Ethnic group differences in affective, behavioral, and cognitive measures of anxiety were examined to better characterize the unique triggers and modes of anxious responding across different groups. Using an ethnically diverse sample (N = 112; 39 African Americans, 34 Asian Americans, and 39 European Americans), the study examined differences in anxious responding following three anxiety provocations (physical, social interpersonal, and social performance), each hypothesized to be a primary anxiety trigger for one of the groups. African Americans and European Americans demonstrated greater behavioral avoidance during a physical provocation designed to elicit shortness of breath sensations relative to Asian Americans. Asian Americans reported a higher number of anxious cognitions than African Americans during a social provocation designed to trigger performance concerns. These findings suggest ethnicity should be carefully considered when assessing the predominant triggers of anxiety and modes of anxious responding.
Anderson, N.B., McNeilly, M., & Myers, H. (1993). A biopsychosocial model of race differences in vascular reactivity. In J. Blascovich & E. S. Katkin (Eds.), Cardiovascular reactivity to psychological stress and disease (pp. 83-108). Washington, DC: American Psychological Association.
2.
Antony, M.M., Ledley, D.R., Liss, A., & Swinson, R.P. (2006). Responses to symptom induction exercises in panic disorder. Behaviour Research and Therapy, 44, 85-98.
3.
Arkoff, A., Thaver, F., & Elkind, L. (1966). Mental health and counseling ideas of Asian andAmerican students. Journal of Counseling Psychology, 13, 219-223.
Beidel, D.C., Turner, S.M., & Dancu, C.V. (1985). Physiological, cognitive and behavioral aspects of social anxiety. Behaviour Research and Therapy, 23, 109-117.
6.
Brown, D.R., Eaton, W.E., & Sussman, L. (1990). Racial differences in prevalence of phobic disorders . Journal of Nervous and Mental Disease, 178, 434-441.
7.
Carter, M.M., Miller, O., Sbrocco, T., Suchday, S., & Lewis, E. (1999). Factor structure of the Anxiety Sensitivity Index among African American college students. Psychological Assessment , 11(4), 525-533.
8.
Carter, M.M., Sbrocco, T., & Carter, C. (1996). African Americans and anxiety disorders research: Development of a testable theoretical framework. Psychotherapy , 33, 449-463.
9.
Carver, C.S., & Scheier, M.F. (1978). Self-focusing effects of dispositional self-consciousness, mirror presence, and audience presence. Journal of Personality and Social Psychology, 37, 1251-1281.
10.
Chambless, D.L., & Glass, C.R. (1984). The Focus of Attention Questionnaire. Unpublished questionnaire, American University, Washington, DC.
11.
Edelmann, R.J., & Baker, S.R. (2002). Self-reported and actual physiological responses in social phobia. British Journal of Clinical Psychology, 41, 1-14.
12.
Ehlers, A. (1993). Somatic symptoms and panic attacks: A retrospective study of learning experiences. Behavior Research and Therapy , 31, 269-278.
13.
Gatlung, J. (1981). Structure, culture, and intellectual style: An essay comparing Saxonic, Teutonic, Gallic and Nipponic approaches. Social Science Information, 20, 817-856.
14.
Good, B.J., & Kleinman, A.M. (1985). Culture and anxiety: Cross-cultural evidence for the patterning of anxiety disorders. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 297-323). Hillsdale, NJ: Lawrence Erlbaum.
15.
Gordon, T.L., & Teachman, B.A. (2004, November). Ethnic variations in anxious cognitions. Poster presented at the annual conference of the Association for the Advancement of Behavioral Therapy , New Orleans, LA.
16.
Gordon, T.L., & Teachman, B.A. (2006, June). The relationship between physiological arousal and anxiety in African Americans. Paper presented at the meeting of the Black Graduate Conference in Psychology, West Lafayette, IL.
17.
Greenwald, A.G., McGhee, D.E., & Schwartz, J.L.K. (1998). Measuring individual differences in implicit cognition: The Implicit Association Test. Journal of Personality and Social Psychology, 74, 1464-1480.
18.
Grier, W.H., & Cobbs, P.M. (1968). Black rage. New York: Basic Books.
19.
Ho, D.Y.F. (1982). Asian concepts in behavioral science. Psychologia, 25, 228-235.
20.
Hofmann, S.G. (2006). The emotional consequences of social pragmatism: The psychophysiological correlates of self-monitoring. Biological Psychology, 73, 169-174.
21.
Horwath, E., Johnson, J., & Hornig, C.D. (1994). Epidemiology of panic disorder. In S. Friedman (Ed.), Anxiety disorders in African Americans (pp. 53-64). New York: Springer .
22.
Kalinowski, L., Dobrucki, I.T., & Malinski, T. (2004). Race-specific differences in endothelial function: Predisposition of African Americans to vascular diseases. Circulation, 109, 2511-2517.
23.
Karno, M., & Golding, J.M. (1991). Obsessive-compulsive disorder. In L. N. Robins & D. A. Regier (Eds.), Psychiatric disorders in America: The epidemiologic catchment area study (pp. 204-219). Orlando, FL : Academic Press.
24.
Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8-19.
25.
Kirmayer, L.J. (2001). Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62, 22-30.
26.
Kirmayer, L.J., Young, A., & Hayton, B.C. (1995). The cultural context of anxiety. Cultural Psychiatry, 18, 503-519.
27.
Kirschbaum, C., Pirke, K.M., & Hellhammer, D.H. (1993). The "Trier Social Stress Test": A tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28, 76-81.
28.
Kitayama, S., & Markus, H.R. (1994). Early work on culture and emotion. In S. Kitayama & H. R. Markus (Eds.), Emotion and culture (pp. 23-50). Washington, DC: American Psychological Association.
29.
Kulig, J.C. (2006). African American beliefs about diabetes: Commentary by Kulig. Western Journal of Nursing Research, 28, 30-32.
30.
Lang, P.J. (1985). The cognitive psychophysiology of emotion: Fear and anxiety. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 131-170). Hillsdale, NJ: Lawrence Erlbaum.
31.
Leary, M.R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.
32.
Lebra, T.S. (1976). Japanese patterns of behavior. Honolulu: University of Hawaii Press.
33.
Lee, M.R., Okazaki, S., & Yoo, H.C. (2006). Frequency and intensity of social anxiety in Asian Americans andEuropean Americans. Cultural Diversity and Ethnic Minority Psychology, 12, 291-351.
34.
Leong, F.T.L. (1986). Counseling and psychotherapy with Asian Americans: Review of the literature. Journal of Counseling Psychology , 33, 196-206.
35.
Markus, H.R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224-253.
36.
Marzillier, J.S., Lambert, C., & Kellett, J. (1976). A controlled evaluation of systematic desensitization and social skills training for socially inadequate psychiatric patients. Behaviour Research and Therapy, 14, 225-238.
37.
Mauss, I.B., Wilhelm, F.H., & Gross, J.J. (2003). Autonomic recovery and habituation in social anxiety . Psychophysiology, 40, 648-653.
38.
McLean, P.D., & Woody, S.R. (2001). Anxiety disorders in adults: An evidence-based approach to psychological treatment. Guidebooks in clinical psychology. Vancouver, BC: Hart.
39.
Narrow, W.E., Rae, D.S., Robins, L.N., & Regier, D.A. (2002). Revised prevalence estimates of mental disorders in the United States: Using a clinical significance criterion to reconcile 2 surveys' estimates. Archives of General Psychiatry, 59, 115-123.
40.
National Stroke Association. (n.d.). African Americans and stroke. Retrieved January 28, 2007, from http://www.stroke.org/site/PageServer?pagename=AAMER
41.
Neal, A.M., Rich, L.N., & Smucker, W.D. (1994). The presence of panic disorder among African American hypertensives: A pilot study. Journal of Black Psychology , 20, 29-35.
42.
Norasakkunkit, V., & Kalick, M.S. (2002). Culture, ethnicity, and emotional distress measures: The role of self-construal and self-enhancement. Journal of Cross-Cultural Psychology, 33, 56-70.
43.
Okazaki, S. (1997). Sources of ethnic differences between Asian American and White American college students on measures of depression and social anxiety . Journal of Abnormal Psychology, 106, 52-60.
44.
Okazaki, S., Liu, J.F., Longworth, S.L., & Minn, J.Y. (2002). Asian American-White American differences in expressions of social anxiety: A replication and extension. Cultural Diversity and Ethnic Minority Psychology, 8, 234-247.
45.
Phinney, J.S. (1992). The Multigroup Ethnic Identity Measure: A new scale for use with diverse groups. Journal of Adolescent Research , 7, 156-176.
46.
Regier, D.A., Myers, J.K., Kramer, L.N., Blazer, D.G., Hough, R.L., Eaton, W.W., et al. (1984). The NIMH epidemiologic catchment area program . Archives of General Psychiatry, 41, 934-941.
47.
Reiss, S., Peterson, R.A., Gursky, D.M., & McNally, R.J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behavior Research and Therapy, 24, 1-8.
48.
Sanders-Thompson, V.L. (1994). Socialization to race and its relationship to racial identification among African Americans. Journal of Black Psychology, 20, 175-188.
49.
Schlenker, B.R., & Leary, M.R. (1982). Social anxiety and self-presentation: A conceptualization and model. Psychology Bulletin, 92, 641.
50.
Schmidt, N.B., & Trakowski, J. (2004). Interoceptive assessment and exposure in panic disorder: A descriptive study. Cognitive and Behavioral Practice , 11, 81-92.
51.
Sherry, A., Wood, K., Jackson, E.B., & Kaslow, N. (2006). Racist events and ethnic identity in low-income African Americans. Journal of Applied Social Psychology, 36, 1365-1380.
52.
Smith, L.C., Friedman, S., & Nevid, J. (1999). Clinical and sociocultural differences in African American and European American patients with panic disorder and agoraphobia . Journal of Nervous and Mental Disease, 187(9), 549-560.
53.
Sue, D., Ino, S., & Sue, D.M. (1983). Nonassertiveness of Asian Americans: An inaccurate assumption? Journal of Counseling Psychology, 30, 581-588.
54.
Sue, S., & Zane, N. (1985). Academic achievement and socioemotional adjustment among Chinese university students. Journal of Counseling Psychology , 32, 570-579.
55.
Sue, S., Zane, N., & Young, K. (1994). Research on psychotherapy with culturally diverse populations. In A. Bergin & S. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 783-817). Toronto, ON: John Wiley.
56.
Tanaka-Matsumi, J., & Marsella, A.J. (1976). Cross-cultural variations in the phenomenological experience of depression: Word association studies . Journal of Cross-Cultural Psychology, 7, 379-397.
57.
Taylor, S., Koch, W.J., Woody, S., & McLean, P. (1997). Reliability and validity of the cognition checklist with psychiatric outpatients. Assessment, 1, 9-16.
58.
Taylor, S., & Rachman, S. (1994). Klein's suffocation theory of panic. Archives of General Psychiatry, 51, 505-506.
59.
Terrell, F., & Terrell, S.L. (1981). An inventory to measure cultural mistrust among Blacks. Western Journal of Black Studies, 5, 180-184.
60.
Turner, S.M., Beidel, D.C., & Larkin, K.T. (1986). Situational determinants of social anxiety in clinic and nonclinic samples: Physiological and cognitive correlates. Journal of Consulting and Clinical Psychology, 54, 523-527.
61.
Utsey, S.O., Chae, M.H., Brown, C.F., & Kelly, D. (2002). Effect of ethnic group membership on ethnic identity, race-related stress, and quality of life. Cultural Diversity and Ethnic Minority Psychology, 8, 367-378.
62.
Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.
63.
Whaley, A.L. (2001). Cultural mistrust and mental health services for African Americans: A review and meta-analysis. The Counseling Psychologist, 29, 513-520.
64.
Whaley, A.L. (2004). Paranoia in African-American men receiving inpatient psychiatric treatment. Journal of the American Academy of Psychiatry and the Law, 32, 282-290.
65.
Woody, S.R. (1996). Effects of focus of attention on anxiety levels and social performance of individuals with social phobia. Journal of Abnormal Psychology, 105, 61-69.
66.
Zane, N.W.S., Sue, S., Hu, L., & Kwon, J. (1991). Asian American assertion: A social learning analysis of cultural differences. Journal of Counseling Psychology , 38, 1-8.
67.
Zeidner, M., & Matthews, G. (2005). Evaluation anxiety: Current theory and research . In A. J. Elliot & C. S. Dweck (Eds.), Handbook of competence and motivation (pp. 141-163). New York: Guilford .
68.
Zvolensky, M.J., McNeil, D.W., Porter, C.A., & Stewart, S.H. (2001). Assessment of anxiety sensitivity in young American Indians and Alaska Natives. Behavior Research and Therapy , 39, 477-493.
