JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT • April 2019 • Vol. 47 131 © 2019 American Counseling Association. All rights reserved. Received 10/03/17 Revised 01/11/18 Accepted 02/15/18 DOI: 10.1002/jmcd.12127 Stress in Relation to Anxiety and Depression Among Racial/Ethnic Minority Women: The Differential Impact of Cultural Mismatch on Somatic and Cognitive Symptoms David C. Talavera, Mary Odafe, Soumia Cheref, Judy H. Hong, Regina Leslie, and Rheeda L. Walker The study examined the interactive effects of stress and cultural mismatch, as evidenced by low independent self-construal, in relation to cognitive/somatic symptoms of anxiety and depression among racial/ethnic minority women. Results showed that stress and independent self-construal work synergistically to differentially affect cognitive, rather than somatic, symptoms of anxiety and depression. Findings highlight the importance of investigating the interplay between stress and contextual factors to improve current treatment models for marginalized groups. Keywords: somatic/cognitive symptoms, anxiety, depression, stress, racial/ ethnic minority El estudio examinó los efectos interactivos del estrés y la discordancia cultural, probados por un bajo autoconcepto independiente, en relación con los síntomas cognitivos/somáticos de la ansiedad y la depresión entre mujeres de minorías raciales/étnicas. Los resultados mostraron que el estrés y el autoconcepto indepen- diente trabajan en sinergia para afectar diferencialmente a los síntomas cognitivos, no así a los somáticos, de la ansiedad y la depresión. Los hallazgos subrayan la importancia de investigar la interacción entre el estrés y los factores contextuales para mejorar los modelos de tratamiento actuales para grupos marginalizados. Palabras clave: síntomas somáticos/cognitivos, ansiedad, depresión, estrés, minoría racial/étnica M ultiple lines of evidence indicate that racial/ethnic minority women experience disproportionate rates of internalizing symptoms such as anxiety and depression compared with White/European American women (McLean, Asnaani, Litz, & Hofmann, 2011; Young, Fang, & Zisook, 2010). Consedine, Magai, Krivoshekova, Ryzewicz, and Neugut (2004) found David C. Talavera, Mary Odafe, Soumia Cheref, Judy H. Hong, and Rheeda L. Walker, Department of Psychology, University of Houston; Regina Leslie, Department of Psychology, Rice University. Correspondence concerning this article should be addressed to Rheeda L. Walker, Department of Psychology, University of Houston, 3695 Cullen Boulevard, Room 126, Houston, TX 77204-5022 (email: rlwo@uh.edu).