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August 23, 2026Journal of Counseling Psychology

Internalized racism and mental health among Asian Americans: A subgroup meta-analysis.

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Authors

DJDrexler JamesJYJacqueline Yi

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Overview

Meta-analysis reveals negative mental health impacts from internalized racism in Asian Americans, indicating the need for targeted interventions.

Key Points

  • Evaluate the relationship between internalized racism and mental health outcomes among Asian Americans through subgroup and moderator analyses.
  • Subgroup meta-analysis assessing associations between dimensions of internalized racism and pooled mental health outcomes.
  • Moderator analyses comparing self-directed versus group-directed racism, valence, and manifestations like self-hatred, inferiority, and colonial mentality.
  • Publication bias evaluation using Precision-Effect Test-Precision-Effect Estimate with Standard Errors (PET-PEESE) and rank-correlation tests.
  • Stronger negative associations occurred when internalized racism was group-directed, negatively valenced, or presented as self-hatred and ethnoracial group inferiority (p = .03).
  • Higher quality studies showed stronger associations with diminished positive mental health, whereas smaller studies yielded larger effect sizes for depression.
  • PET-PEESE and rank-correlation tests showed no evidence of publication bias across examined outcomes.

Cite This Study

James et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad667677a3411444589ehttps://doi.org/10.1037/cou0000902
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