiety symptoms at Time 2, but only for those who felt positively about being Black and who emphasized the commonalities between all people regardless of their racial and/or ethnic background (i.e., high private regard and humanist ideology, respectively).

    “Higher levels of alteration of physical appearance attitudes at Time 1 were associated with decreased anxiety symptoms at Time 2, but only for those who felt positively about being Black and who emphasized the commonalities between all people regardless of their racial and/or ethnic background (i.e., high private regard and humanist ideology, respectively).”
    Quote in the paperSubstantial claim
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    Findingown data

    Women were more likely to experience decreases in alteration of physical appearance beliefs and increases in internalization of negative stereotypes beliefs at W3 relative to men.

    “and women were more likely to experience decreases in alteration of physical appearance beliefs and increases in internalization of negative stereotypes beliefs at W3 relative to men”
    Quote in the paperNot a substantial claim
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    Findingown data

    Low racial centrality, high private regard, low public regard and high nationalist ideology all combined with hair change internalized racism beliefs to enhance psychological well-being (i.e., decreased anxiety distress).

    “Low racial centrality, high private regard, low public regard and high nationalist ideology all combined with hair change internalized racism beliefs to enhance psychological well-being (i.e., decreased anxiety distress).”
    Quote in the paperSubstantial claim
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    Findingown data

    Low public regard (p = .08) and low levels of assimilationist ideology (p = .05), coupled with the endorsement of biased representation of history beliefs, conferred greater levels of subsequent psychological distress.

    “For example, low public regard (p = .08) and low levels of assimilationist ideology (p = .05), coupled with the endorsement of biased representation of history beliefs, conferred greater levels of subsequent psychological distress.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Several studies have illustrated that racial identity is associated with positive well-being and better mental health outcomes within African American samples, and that it buffers against the negative effects of racial discrimination.

    “For example, several studies have illustrated that racial identity is associated with positive well-being and better mental health outcomes within African American samples, and that it buffers against the negative effects of racial discrimination (e.g., Banks & Kohn-Wood, 2007; Seaton, 2009).”
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    Premisecitation

    Racial identity is a well-known protective factor against the negative mental health effects of racism-related stress.

    “Racial identity, a well-known protective factor against the negative mental health effects of racism-related stress (Neblett et al., 2012), may protect against the negative effects of internalized racism, but empirical support is limited.”
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    Premisecitation

    Williams and Chung found that African Americans who endorsed negative stereotypes about African Americans had higher levels of psychological distress, and that the rejection of positive stereotypes was inversely related to life satisfaction and happiness.

    “Williams and Chung (1999) found that African Americans who endorsed negative stereotypes about African Americans had higher levels of psychological distress, and that the rejection of positive stereotypes was inversely related to life satisfaction and happiness.”
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    • cites Williams & Chung, 1999

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    Premisecitation

    Many areas of the educational system in the United States promote a Eurocentric pedagogical tradition, which serves to alienate students of African descent from the curriculum, consequently perpetuating internalized racism.

    “Many areas of the educational system in the United States promote a Eurocentric pedagogical tradition, which serves to alienate students of African descent from the curriculum, consequently perpetuating internalized racism (Perry et al., 2003).”
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    Premisecitation

    African American emerging adults with high levels of racial centrality and low public regard report lower depressive symptoms and appear to be protected against the effects of perceived racism.

    “Similarly, it has been shown that African American emerging adults with high levels of racial centrality and low public regard report lower depressive symptoms and appear to be protected against the effects of perceived racism (Seaton, 2009).”
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    Premisecitation

    Sellers and colleagues found that African American adolescents with low public regard were at the greatest risk of experiencing racial discrimination, but protected against the impact of racial discrimination on psychological functioning.

    “For example, Sellers and colleagues (2006) found that African American adolescents with low public regard were at the greatest risk of experiencing racial discrimination, but protected against the impact of racial discrimination on psychological functioning.”
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    Premisecitation

    Jones' model categorizes internalized racism as a stressor for African Americans.

    “Jones’ (2000) model categorizes internalized racism as a stressor for African Americans.”
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    • cites Jones, 2000

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    Premisecitation

    Mouzon and Mclean reported that internalized racism was positively associated with both depressive symptoms and serious psychological distress in a large African American sample.

    “More recently, Mouzon and Mclean (2017) reported that internalized racism was positively associated with both depressive symptoms and serious psychological distress (which included symptoms of anxiety) in a large African American sample.”
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    • cites Mouzon & Mclean, 2017

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    Clark and colleagues' biopsychosocial model of racism posits that racism results in psychological and physiological stress responses that can be linked to negative psychological wellbeing.

    “Clark and colleagues’ (1999) biopsychosocial model of racism posits that racism results in psychological and physiological stress responses that can be linked to negative psychological wellbeing”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Clark et al., 1999

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    Premisecitation

    One way racial identity may protect against the effects of internalized racism is by enhancing self-concept, self-esteem, and cognitive-appraisal processes, as well as facilitating the development of adaptive coping styles.

    “One way racial identity may protect against the effects of internalized racism is by enhancing self-concept, self-esteem, and cognitive-appraisal processes, as well as facilitating the development of adaptive coping styles (Neblett et al., 2012).”
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    • cites Neblett et al., 2012

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    Premisecitation

    The MIBI-S has been shown to be more reliable and provided a better fit than the original MIBI.

    “This version of the MIBI has been shown to be more reliable and provided a better fit than the original MIBI (Martin et al., 2010).”
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    • cites Martin et al., 2010

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    Premisecitation

    It is not known if racial identity is protective in the relationship between internalized racism and psychological well-being.

    “Although there is support for the protective role of racial identity in the relationship between interpersonal experiences of race-related stress and depressive symptoms (i.e., Smith & Silva, 2011), it is not known if racial identity is protective in the relationship between internalized racism and psychological well-being.”
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    • cites Smith & Silva, 2011

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    Premisecitation

    The IROS has evidence of criterion-related validity, and reliability estimates in previous studies have ranged from .68 to .90 for the total scale and its subscales.

    “Bailey and colleagues (2011) have illustrated evidence of criterion-related validity of the IROS, and reliability estimates in previous studies have ranged from .68 to .90 for the total scale and its subscales (Bailey et al., 2011; Brown & Segrist, 2015; Sosoo et al., 2019).”
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    • cites Sosoo et al., 2019

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    Premisecitation

    Past studies exploring internalized racism have used cross-sectional designs, which limits understanding of how internalized racism may impact and influence changes in psychological distress.

    “Finally, past studies exploring internalized racism have used cross-sectional designs (e.g., Mouzon & McLean, 2017), which limits our understanding of how internalized racism may impact and influence changes in psychological distress.”
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    • cites Mouzon & McLean, 2017

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    Premisecitation

    Prior research demonstrates strong evidence for the psychometric properties of the DLE.

    “Prior research demonstrates strong evidence for the psychometric properties of the DLE (Lee et al., in press).”
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    Premisecitation

    Previous research demonstrates strong evidence for the reliability and validity of the SCL-90-R.

    “Previous research demonstrates strong evidence for the reliability and validity of this measure (Horowitz et al., 1988; Peveler & Fairburn, 1990).”
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    Premisecitation

    Prior research suggests that a de-emphasis on race may have deleterious psychological consequences for African Americans and may lead to negative self-perceptions.

    “prior research suggests that a de-emphasis on race may have deleterious psychological consequences for African Americans (i.e., Parham & Helms, 1985a, 1985b) and may lead to negative self-perceptions (Crocker & Major, 1989).”
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    • cites Crocker & Major, 1989

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    Premisecitation

    Numerous studies have noted protective effects of high levels of private regard against other forms of race-related stress.

    “Numerous studies have noted the protective effects of high levels of private regard against other forms of race-related stress (Sellers & Shelton, 2003; Sellers et al., 2006)”
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    • cites Sellers et al., 2006

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    Premisecitation

    Other longitudinal studies highlight how racial identity beliefs change over time during young adulthood.

    “Just as other longitudinal studies highlight how racial identity beliefs change over time during young adulthood (Willis & Neblett, 2019)”
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    • cites Willis & Neblett, 2019

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    Interpretationcitation

    This result is consistent with recent research linking internalization of negative stereotypes internalized racism beliefs with psychological distress, particularly in the context of racial discrimination.

    “This result is consistent with recent research linking internalization of negative stereotypes internalized racism beliefs with psychological distress, particularly in the context of racial discrimination (i.e., Graham et al., 2016; Molina & James, 2016; Mouzon & McLean, 2017; Sosoo et al., 2019).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
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    • cites Molina & James, 2016

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    • cites Mouzon & McLean, 2017

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    Interpretationown data

    High levels of private regard and humanist ideology, coupled with the endorsement of alteration of physical appearance beliefs, were consistent with a protective-enhancing pattern of protection.

    “but high levels of private regard and humanist ideology, coupled with the endorsement of alteration of physical appearance beliefs were consistent with a protective-enhancing (Luthar et al., 2000) pattern of protection”
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    • cites Luthar et al., 2000

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    Premisecitation

    Molina and James (2016) suggested that since negative stereotypes about African Americans are common in U.S. society, holding internalized racism beliefs may not affect individuals acutely.

    “Molina and James (2016) suggested that since negative stereotypes about African Americans are common in U.S. society, holding internalized racism beliefs may not affect individuals acutely.”
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    Premisecitation

    Bailey et al. (2011) suggested that internalized racism is a negative component of Black racial identity.

    “Bailey et al. (2011) suggested that internalized racism is a negative component of Black racial identity”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bailey et al. (2011)

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  • May combine two claims.

    Study design and conductreasoning

    Reliabilities for some racial identity scales were modest, probably due to the small number of scale items, and may have compromised the ability to detect racial identity effects.

    “Reliabilities for some racial identity scales also were modest, probably due to the small number of scale items, and may have compromised the ability to detect racial identity effects.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Our results suggest that these racial identity beliefs trump and protect against some of the negative psychological effects that could result from negative views about one's hair.

    “Indeed, our results suggest that these racial identity beliefs trump and protect against some of the negative psychological effects that could result from negative views about one’s hair.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationown data

    In some cases, racial identity beliefs that have been found to protect against race-related stress (e.g., racial centrality) may confer vulnerability in the context of internalized racism beliefs.

    “Additionally, in some cases, racial identity beliefs that have been found to protect against race-related stress (e.g., racial centrality), may confer vulnerability in the context of internalized racism beliefs.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Our findings support the idea that there are not good or bad racial identity beliefs, but what matters is how the beliefs combine with other race-related beliefs to influence well-being over time.

    “our findings support the idea that there are not good or bad racial identity beliefs, but what matters is how the beliefs combine with other race-related beliefs to influence well-being over time.”
    Quote in the paperSubstantial claim
35 of 35
  • The paper relies on this without support.

    Not all individuals who endorse internalized racism beliefs evidence negative outcomes.

    “yet, not all individuals who endorse internalized racism beliefs evidence negative outcomes.”
1 of 1

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Internalized racism experienced by African Americans affects their socialization, racial or ethnic identity, relational development, perceptions of self, and quality of life.

    “Internalized racism experienced by African Americans (AAs) affects their socialization, racial or ethnic identity, relational development, perceptions of self, and quality of life [11].”

    From Internalized Racism and Mental Health: The Moderating Role of Collective Racial Self-Esteem (2024) · cites this paper as [11]

    The Internalized Racism section describes an erosion of self-worth, and the Discussion reports an association between internalized negative stereotypes and later racial identity beliefs. The Conclusion discusses psychological well-being, but our copy does not establish effects on socialization or relational development, or on quality of life as broadly stated. The study also found no overall effect of internalized racism beliefs on psychological distress, so the unqualified wording overstates its findings. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Consistentχ²(88) = 75.51reported p = .83 · recomputed p = .826

    “χ2(88) = 75.51, p = .83”

  • Consistentχ²(87) = 95.98reported p = .24 · recomputed p = .239

    “χ2(87) = 95.98, p = .24”

  • Consistentχ²(97) = 113.33reported p = .12 · recomputed p = .123

    “χ2(97) = 113.33, p = .12”

  • Consistentχ²(99) = 95.45reported p = .58 · recomputed p = .582

    “χ2(99) = 95.45, p = .58”

4 of 4

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Appearance-results paragraph names the wrong internalized-racism belief

    Minor

    This conclusion appears in the alteration-of-physical-appearance analysis, where the reported interactions concern appearance beliefs. It instead attributes the result to biased representation of history, for which the paper reports no significant racial-identity interactions.

1 of 1

Cites

Flagged first, then by citations

Research works printed but not linked: 10

  1. Clarke J. H., 1991, Notes for an African world revolution: Africans at the crossroads
  2. Derogatis L. R., 1996, SCL-90-R: Symptom Checklist-90-R: administration, scoring, and procedures manual
  3. Freire P., 2000, Pedagogy of the oppressed
  4. Gil A. G., 2002, Public Health Reports, 117, S15
  5. Graham J. R., 2013, The Behavior Therapist, 36, 101
  6. Harrell C. J. P., 1999, Manichean psychology: Racism and the minds of people of African descent
  7. Harrell S. P., 1994, The racism and life experience scales
  8. Martin P. P., 2010, Investigating the psychometric properties of the multidimensional inventory of Black identity in two samples: The development of the MIBI-S
  9. Parham T. A., 1985, Journal of College Student Personnel, 26, 143
  10. Williams D. R., 1999, Health in Black America

Cited by

Sorted by citations

Authors
Willis, H. A., Sosoo, E. E., Bernard, D. L., Neal, A., & Neblett, E. W.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Medical University of South Carolina (US)
  • University of Michigan (US)
Corresponding author
Willis, Henry A.
Venue
Emerging Adulthood
Published
2021-04-22
Volume
9
Issue
4
Pages
384-400
ISSN
  • 2167-6968 (ISSN-L)
  • 2167-6984
OpenAlex
W3159557721
Cited by
75
References
51
Citations by year
2026: 11 · 2025: 28 · 2024: 14 · 2023: 15 · 2022: 7
FWCI
12.47
Type
journal article
Language
en
Open access
Locations
  • Emerging Adulthood (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • OSF Preprints (OSF Preprints) (submittedVersion)
Funders
National Institute of Mental Health (T32MH018869)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
  • Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords
internalized racism, racial identity, psychological distress, depressive symptoms, anxiety symptoms, racial centrality, humanist ideology, nationalist ideology, hair changes, negative stereotypes, protective factors

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.

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