Depression and emotional reactivity: Variation among Asian Americans of East Asian descent and European Americans.

Studies of Western samples (e.g., European Americans [EAs]) suggest that depressed individuals tend to show diminished emotional reactivity (J. G. Gehricke & A. J. Fridlund, 2002; G. E. Schwartz, P. L. Fair, P. Salt, M. R. Mandel, & G. L. Klerman, 1976a, 1976b). Do these findings generalize to individuals oriented to other cultures (e.g., East Asian cultures)? The authors compared the emotional reactions (i.e., reports of emotional experience, facial behavior, and physiological reactivity) of depressed and nondepressed EAs and Asian Americans of East Asian descent (AAs) to sad and amusing films. Their results were consistent with previous findings: Depressed EAs showed a pattern of diminished reactivity to the sad film (less crying, less intense reports of sadness) compared with nondepressed participants. In contrast, depressed AAs showed a pattern of heightened emotional reactivity (greater crying) compared with nondepressed participants. Across cultural groups, depressed and nondepressed participants did not differ in their reports of amusement or facial behavior during the amusing film. Physiological reactivity to the film clips did not differ between depressed and control participants for either cultural group. Thus, although depression may influence particular aspects of emotional reactivity across cultures (e.g., crying), the specific direction of this influence may depend on prevailing cultural norms regarding emotional expression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A cultural accommodation model for cross-cultural psychotherapy: Illustrated with the case of Asian Americans.

As an extension of F. T. L. Leong's (1996) integrative model, this article presents the cultural accommodation model (CAM), an enhanced theoretical guide to effective cross-cultural clinical practice and research. Whereas F. T. L. Leong's model identifies the importance of integrating the universal, group, and individual dimensions, the CAM takes the next step by providing a theoretical guide to effective psychotherapy with culturally different clients by means of a cultural accommodation process. This model argues for the importance of selecting and applying culture-specific constructs when working with culturally diverse groups. The first step of the CAM is to identify cultural disparities that are often ignored and then accommodate them by using current culturally specific concepts. In this article, several different cultural "gaps" or culture-specific constructs of relevance to Asian Americans with strong scientific foundations are selected and discussed as they pertain to providing effective psychotherapy to this ethnic minority group. Finally, a case study is incorporated to illustrate application of the CAM. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Help-seeking tendencies in Asian Americans with suicidal ideation and attempts.

Among rising concerns surrounding heightened suicide in certain subgroups of Asian Americans, it is important to understand the help-seeking rates and pathways among Asian Americans experiencing suicidality. This study examined perceived need for care, help-seeking behavior, and chosen sources of care among Asian Americans compared with Latinos in the National Latino and Asian American Study who reported a history of lifetime suicidal ideation, suicide attempts, or mental disorders without history of suicide. Consistent with existing literature in Caucasians, suicide attempts in Asian Americans and Latinos were related to greater help seeking and perceived need beyond that of mental disorders only. However, Asian Americans with suicide attempts still reported lower perceived need and help-seeking behaviors compared with Latinos. In contrast to both the existing literature and Latinos in this study, Asian Americans with suicidal ideation were no more likely to perceive a need for help or seek help than Asian Americans with a mental disorder without history of suicide and were less likely to seek and perceive a need for help than Latinos with suicidal ideation. These findings point to the idea that Asian Americans who have serious suicidal ideation or attempts may underestimate the importance of their condition and do not receive the level of attention and support needed. Findings also show that Asian Americans with suicidal ideation and attempts prefer seeking help from nonprofessional rather than professional sources of help, other than medical professionals. Clinical implications for outreach, assessment, and management of suicide are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Epistemological beliefs' contributions to study strategies of Asian Americans and European Americans.

Given the increasingly culturally diverse composition of students in American classrooms, understanding the nature of cultural differences is necessary to generate effective instructional interventions. This study examines the individual differences in epistemological beliefs, ways of knowing, study strategies, and academic performance among different cultural groups. These cultural groups include European Americans (Americans of European ancestry) and first and successive generations of Asian Americans. College junior and senior business majors completed instruments assessing epistemological beliefs, ways of knowing, and study strategies. Multivariate analyses of variances revealed significant differences among cultural groups in 5 study strategies (low anxiety, selecting main ideas, testing strategies, high motivation, and information processing), course grades, and reading comprehension. Regression analyses revealed that beliefs about learning speed, knowledge construction, characteristics of successful students, and separate knowing contributed to cultural differences. This study highlights the need to avoid strong stereotyping and to consider individual differences in the classroom. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lifetime suicidal ideation and suicide attempts in Asian Americans.

Few studies have examined the role of culturally relevant factors in suicidal behavior among Asian Americans. Using the National Latino and Asian American Study (NLAAS) (Alegria et al., 2004; Heeringa et al., 2004), the current study examined the role of culturally related variables (family conflict, perceived discrimination, and ethnic identity) on suicidal ideation and suicide attempts in a nationally representative sample of 2,095 Asian Americans. Important covariates were sociodemographic characteristics (gender, age, marital status, years of education, household poverty, and nativity status), depressive and anxiety disorders, and number of chronic conditions. Gender related correlates were also explored. The lifetime prevalence of suicidal ideation and attempts was 8.8% and 2.5%, respectively. Female gender, family conflict, perceived discrimination, and the presence of lifetime depressive or anxiety disorders were positively correlated with suicidal ideation and attempts. A high level of identification with one’s ethnic group was associated with lower rates of suicide attempts. Among Asian men, but not women, the presence of chronic medical conditions was associated with suicidal ideation. Findings highlight the contributions to suicide risk of cultural factors and gender differences in Asian Americans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of racial identity, ethnic identity, Asian values, and race-related stress on Asian Americans and Asian international college students’ psychological well-being.

The present study investigated the direct and moderating effects of racial identity, ethnic identity, Asian values, and race-related stress on positive psychological well-being among 402 Asian American and Asian international college students. Results revealed that the racial identity statuses Internalization, Immersion-Emersion, Dissonance, Asian values, and Ethnic Identity Affirmation and Belonging were significant predictors of well-being. Asian values, Dissonance, and Conformity were found to moderate the relationship between race-related stress on well-being. Specifically, individuals in low race-related stress conditions who had low Asian values, high Conformity, and low Dissonance attitudes started high on well-being but decreased as race-related stress increased. These findings underscore the importance of how racial identity statuses, Asian values, and ethnic identity jointly and uniquely explain and moderate the effects of race-related stress on positive well-being. Implications for future research and clinical practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The influence of race and power on self-construal in bicultural Asian Americans.

This study examined the meaning of self-construal in Asian Americans with bicultural experiences. Thirteen Asian American young adults (ages 18–29) participated in qualitative interviews regarding their personal experiences of self-construal in different cultural contexts. Two qualitative approaches to data collection were used including inductive, open-ended interviewing and a more deductive approach in which participants were shown conceptual models of the self and then were asked to talk about their experiences in relation to the models. Participants' stories and meanings of self support previous theory, which conceptualizes self-construals as primarily cultural constructs. However, for these bicultural Asian Americans, self-construal was also described as a co-constructed process strongly influenced by racial dynamics in the United States. Implications for a shift in conceptualization of self are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prioritized assignment to intake appointments for Asian Americans at an ethnic-specific mental health program.

This study examined the relationship of demographic, clinical, and therapist factors to decisions about prioritized assignment to the earliest intake appointment for 983 Asian Americans who contacted an Asian-oriented, ethnic-specific mental health program. The logistic regression results showed that Asian language preference, ethnicity, suicidality, violent behavior, physical and sexual abuse, and psychotic symptoms increased the likelihood of a prioritized decision for the earliest intake appointment but that being female, being of an older age, and having somatic complaints decreased the likelihood. Given these findings, Asian American clinicians at an ethnic-specific program were found to consider clinical, demographic, and ethnically related factors in prioritized decisions about intake assignment, which could improve intake attendance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validating the Riverside Acculturation Stress Inventory with Asian Americans.

An emerging body of empirical research highlights the impact of acculturative stress in the lives of culturally diverse populations. Therefore, to facilitate future research in this area, we conducted 3 studies to examine the psychometric properties of the Riverside Acculturation Stress Inventory (RASI; Benet-Martínez & Haritatos, 2005) and its 5 subscales in a total sample of 793 self-identified Asian American participants. The reliability and validity of RASI scores and the hypothesized 1-factor higher order model (with 1st-order factors Language Skills, Work Challenges, Intercultural Relations, Discrimination, and Cultural Isolation) of the RASI were examined in Study 1. The RASI higher order structure and score validity and reliability were examined across different generational groups in Study 2. The stability of RASI scores over a 3-week period was examined in Study 3. Overall, findings from these studies support the hypothesized structure of the RASI and indicate that this brief instrument provides reliable and valid acculturative stress scores. In addition, results suggest that RASI items are interpreted in an equivalent manner across different generations of Asian American individuals. Implications for research and assessment are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Optimism and Pessimism as Mediators of the Relations Between Self-Discrepancies and Distress Among Asian and European Americans.

The authors examined the role of undesired self-discrepancies in predicting emotional distress among Asian and European Americans, whether undesired self-discrepancies are stronger predictors of distress for Asian than for European Americans, and whether optimism and pessimism mediate the relations between ideal, ought, and undesired self-discrepancies and emotional distress. Self-identified Asian/Asian American (n = 140) and European American (n = 189) college students completed measures of self-discrepancies, optimism/pessimism, social anxiety, and depressive symptoms. Results show that for both Asian Americans and European Americans, greater similarity to the undesired self is equally predictive of symptoms of depression, whereas distance from the undesired self is more predictive of social anxiety for Asian Americans than for European Americans. Furthermore, pessimism fully mediates the relations between undesired self-discrepancies and depressive symptoms for both Asian Americans and European Americans, although pessimism was a stronger predictor of depression for European Americans than for Asians/Asian Americans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Racial discrimination stress, coping, and depressive symptoms among Asian Americans: A moderation analysis.

The purpose of our study was to explore: (a) the association between racial discrimination stress and depressive symptoms, and (b) how coping (e.g., individualistic/collectivistic and dispositional/situation-specific coping) attenuated or strengthened this association specifically among Asian Americans. Data were collected from 201 Asian Americans in a large Midwestern state university through an online survey. Results from a hierarchical regression indicated that racial discrimination stress significantly predicted depressive symptoms over and beyond perceived general stress and perceived racial discrimination. For the moderation effect, the simple effect analyses indicated that low utilization of reactive coping strategies and a high helpfulness rating of family support reduced the strength of association between racial discrimination stress and depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stigma consciousness among Asian Americans: Impact of positive stereotypes in interracial roommate relationships.

The present research examined the intrapersonal consequences that Asian Americans experience as a result of their concerns about appearing highly intelligent, a positive stereotype associated with their racial group. A daily diary study of Asian-American college students (N = 47) revealed that higher levels of stigma consciousness were associated with greater anxiety, contact avoidance, perceived need to change to fit in with a roommate, and concerns about being viewed as intelligent for Asian Americans living with a European-American (vs. racial minority) roommate. Further, among Asian Americans with a European-American roommate, concerns about appearing intelligent partially mediated the relationships between stigma consciousness and the outcomes of anxiety and perceived need to change to fit in. In sum, these findings demonstrate that positive stereotypes about the group—not just negative stereotypes—may lead to undesirable intrapersonal outcomes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Where are you really from?: Asian Americans and identity denial.

Five studies investigate identity denial, the situation in which an individual is not recognized as a member of an important in-group. Asian Americans are seen as less American than other Americans (Study 1) and realize this is the case, although they do not report being any less American than White Americans (Studies 2A and 2B). Identity denial is a common occurrence in Asian Americans' daily lives (Study 3). They react to instances of identity denial by presenting American cultural knowledge and claiming greater participation in American practices (Studies 4 & 5). Identity denial furthers the understanding of group dynamics by capturing the experience of less prototypical group members who desire to have their common in-group identity recognized by fellow group members. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A genetic association with the development of alcohol and other substance use behavior in Asian Americans.

Studies of Asian adults have found that alcohol use and alcohol dependence are related to variation in the aldehyde, dehydrogenase (ALDH2) gene. To investigate the association of ALDH2 with the development of drug involvement, the authors analyzed retrospective information about the onset and regular use of alcohol and other substances as reported by 180 Asian American college students. Possession of an ALDH2*2 allele was not related to initiation of alcohol use or having ever been intoxicated, but individuals with ALDH2*2 alleles were less likely to be regular drinkers, were less likely to have engaged in a binge-drinking episode, reported a lower number of maximum drinks consumed in a 24-hr period, and were less likely to have used tobacco regularly than those without this genetic variant. These findings suggest that ALDH2 is associated with the development of not only alcohol-related behavior but other substance use behavior as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Asian Indians' responses to discrimination: A mixed-method examination of identity, coping, and self-esteem.

The focus on racial injustice in ethnic minority psychology recognizes a need to understand the effects of racism experienced by Asian Indians in the U.S. Utilizing a mixed-method approach with 102 first and second generation Asian Indians, we examined (a) when and why race and ethnicity are salient for Asian Indians, (b) the mediating roles of racial identity and ethnic identity, and (c) the moderating roles of generational status and racial socialization on the relationship between racism related stress, self-esteem and coping. Qualitative analyses revealed distinct and overlapping themes related to race and ethnicity highlighting the relevance of both constructs to participants. Quantitative analyses revealed racial identity to be a significant mediator in the relationship between racism related stress, self-esteem, and coping. Neither generational status nor racial socialization experiences moderated this relationship. Implications of these findings for research and clinical intervention with Asian Indians are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Understanding the psychological processes of the racial match effect in Asian Americans.

Some studies on mental health outcomes research have found that when clients and therapists are ethnically or racially matched, this tends to be related to greater satisfaction and better outcomes. However, the precise underlying mechanism for the match effect has not been extensively examined. In this experimental study, we tested the effect of racial match on critical counseling processes (i.e., therapist credibility and the working alliance) using a sample of 171 Asian American respondents. We also examined Asian ethnic identification as a potential moderator of the racial match effect. Structural equation modeling analyses indicated that racially matched individuals perceived greater experiential similarity with the therapist than nonmatched individuals, and experiential similarity was positively associated with therapist credibility. Although racial match did not predict attitudinal similarity, attitudinal similarity was strongly related to the working alliance and therapist credibility. Counseling implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Do ethnic identity and other-group orientation protect against discrimination for Asian Americans?

Ethnic identity and other-group orientation were examined as possible moderators and mediators on the effects of personal ethnic discrimination and minority group discrimination in 2 studies of Asian Americans. Results demonstrated that discrimination, particularly when directed personally at an individual, correlated negatively with psychological well-being and correlated positively with distress. Ethnic identity and other-group orientation, however, correlated positively with psychological well-being. Contrary to the main hypothesis, ethnic identity did not moderate or mediate the effects of discrimination, although other-group orientation demonstrated a moderator effect on community well-being. More research on ethnic identity and other-group orientation as protective factors that enable Asian Americans to be resilient against discrimination is necessary to clarify the findings from these studies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychoanalytic therapy of the borderline patient: Treating the fusion-separation contradiction.

The thesis of the article is that borderline psychopathology can be successfully treated by psychoanalytic therapy, and the principles of this treatment are outlined. Borderline psychopathology is defined as fusion in close relationships and reality adaptation in other situations. Thus, the major treatment issue is seen as the resolution of the transference psychosis. The article makes a distinction between overt and covert transference psychosis and demonstrates how both forms may be treated through interpretive means. A case treated in this manner is used to demonstrate the resolution of the transference psychosis with primary reliance on interpretation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Family Almost Perfect Scale: Development, psychometric properties, and comparing Asian and European Americans.

This article describes two studies related to the development and psychometric evaluation of the Family Almost Perfect Scale (FAPS), which measures the perceived level of perfectionistic standards and evaluation from one's family. In Study 1 (N = 283), exploratory factor analysis was used to determine the FAPS scale items. In Study 2, the FAPS was cross-validated through confirmatory factor analyses with an Asian/Asian American sample (N = 252) and a European American sample (N = 386). These two samples were compared on study variables and Asians/Asian Americans reported modestly higher personal and family discrepancy and lower self-esteem. Participants were also grouped into different perceived perfectionistic family types. Those that perceived having maladaptively perfectionistic families reported greater depression and lower self-esteem. Implications for counseling and future directions for research are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)