Health-Related Associates of Negative Affect among Latinx and Black Adults with Psychiatric Disorders


  • Jennifer M. Gittleman Yeshiva University, USA
  • Danielle M. Shpigel Yeshiva University, USA
  • Silvana Agterberg Yeshiva University, USA
  • Enmanuel Mercedes Zufall Health Center, USA
  • Andrea H. Weinberger Yeshiva University, USA



Affect, Race, Smoking, Stress, Mental Illness


Negative affect levels (NA) are associated with psychosocial stress and poor behaviors among individuals of Latinx and African heritage (Black) backgrounds. Little is known for potentially modifiable associates of these psychiatric disorders. However, there is a significant association between NA levels, psychosocial stress, and cigarette smoking - as an increase consequence of stress-related smoking. According to Díaz-García et al. (2020), modifiable research for NA indicates health care providers related psychosocial stressors clinical interventions, behaviors, family and work stress to reduce NA levels and improve outcomes for diverse patients. This study aims to establish research as the first NA examination for 95 adult participants diagnosed with psychosocial stress disorders. Additionally, the study will identify adult cigarette smoking among individuals of African heritage (Black) and Latinx background to identify behaviors of adults diagnosed with NA.  


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Author Biographies

Jennifer M. Gittleman, Yeshiva University, USA

JENNIFER M. GITTLEMAN, MA, is a doctoral candidate in clinical psychology at Ferkauf Graduate School of Psychology. She holds numerous leadership and clinical positions advocating for and serving underserved populations. Her research and clinical interests include trauma, psycho-oncology, and life transitions, all through a multicultural lens. Email:

Danielle M. Shpigel, Yeshiva University, USA

DANIELLE M. SHPIGEL, PhD, is a licensed clinical psychologist with specialized training in behavioral medicine and rehabilitation neuropsychology. She recently completed her postdoctoral fellowship at the Icahn School of Medicine at Mount Sinai in the Department of Rehabilitation and Human Performance where she contributed to research within the Brain Injury Research Center and provided clinical services to individuals with various physical disabilities and comorbid psychological conditions. Dr. Shpigel is currently an adjunct faculty member at the NYU Steinhardt School of Culture, Education, and Human Development in the Applied Psychology Department. She will be joining a multidisciplinary group practice in Washington DC as the Director of the Neuropsychology and Psychology Service. She has a wide range of clinical and research interests including chronic disease management, post-TBI cognitive functioning, and physical disability and trauma within the combat military population. Email:


Silvana Agterberg, Yeshiva University, USA

SILVANA AGTERBERG, MA, is a doctoral candidate in clinical psychology at the Ferkauf Graduate School of Psychology, Yeshiva University. Her research interests include stigma and substance use with a focus on gender, HIV status, race, and ethnicity. Email:

Enmanuel Mercedes, Zufall Health Center, USA

ENMANUEL MERCEDES, PhD, is a licensed counseling psychologist and Past-President of the Latino/a Psychological Association of New Jersey. He is currently a co-owner of E. Mercedes Consulting & Services and a licensed psychologist at Zufall Health Center. Email:

Andrea H. Weinberger, Yeshiva University, USA

ANDREA H. WEINBERGER, PhD, is a licensed clinical psychologist and Associate Professor of Psychology at the Ferkauf Graduate School of Psychology at Yeshiva University. She has a secondary appointment as a Research Assistant Professor in the Department of Epidemiology and Population Health at the Albert Einstein College of Medicine. Dr. Weinberger's research interests focus on tobacco use and nicotine dependence with an emphasis on groups of adults who demonstrate smoking disparities including women, racial and ethnic minority adults, and adults with co-morbid psychiatric, substance use, and medical disorders. Email: