Belonging across cultures and the negotiation of religious identity.
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76 to 100 of 747Acculturation, acculturative stress and resilience among older immigrants in United States.
Background: Previous studies have demonstrated a strong and consistent association between higher acculturative stress and poorer mental and physical health outcomes while acculturating to a new country. Acculturative stress is multifactorial and nurses work in variety of settings that encounter older immigrants with different levels of acculturative stress. Research on resilience among older immigrants has linked resilience to successful acculturation.
Purpose: The aim of this study was to explore the interplay between acculturation, acculturative stress and resilience, and their collective impact on physical and mental health self-evaluation among older Filipino Americans.
Method: This study employed a cross-sectional, quantitative, descriptive design using older Filipino immigrants, 55 years and older (N = 123) who were living in the western part of the United States.
Findings: Our st…
matched on Acculturation (mesh), Social Identification (mesh), Asian (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Validation of the Social Appearance Anxiety Scale: factor, convergent, and divergent validity.
The Social Appearance Anxiety Scale (SAAS) was created to assess fear of overall appearance evaluation. Initial psychometric work indicated that the measure had a single-factor structure and exhibited excellent internal consistency, test-retest reliability, and convergent validity. In the current study, the authors further examined the factor, convergent, and divergent validity of the SAAS in two samples of undergraduates. In Study 1 (N = 323), the authors tested the factor structure, convergent, and divergent validity of the SAAS with measures of the Big Five personality traits, negative affect, fear of negative evaluation, and social interaction anxiety. In Study 2 (N = 118), participants completed a body evaluation that included measurements of height, weight, and body fat content. The SAAS exhibited excellent convergent and divergent validity with self-report measures (i.e., self-est…
matched on Social Identification (mesh), ethnic identity (text)
Racial discrimination and psychological distress: the impact of ethnic identity and age among immigrant and United States-born Asian adults.
The association between racial and ethnic discrimination and psychological distress was examined among 2,047 Asians (18 to 75 years of age) in the National Latino and Asian American Study, the first-ever nationally representative study of mental health among Asians living in the United States. Stratifying the sample by age in years (i.e., 18 to 30, 31 to 40, 41 to 50, 51 to 75) and nativity status (i.e., immigrant vs. U.S.-born), ethnic identity was tested as either a protective or exacerbating factor. Analyses showed that ethnic identity buffered the association between discrimination and mental health for U.S.-born individuals 41 to 50 years of age. For U.S.-born individuals 31 to 40 years of age and 51 to 75 years of age, ethnic identity exacerbated the negative effects of discrimination on mental health. The importance of age and immigrant status for the association between ethnic id…
matched on Acculturation (mesh), Social Identification (mesh), Asian (mesh), Emigrants and Immigrants (mesh), ethnic identity (text)
Effectiveness of a culturally appropriate intervention to prevent intimate partner violence and HIV transmission among men, women, and couples in rural Ethiopia: Findings from a cluster-randomized controlled trial.
Background: Intimate partner violence (IPV) is associated with increased HIV risk and other adverse health and psychosocial outcomes. We assessed the impact of Unite for a Better Life (UBL), a gender-transformative, participatory intervention delivered to men, women, and couples in Ethiopia in the context of the coffee ceremony, a traditional community-based discussion forum.
Methods and findings: Villages (n = 64) in 4 Ethiopian districts were randomly allocated to control, men's UBL, women's UBL, or couples' UBL, and approximately 106 households per village were randomly selected for inclusion in the trial. The intervention included 14 sessions delivered twice weekly by trained facilitators; control arm households were offered a short IPV educational session. Primary outcomes were women's experience of past-year physical or sexual IPV 24 months postintervention. Secondary outcomes incl…
matched on Cultural Characteristics (mesh)
Improving Mental Health Outcomes of Burmese Migrant and Displaced Children in Thailand: a Community-Based Randomized Controlled Trial of a Parenting and Family Skills Intervention.
The negative effects of displacement and poverty on child mental health are well-known, yet research on prevention interventions in low- and middle-income countries, especially fragile states, remains limited. We examined the effectiveness of a parenting skills intervention on mental health outcomes among Burmese migrant and displaced children living in 20 communities in Thailand. Participants were primary caregivers and children aged 7 to 15 years (n = 479 families). Families were randomly assigned to receive an adapted version of the Strengthening Families Program (n = 240) or a wait-list control condition (n = 239). Assessments were conducted at baseline and 1-month post-intervention for both conditions and at 6 months for treatment group only. One month after the program, children in the treatment condition showed significant reductions in externalizing problems (caregiver effect siz…
matched on Cultural Characteristics (mesh)
Listen to your heart: the cultural shaping of interoceptive awareness and accuracy.
West African cultural contexts foster higher levels of attention to the bodily signals compared with the European American contexts. Interoception, or the processing of signals from the body, is a key component of emotional reactivity. Interoceptive awareness (i.e., the self-reported tendency to attend to physiological changes) and accuracy (i.e., the ability to accurately detect physiological changes) are distinct aspects of interoception. Does the West African cultural emphasis on interoceptive awareness affect individuals' abilities to accurately perceive physiological changes in response to emotional stimuli? West African and European American young adults watched a fear-inducing film clip and continuously rated their perception of heart rate changes in response to the clip. Actual heart rates were also recorded continuously. Cross-correlations were calculated between measures of per…
matched on Cultural Characteristics (mesh)
Papas RK, Sidle JE, Gakinya BN, Baliddawa JB, Martino S, Mwaniki MM, Songole R, Omolo OE, Kamanda AM, Ayuku DO, Ojwang C, Owino-Ong'or WD, Harrington M, Bryant KJ, Carroll KM, Justice AC, Hogan JW, Maisto SA (2011)randomised controlled trialMEDLINE-indexed journal, not yet read by usAddiction (Abingdon, England)91 citations Treatment outcomes of a stage 1 cognitive-behavioral trial to reduce alcohol use among human immunodeficiency virus-infected out-patients in western Kenya.
Aims: Dual epidemics of human immunodeficiency virus (HIV) and alcohol use disorders, and a dearth of professional resources for behavioral treatment in sub-Saharan Africa, suggest the need for development of culturally relevant and feasible interventions. The purpose of this study was to test the preliminary efficacy of a culturally adapted six-session gender-stratified group cognitive-behavioral therapy (CBT) intervention delivered by paraprofessionals to reduce alcohol use among HIV-infected out-patients in Eldoret, Kenya.
Design: Randomized clinical trial comparing CBT against a usual care assessment-only control.
Setting: A large HIV out-patient clinic in Eldoret, Kenya, part of the Academic Model for Providing Access to Healthcare collaboration.
Participants: Seventy-five HIV-infected out-patients who were antiretroviral (ARV)-initiated or ARV-eligible and who reported hazardous or…
matched on Cultural Characteristics (mesh)
Peer mentoring: a culturally sensitive approach to end-of-life planning for long-term dialysis patients.
Background: This study is designed to explore the impact of peer mentoring on end-of-life decision making.
Methods: A controlled randomized intervention study with 203 patients from 21 dialysis centers across Michigan explored the impact of peer mentors, dialysis patients trained to help other patients, on end-of-life planning.
Results: Communicating information on advance directives (ADs) through peer mentoring significantly influenced the completion of ADs overall compared with distributing standard printed material or no specific designed intervention. However, the influence was most prominent among African Americans, not only increasing actual completion of ADs (P < 0.001) and comfort discussing ADs (P < 0.01), but also improving subjective well-being (P < 0.05) and anxiety (P < 0.05) during the study period. These effects of peer mentoring did not appear among white patients, althou…
matched on Cultural Characteristics (mesh)
The Role of Acculturative Stress on the Mental Health of Immigrant Youth: A Scoping Literature Review.
Acculturation after settlement has been identified as a risk factor affecting the mental health of immigrant youth. Increasing rates of immigration and expanding populations of immigrant youth mean that addressing their mental is a priority. Acculturative stress is the stress-response resulting from the effects of multiple stressors that result from the need to acculturate. Among youth within the developmental stages of late adolescence and emerging adulthood, increased sensitivity to stress, and developmental demands, impact their mental health. The effects of acculturative stress place an additional burden on the mental health of immigrant youth. This scoping review examined existing literature that investigated a variety of relationships between acculturative stress and youth mental health. A comprehensive search strategy that focused on studies involving youth, mainly aged between 15…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Mental health disparities between Hispanic and non-Hispanic parents of childhood cancer survivors.
Background: Parents of childhood cancer survivors (CCS) experience considerable distress related to their child's cancer. However, little is known about cultural variation in this experience. We examine parental distress, specifically symptoms of post-traumatic stress (PTSS) and depression, comparing Hispanic and non-Hispanic parents of CCS.
Procedure: Seventy-nine Hispanic and 60 non-Hispanic parents of CCS (currently aged 14-25, off treatment ≥2 years) completed questionnaires assessing demographics, depression, PTSS, perceived stress, and child's health status/quality of life (QOL). t-Tests and chi-square statistics were used to compare differences in demographic characteristics between Hispanic and non-Hispanic parents and multivariable regression was used to determine independent risk factors associated with parental PTSS and depression.
Results: Hispanic parents were significantly …
matched on Acculturation (keyword), acculturation (text)
A biobehavioral approach to understanding obesity and the development of obesogenic illnesses among Latino immigrants in the United States.
The prevalence of obesity and obesity-related illnesses is higher among Hispanics (Latinos) than other racial and ethnic groups, and rates increase exponentially with the number of years living in the United States. Mounting evidence suggests that the origins of many chronic illnesses among disadvantaged minority groups may lie with cumulative exposure to chronic psychological and physiological stressors through the biobehavioral process of allostatic load (AL). Among immigrant Latinos, acculturation stress may contribute to an increase in AL and thus may be an independent risk factor for the development of obesity and obesogenic illnesses. The purpose of this theoretical article is to present a proposed model of the effects of acculturation stress on AL and obesity among Latino immigrants. Such a model can be useful to guide intervention efforts to decrease obesity among immigrant Latin…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Kalra G, Bhugra DK, Shah N (2012)reviewMEDLINE-indexed journal, not yet read by usAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry25 citations Identifying and addressing stresses in international medical graduates.
Objectives: International medical graduates (IMGs), by definition, move from the country in which they received their training to another country in which to train and/or settle down. This process of migration and subsequent adjustment can lead to a number of issues that affect personal functioning and response to the new country.
Method: The authors carried out a literature review to ascertain which factors may cause stress and which factors may contribute to successful adjustment by the IMGs.
Results: The reasons for migration by IMGs can be political, educational, or economic. Each reason brings with it a series of difficulties, both for the individual and the society to which they move, as well as the society they leave behind. It is inevitable that acculturation and settling down will raise specific issues in the functioning of the IMGs.
Conclusions: In this article, the authors hig…
matched on Acculturation (mesh), Emigrants and Immigrants (mesh), acculturation (text)
Bicultural stress and adolescent risk behaviors in a community sample of Latinos and non-Latino European Americans.
Objectives: The study examined the relation between adolescent risk behaviors and bicultural stress due to discrimination, immigration, and acculturation factors. We hypothesized bicultural stress would be related to increased risk behavior and depressive symptoms independent of socioeconomic status, ethnic self-identification, and acculturation.
Design: Middle school student participants (n=519; median age 14) completed a self-report questionnaire on their risk behaviors, psychosocial antecedents, and socio-demographic factors. Latino (304) and non-Latino European American (215) students were surveyed through a large, urban, West Coast US school district.
Results: More bicultural stress was significantly related to reports of all risk behaviors (i.e. smoking, drinking, drug use, and violence) and depressive symptoms. Further, bicultural stress was a robust explanatory variable across su…
matched on Acculturation (mesh), Social Identification (mesh), Emigrants and Immigrants (mesh), acculturation (text), bicultural (text)
Health-related quality of life, ethnicity and perceived discrimination among immigrants and natives in Spain.
Objectives: The current study compares subjective mental and physical health among native Spaniards and immigrant groups, and examines the effects of ethnicity and perceived discrimination (PD) on subjective health in immigrants.
Design: Two random samples of 1250 immigrants to Spain from Colombia, Bolivia, Romania, Morocco, and Sub-Saharan Africa and 500 native Spaniards, aged between 18 and 65, were recruited for this cross-sectional study. Several hierarchical regression analyses of ethnicity and PD on subjective mental and physical health (assessed using the health-related quality of life items, HRQLSF-12) were carried out separately for men and women.
Results: Male immigrants from Colombia and Sub-Saharan Africa showed better physical health than natives, controlling for age and socioeconomic and marital status. The immigrants - except for the Colombians - had poorer mental health t…
matched on Ethnicity (mesh), Emigrants and Immigrants (mesh), acculturation (text)
The assessment of generalized anxiety disorder: psychometric validation of the Spanish version of the self-administered GAD-2 scale in daily medical practice.
Aim: To psychometrically validate the Spanish version of the self-administered 2-item GAD-2 scale for screening probable patients with generalised anxiety disorder (GAD).
Methods: The GAD-2 was self-administered by patients diagnosed with GAD according to DSM-IV criteria and by age- and sex-matched controls who were recruited at random in mental health and primary care centres. Criteria validity was explored using ROC curve analysis, and sensitivity, specificity and positive and negative predictive values were determined for different cut-off values. Concurrent validity was also established using the HAM-A, HADS, and WHODAS II scales.
Results: The study sample consisted of 212 subjects (106 patients with GAD) with a mean age of 50.38 years (SD = 16.76). No items of the scale were left blank. Floor and ceiling effects were negligible. No patients with GAD had to be assisted to complete th…
matched on Acculturation (mesh)
Ethnic diversity and pathways to care for a first episode of psychosis in Ontario.
Objective: To examine ethnic variations in the pathways to care for persons accessing early intervention (EI) services in Ontario.
Method: The pathways to care and the duration of untreated psychosis were assessed for first-episode psychosis patients who entered specialized EI services in Ontario. The sample was assigned to the following ethnic classifications: the White (Caucasian), Black (African descent), and Asian (ancestry from the continent) groups, plus all the "other ethnicities" group.
Results: There were 200 participants: 78% were male; 61% from the White, 15% Black, 13% Asian, and 11% were from the other ethnicities group. At the first point of contact, more participants used nonmedical contacts (12%), such as clergy and naturopathic healers, than psychologists (8%) or psychiatrists (7%). There were no ethnic differences for duration of untreated psychosis (median 22 weeks) or…
matched on Acculturation (mesh)
Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale.
Objective: In patients with chronic pain, catastrophizing is a significant determinant of self-rated pain intensity and disability. The Pain Catastrophizing Scale (PCS) was developed to assist with both treatment planning and outcome assessment; to date, no German version has been validated.
Methods: A cross-cultural adaptation of the PCS into German was carried out, strictly according to recommended methods. A questionnaire booklet containing the PCS, visual analogue scales (numeric rating scale) for pain intensity and general health, the ZUNG self-rating depression scale, the Modified Somatic Perception Questionnaire (MSPQ), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Roland-Morris (RM) disability questionnaire was completed by 111 patients with chronic low back pain (mean age, 49 years), 100 of which also completed it again 7 days later.
Results: Cronbach's alpha (interna…
matched on Acculturation (mesh)
Toward an Intersectional Approach in Developmental Science: The Role of Race, Gender, Sexual Orientation, and Immigrant Status.
Developmental theory and research have often focused on a single social identity category, for example, race or sexual orientation, and examined the consequences of that category on life outcomes. Yet intersectional models of social disadvantage (eg, Cole, 2009; Crenshaw, 1995; King, 1988) suggest that social categories combine to shape the experiences and life outcomes of individuals across life domains. In this chapter, we review empirical research that offers insight into the intersectionality of social identities across three critical developmental periods, namely, middle childhood, adolescence, and emerging adulthood. We also consider the consequences of intersecting identities across several life domains, including intergroup relations and political and civic engagement. Recognizing that the body of work on social identities is expansive, we focus our review on race/ethnicity, gend…
matched on Social Identification (mesh), Ethnicity (mesh), Emigrants and Immigrants (mesh)
Eating Disorders in Ethnic Minorities: an Update.
Purpose of review: Eating disorders are recognized to occur across ethnic and racial groups. The aim of the present review was to examine recent advances in the understanding of the development, presentation, and intervention approaches specific to eating disorders among ethnic and racial minority groups.
Recent findings: An increasing number of measures have been found to be useful tools for assessing eating disorder risk and symptoms among ethnic and racial minority populations. In addition, further evidence has emerged supporting the relationship between higher levels of eating disorder symptoms and acculturation stress, as well as investment in appearance ideals. In contrast, the relationship between ethnic identity and eating disorder symptoms is less consistent, although several studies suggest that positive ethnic identity may be protective. Finally, increasing efforts have been m…
matched on Acculturation (keyword), Ethnicity (mesh), acculturation (text), ethnic identity (text)
Emotion regulation strategies and later externalizing behavior among European American and African American children.
Children's early emotion regulation strategies (ERS) have been related to externalizing problems; however, most studies have included predominantly European American, middle-class children. The current study explores whether ERS use may have differential outcomes as a function of the mother's ethnic culture. The study utilizes two diverse samples of low-income male toddlers to examine observed ERS during a delay of gratification task in relation to maternal and teacher reports of children's externalizing behavior 2 to 6 years later. Although the frequencies of ERS were comparable between ethnic groups in both samples, the use of physical comfort seeking and self-soothing was positively related to African American children's later externalizing behavior but negatively related to externalizing behavior for European American children in Sample 1. Data from Sample 2 appear to support this pa…
matched on Cultural Characteristics (mesh), Ethnicity (mesh)
Friedman DB, Laditka JN, Hunter R, Ivey SL, Wu B, Laditka SB, Tseng W, Corwin SJ, Liu R, Mathews AE (2009)cohort or longitudinalMEDLINE-indexed journal, not yet read by usThe Gerontologist46 citations Getting the message out about cognitive health: a cross-cultural comparison of older adults' media awareness and communication needs on how to maintain a healthy brain.
Purpose: Evidence suggests that physical activity and healthy diets may help to maintain cognitive function, reducing risks of developing Alzheimer's disease and vascular dementia. Using a cross-cultural focus, we describe older adults' awareness about cognitive health, and their ideas about how to inform and motivate others to engage in activities that may maintain brain health.
Design and methods: Nineteen focus groups were conducted in 3 states (California, North Carolina, South Carolina) with 177 adults aged 50 years and older. Six groups were with African Americans (AAs), 4 with Chinese, 3 with Vietnamese, 4 with non-Hispanic Whites, and 2 with American Indians (AIs). A qualitative thematic analysis was conducted.
Results: Many participants did not recall reading or hearing about brain health in the media. Participants recommended a multimedia approach to inform others about brain h…
matched on Cultural Characteristics (mesh), Ethnicity (mesh)
Takubo Y, Nemoto T, Iwai M, Kashima M, Yamaguchi E, Maruyama A, Miura S, Saito H, Tsujino N, Mizuno M (2020)cohort or longitudinalMEDLINE-indexed journal, not yet read by usBMC psychiatry16 citations Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: a multicentre study in a metropolitan area.
Background: International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognised as a risk factor for multiple mental-health related issues, there are few regional reports on foreign nationals accessing the psychiatric services in Japan. We aimed to reveal their current status and provide information to develop an optimal service system.
Methods: A multicentre retrospective document review research was conducted. The subjects were foreign nationals who resided in Japan and presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of 3 years. We investigated the patients' demographic and clinical information including country/region of origin, spoken language, …
matched on Acculturation (keyword), Emigrants and Immigrants (mesh)
Treatment preferences and advance care planning at end of life: the role of ethnicity and spiritual coping in cancer patients.
Background: Although studies have reported ethnic differences in approaches to end of life, the role of spiritual beliefs is less well understood.
Purpose: This study investigated differences between African American and White patients with cancer in their use of spirituality to cope with their cancer and examined the role of spiritual coping in preferences at end-of-life.
Methods: The authors analyzed data from interviews with 68 African American and White patients with an advanced stage of lung or colon cancer between December 1999 and June 2001.
Results: Similar high percentages of African American and White patients reported being "moderately to very spiritual" and "moderately to very religious." African American patients were more likely to report using spirituality to cope with their cancer as compared to their White counterparts (p = .002). Patients who reported belief in divine i…
matched on Cultural Characteristics (mesh)
Perreira KM, Marchante AN, Schwartz SJ, Isasi CR, Carnethon MR, Corliss HL, Kaplan RC, Santisteban DA, Vidot DC, Van Horn L, Delamater AM (2019)MEDLINE-indexed journal, not yet read by usJournal of immigrant and minority health62 citations Stress and Resilience: Key Correlates of Mental Health and Substance Use in the Hispanic Community Health Study of Latino Youth.
This study examined associations of immigrant generation, acculturation, and sources of stress and resilience with four outcomes-depression symptoms, anxiety symptoms, alcohol susceptibility, and smoking susceptibility. We used data from 1466 youth (ages 8-16) enrolled in the Hispanic Community Health Study of Latino Youth (SOL Youth), a probability sample of Hispanic/Latino youth living in Chicago (IL), Miami (FL), Bronx (NY), and San Diego (CA). We found no evidence of an immigrant paradox. Greater children's acculturative stress was associated with depression/anxiety symptoms; greater parent's acculturative stress was associated with smoking susceptibility. Family functioning and children's ethnic identity were associated with fewer depression/anxiety symptoms and lower alcohol/smoking susceptibility. Although acculturation-related stressors increase youths' risks for poor mental heal…
matched on Acculturation (mesh), Cultural Characteristics (mesh), Emigrants and Immigrants (mesh), acculturation (text), ethnic identity (text)
Ritchie RA, Meca A, Madrazo VL, Schwartz SJ, Hardy SA, Zamboanga BL, Weisskirch RS, Kim SY, Whitbourne SK, Ham LS, Lee RM (2013)cohort or longitudinalMEDLINE-indexed journal, not yet read by usJournal of clinical psychology25 citations Identity dimensions and related processes in emerging adulthood: helpful or harmful?
Objectives: The current study evaluated the mediational role of well-being in the relationship between identity development and psychosocial functioning.
Method: A sample of 7,649 undergraduate students (73% female; mean age = 19.95, standard deviation = 1.98; 62% Caucasian) completed measures of personal identity, well-being, internalizing symptoms, externalizing problems, and health-risk behaviors.
Results: Results revealed that (a) identity exploration and commitment were negatively associated with internalizing symptoms, health-risk behaviors, and externalizing problems through well-being, (b) ruminative exploration was negatively associated with well-being and positively associated with externalizing problems, and (c) increased levels of ruminative exploration appear more detrimental for men than for women.
Conclusion: The study shed light on the mechanisms through which identity pr…
matched on Social Identification (mesh)