Joyce P. Yang, Quyen A. Do, Emily R. Nhan, Jessica A. Chen

A Mixed-Methods Study of Race-Based Stress and Trauma Affecting Asian Americans During COVID

  • Clinical Psychology

COVID-19 propelled anti-Asian racism around the world; although empirical research has yet to examine the phenomenology of racial trauma affecting Asian communities. In our mixed-methods study of 215 Asian participants of 15 ethnicities, we examined experiences of racism during COVID and resulting psychological sequelae. Through qualitative content analysis, themes emerged of emotional, cognitive, and behavioral changes resulting from these racialized perpetrations, including internalizing emotions of fear, sadness, and shame; negative alterations in cognitions, such as reduced trust and self-worth; and behavioral isolation, avoidance, and hypervigilance, in addition to positive coping actions of commitment to racial equity initiatives. We engaged in data triangulation with quantitative Mann-Whitney U tests and found that individuals who experienced COVID discrimination had significantly higher racial trauma and posttraumatic stress disorder scores compared with individuals who did not. Our convergent findings provide clinicians with novel ways to assess the ongoing impact of racial trauma and implement appropriate interventions for clients.

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