In today's episode, I had the privilege of speaking with Dr. Cheryl Woods Giscombé, a health scientist who discusses her research on Superwoman Schema, which is a conceptual framework highlighting stress and coping mechanisms among African American women. The framework identifies five characteristics: obligation to present strength, obligation to suppress emotions, motivation to succeed despite limited resources, resisting feelings of vulnerability and dependence, and prioritization of caregiving over self-care. Dr. Giscombé's research shows that while some characteristics are protective, others can lead to negative health outcomes - we dig into those nuances in this episode! Her critical work aims to develop interventions that balance strength with self-care to improve health disparities among Black women.

Dr. Cheryl Woods Giscombé is the Melissa and Harry LeVine Family Distinguished Term Professor, Senior Associate Dean, and Chief Wellness Officer at the University of North Carolina at Chapel Hill School of Nursing with a secondary faculty appointment as a Professor in the Department of Social Medicine at the UNC School of Medicine. Dr. Woods-Giscombé's research focuses on biopsychosocial factors that influence health and health disparities through psychological stress and coping pathways. She is a Fellow of the American Academy of Nursing, the National Academy of Medicine, the Academy of Behavioral Medicine Research, and the Mind & Life Institute. She recently authored The Black Woman's Guide to Coping with Stress: Mindfulness and Self-Compassion Skills to Create a Life of Joy and Well-Being. Learn more about Dr. Giscombé's research and writing: https://www.drcherylwoodsgiscombe.com/

Topics Discussed:

• Stressors, Gender-Related Stressors, Race-Related Stressors
• Resilience
• Self-Care
• Superwoman Schema
• Cost of Caring
• Emotional Suppression
• Health Disparities
• Maternal Health Disparities
• Adverse Birth Outcomes
• Coping Strategies: Mindfulness, Present Moment Awareness, Self-Compassion
• Interventions

Papers Mentioned:

• Woods-Giscombé CL, Lobel M, Zimmer C, Wiley Cené C, Corbie-Smith G. Whose stress is making me sick? Network-stress and emotional distress in African-American women. Issues Ment Health Nurs. 2015;36(9):710-7. doi: 10.3109/01612840.2015.1011759.
• Giscombé, C. L., & Lobel, M. (2005). Explaining Disproportionately High Rates of Adverse Birth Outcomes Among African Americans: The Impact of Stress, Racism, and Related Factors in Pregnancy. Psychological Bulletin, 131(5), 662–683. https://doi.org/10.1037/0033-2909.131.5.662
• Woods-Giscombé C. L. (2010). Superwoman schema: African American women's views on stress, strength, and health. Qualitative health research, 20(5), 668–683. https://doi.org/10.1177/1049732310361892
• Allen, A. M., Wang, Y., Chae, D. H., Price, M. M., Powell, W., Steed, T. C., Rose Black, A., Dhabhar, F. S., Marquez-Magaña, L., & Woods-Giscombe, C. L. (2019). Racial discrimination, the superwoman schema, and allostatic load: exploring an integrative stress-coping model among African American women. Annals of the New York Academy of Sciences, 1457(1), 104–127. https://doi.org/10.1111/nyas.14188
• Kyalwazi, A. N., Woods-Giscombe, C. L., Johnson, M. P., Jones, C., Hayes, S. N., Cooper, L. A., Patten, C. A., & Brewer, L. C. (2024). Associations Between the Superwoman Schema, Stress, and Cardiovascular Health Among African-American Women. Annals of behavioral medicine, 58(12), 863–868. https://doi.org/10.1093/abm/kaae047
• Woods-Giscombe CL, Allen AM, Black AR, Steed TC, Li Y, Lackey C. The Giscombe Superwoman Schema Questionnaire: Psychometric Properties and Associations with Mental Health and Health Behaviors in African American Women. Issues Ment Health Nurs. 2019 Aug;40(8):672-681. doi: 10.1080/01612840.2019.1584654.
• Woods-Giscombe, C. L., Gaylord, S. A., Li, Y., Brintz, C. E., Bangdiwala, S. I., Buse, J. B., Mann, J. D., Lynch, C., Phillips, P., Smith, S., Leniek, K., Young, L., Al-Barwani, S., Yoo, J., & Faurot, K. (2019). A Mixed-Methods, Randomized Clinical Trial to Examine Feasibility of a Mindfulness-Based Stress Management and Diabetes Risk Reduction Intervention for African Americans with Prediabetes. Evidence-based complementary and alternative medicine, 2019, 3962623. https://doi.org/10.1155/2019/3962623
• Woods-Giscombe, C. L., Gaylord, S., Bradford, A., Vines, S., Eason, K., Smith, R., Addo-Mensah, D., Lackey, C., Dsouza, V., Sheffield-Abdullah, K., Day, T., Green-Scott, K., Chilcoat, A., Peace-Coard, A., Chalmers, L., Evenson, K. R., Samuel-Hodge, C., Lewis, T. T., Crandell, J., Corbie, G., … Faurot, K. (2024). Protocol of the HARMONY study: A culturally relevant, randomized-controlled, stress management intervention to reduce cardiometabolic risk in African American women. Contemporary clinical trials, 146, 107604. https://doi.org/10.1016/j.cct.2024.107604
• Woods-Giscombé, C. L., & Gaylord, S. A. (2014). The Cultural Relevance of Mindfulness Meditation as a Health Intervention for African Americans: Implications for Reducing Stress-Related Health Disparities. Journal of holistic nursing, 32(3), 147–160. https://doi.org/10.1177/0898010113519010

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The Stress Puzzle is hosted by Dr. Ryan L. Brown (https://www.ryanlinnbrown.com/) and supported by the UCSF Stress Measurement Network, an NIH/NIA funded network which aims to better understand the relationship between stress and health by improving the measurement of stress in research studies. Learn more about available resources to support stress research at: www.stressmeasurement.org.

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