Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help.

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Adherence to Asian and European American cultural values and attitudes toward seeking professional psychological help among Asian American college students.

Possible relations among enculturation and acculturation to cultural values and attitudes toward seeking professional psychological help were examined among 146 Asian American college students. In addition, possible relations between various dimensions of Asian values and attitudes toward seeking professional psychological help were examined. As hypothesized, the results indicated a significant inverse relation between enculturation to Asian values and professional help-seeking attitudes, above and beyond that of the association with having previous counseling experience. Although bivariate correlational results suggested possible inverse relations between the Asian values dimensions of collectivism, emotional self-control, and humility and professional help-seeking attitudes, these associations were not confirmed with a hierarchical multiple regression model. Contrary to expectation, a significant relation was not observed between values acculturation and professional help-seeking attitudes. Also, the interaction between enculturation and acculturation to cultural values was not significantly predictive of professional help-seeking attitudes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cultural mistrust and mental health help-seeking attitudes among Filipino Americans.

As low as the rate of mental health help-seeking is among Asian Americans, Filipino Americans seek mental health services at a much lower rate even compared with other Asian Americans. Despite the field’s progress in identifying and understanding factors that may influence mental health help-seeking attitudes among Asian Americans, despite research on other minority groups suggesting that cultural mistrust may influence attitudes toward seeking professional psychological help, and despite the abundance of literature documenting the historical and contemporary experiences of oppression by Filipino Americans, the possibility that cultural mistrust may play a significant role in Filipino Americans’ mental health help-seeking attitudes have yet to be empirically investigated. Thus, using a sample of 118 Filipino Americans, the current study demonstrates that higher levels of cultural mistrust is related to lower likelihood of seeking professional psychological help. Furthermore, cultural mistrust predicted variance in mental health help-seeking attitudes that are not accounted for by income, generational status, loss of face, and adherence to Asian cultural values. Implications for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Individualism-collectivism, social-network orientation, and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans.

Several culturally based variables were used to predict the patterns of help-seeking attitudes among a sample of 219 Chinese-American students in a large midwestern university. Cultural values operationalized by the H. C. Triandis et al (see record 1988-13667-001) Individualism-Collectivism Scale, social support attitudes operationalized by A. Vaux's (see record 1987-09232-001) Network Orientation Scale, and the continuous variable of acculturation operationalized by the Suinn-Lew Asian Self-ldentity Acculturation Scale (R. M. Suinn et al; see record 1987-30187-001) were selected as predictors of attitudes as measured by E. H. Fischer and J. L. Turner's (1970) Attitudes Toward Seeking Professional Psychological Help Scale. Each of the 4 independent variables were found to be significant predictors of attitudes toward seeking professional psychological help. The counseling and research implications of the results are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group counseling expectations among Asian American students: The role of culture-specific factors.

The present study investigated the influence of loss of face and acculturation on the group psychotherapy expectations of Asian American students (N?=?134) with the Positive Attitudes subscale from Y. S. Slocum's (1987) Group Therapy Survey. Results showed that loss of face was not a significant predictor of positive attitudes toward group counseling, whereas acculturation was. U. Kim's (1988) measure of acculturation was based on J. W. Berry's (1980) model, which posits four acculturation statuses: assimilation, separation, integration, and marginalization. Of the 4 scales, only the integrationist status significantly predicted positive attitudes toward group counseling. Counseling and research implications of the results are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapist multicultural competence, Asian American participants' cultural values, and counseling process.

Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of counseling process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on counseling process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral enculturation and acculturation, psychological functioning, and help-seeking attitudes among Asian American adolescents.

The study examined behavioral enculturation to Asian culture and behavioral acculturation to the dominant European American culture and their possible relations to positive psychological functioning among Asian American adolescents. Positive psychological functioning was operationalized using measures of general self-efficacy, cognitive flexibility, collective self-esteem, and attitudes toward seeking help. Based on data from 112 Asian American high school students in Hawaii, the results did not support the hypothesis that both high behavioral enculturation and acculturation would be related to positive psychological functioning. However, post hoc examination of the results revealed that enculturation was positively associated with general self-efficacy, cognitive flexibility, and the collective self-esteem dimensions of membership, private, and importance-to-identity. Also, acculturation was negatively associated with the importance-to-identity dimension. Implications for research and practice with Asian American adolescents are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Locus of control and attitudes toward mental illness among mental health volunteers.

Administered Rotter's Internal-External Control (I-E) Scale and Opinions about Mental Illness (OMI) Scale to 30 volunteers at a state mental hospital and 34 undergraduate controls. It was found that the volunteer group was more internal on the I-E Scale and less likely to feel that patients should be restricted in their social functioning. Retest OMI Scale scores of 16 volunteers after 6 mo. indicated that Ss' attitudes toward patients became more benevolent over time, and they may have begun to adopt the ideology of the mental health professional. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental illness stigma as a mediator of differences in Caucasian and South Asian college students' attitudes toward psychological counseling.

Previous research has established that Asian Americans use mental health services less frequently and hold poorer attitudes toward psychological counseling than Caucasians. The authors directly tested whether stigmatizing beliefs regarding mental illness might explain such differential attitudes toward counseling in a South Asian and Caucasian student sample. Using mediation analyses, the authors examined 2 aspects of stigma posited to affect help-seeking attitudes: personal stigmatizing views and perceptions of the public's stigmatizing views directed toward persons with mental illness. First, the authors found that Caucasian (n = 74) college students revealed more positive attitudes toward counseling than did South Asian (n = 54) students. Second, in terms of mediation, increased personal stigma, but not perceived stigma, expressed by South Asians partially mediated and accounted for 32% of the observed difference in attitudes toward counseling services. These findings support a long-standing conjecture in the literature regarding the increased significance of stigma processes on disparities in majority-minority help-seeking attitudes. They also suggest that efforts to reduce disparities in attitudes toward counseling for South Asian students specifically should incorporate interventions to reduce the increased stigma expressed by this community, particularly related to a desire for social distance from persons with a mental illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological distress, acculturation, and mental health-seeking attitudes among people of African descent in the United States: A preliminary investigation.

This article investigates the relationship between psychological distress, acculturation, and help-seeking attitudes among people of African descent (N = 130). Psychological distress was measured using the Global Severity Index from the Brief Symptom Inventory (L. R. Derogatis & N. Melisaratos, 1983), acculturation was measured using the Measurement of Acculturation Strategies for People of African Descent (E. M. Obasi, 2005), and help-seeking attitudes were measured using the Attitudes Toward Seeking Professional Psychological Help scale (E. H. Fischer & J. I. Turner, 1970). Overall, as psychological distress increased, attitudes toward seeking professional psychological services became more negative. The negative relationship between psychological distress and confidence in therapist was significantly stronger for participants who expressed a cultural maintenance of traditional beliefs. Future directions for this body of research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trainees' attitudes toward seeking psychotherapy scale: Development and validation of a research instrument.

A scale measuring future psychotherapy practitioners' attitudes toward seeking psychotherapy was developed and standardized. Participants were 275 master's degree and doctoral students being trained to provide counseling and psychological services. Subjects were recruited from five schools across the United States. The scale reliably distinguished between students who previously sought psychotherapy and those who did not and correlated significantly with E. H. Fischer and A. Farina's (1995) version of the Attitude toward Seeking Professional Psychological Help Scale. Factor analysis revealed four dimensions of the attitude: importance for professional growth/effectiveness, concern with professional credibility, concern with confidentiality, and need for self-sufficiency. Results showed that the scale may be used to study trainees' attitudes toward seeking psychotherapy for themselves and to measure the effectiveness of educational interventions aimed at attitude change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturation, enculturation, psychological distress and help-seeking preferences among Asian American college students.

We examined the relationship between Asian American college students' levels of acculturation, enculturation, and psychological distress. We also explored the methods Asian American college students prefer when seeking help for psychological concerns. The sample included 601 Asian American students from a large public university in Southern California. Respondents completed an online questionnaire, which included instruments assessing acculturation and enculturation levels as well as psychological distress and help-seeking preferences. Regression analyses indicated that when Asian American students hold a greater degree of European values they are less likely to experience psychological distress. A repeated-measures ANOVA found that Asian American students prefer more covert approaches to mental health treatment. These findings both compliment and contradict previous studies of acculturation, enculturation, psychological distress and help-seeking among the Asian American college student population. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A Test of Cramer's (1999) Help-Seeking Model and Acculturation Effects With Asian and Asian American College Students.

The generalizability of K. M. Cramer's (1999) help-seeking model was examined for Asian and Asian American college students. The construct of acculturation was then added to Cramer's model to determine if it would improve the model fit. Asian and Asian American (n=202) students completed help-seeking measures and behavioral and value-based measures of acculturation. White (n=336) students completed only help-seeking measures. Although path analyses showed that Cramer's model fit both samples, structural invariance analysis indicated differential model functioning between groups that can be primarily attributed to self-concealment, a concept central to understanding Asians' and Asian Americans' attitudes toward help seeking. The addition of acculturation, especially adherence to Asian value, to Cramer's model improved model fit. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes toward mental health professionals.

Attitudes of 85 undergraduates toward various mental health professional roles were evaluated using a semantic differential assessment instrument. Expressed attitudes were most positive toward those roles identified with physical medicine (i.e., physician and nurse) and least positive toward those professions traditionally identified with mental illness (i.e., psychiatrist and psychoanalyst). However, the public appears to be making increasing differentiations in attitudes expressed toward the various professional groups identified with the "psyche" prefix. For example, counseling psychologist was rated consistently as one of the most positive professional role categories, whereas psychoanalyst was rated consistently as one of the most negative role designations. (11 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of sex role stereotyping among mental health professionals.

85 male and 40 female psychologists (mean age 47.9 yrs) and psychiatrists (mean age 54.8 yrs) were administered the Attitudes Toward Women Scale and the short form of the Bem Sex-Role Inventory to assess the effects of sex, sex role attitudes, professional affiliation, and therapeutic orientation on sex-role attitudes and sex-role stereotyping. In general, Ss demonstrated relatively liberal sex role attitudes. However, more liberal attitudes were endorsed by psychologists than by psychiatrists and, within disciplines, by younger Ss and those with fewer years of experience. Regarding sex role stereotyping, Ss with less liberal sex role attitudes exhibited stereotyping to a significantly greater extent than did those with more liberal attitudes. Female Ss endorsed as great a double standard of mental health as did males. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of breast cancer on Asian American and Anglo American women

This pilot study constitutes the first exploration of the impact of breast cancer on Asian American women. Three hypotheses guided this study: (1) Asian American women would choose breast conserving therapy and breast reconstruction at a lower rate than the Anglo American women due to cultural differences in body image, (2) Asian American women with breast cancer would express psychological distress somatically and Anglo American women would express distress emotionally, and acculturation levels of the Asian American women would modify the expressions of distress such that women with high acculturation will express distress more emotionally and less acculturated women would express distress more somatically, and (3) Asian American women would seek assistance for psychosocial problems at a significantly lower rate than Anglo women. Ethnicity, age, and levels of acculturation were found to be significant variables that had to be considered simultaneously. The three hypotheses were only partially supported: (1) Asian American women chose breast conserving therapy and adjuvant therapy at a significantly lower rate than the Anglo American women, (2) Contrary to the hypothesis, somatization did not appear to be a dominant form of symptom presentation for Asian American women regardless of level of acculturation, and (3) Asian American women sought professional assistance for psychosocial problems at a significantly lower rate than Anglo women. Asian American women reported using different modes of help-seeking behavior for emotional concerns and receiving different sources of social support than the Anglo American women. Cultural interpretations of the findings are offered to explain the differences in the physical, emotional, and social responses to the breast cancer experience of Asian American women compared with the Anglo Americans, and notably between the Chinese- and Japanese Americans as well. The findings of this study warrant more refined exploration in order to improve the medical, psychological and social outcomes for Asian American women with breast cancer.     

Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers.

Across the country, states are reporting increases in the number of children with autistic spectrum disorders (ASDs) served each year in the early intervention system. Research examining factors impacting the successful dissemination and implementation of evidence-based practices (EBPs) into service systems for these children is limited. Preliminary information indicates that adoption of EBPs is variable. Provider attitudes toward the adoption of EBPs may be one factor that limits or facilitates implementation of efficacious treatments and these attitudes vary by organizational context and provider individual differences. The current study examines cross-context differences in provider attitudes toward EBPs by comparing the attitudes of 71 education-based early intervention providers working with children with ASD to the attitudes of 238 mental health providers in the public mental health system. This provides the first examination of ASD early intervention provider attitudes toward EBP. Results indicated that early intervention providers reported significantly more favorable attitudes toward adopting EBPs than did mental health providers. Early intervention providers with extended experience in the field perceived less divergence between their current practice and EBPs. Implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of a unit of instruction in mental health on rural adolescents' conceptions of mental illness and attitudes about seeking help

The present study investigated the effects of a unit of instruction in mental health on rural adolescents' conceptions of mental illness and their attitudes about seeking professional help for emotional problems. Forty students enrolled in a rural Mississippi high school participated. Twenty were designated as the treatment group and twenty served as the control group. Results indicated that scores on both dependent variables (attitudes about seeking professional help and conceptions of mental illness) increased significantly for the treatment group and, further, these scores did not decrease significantly when the students were tested again twelve weeks later. The findings are discussed in the context of educating rural youth about mental illness with the express purpose of removing the stigma associated with the help-seeking process.     

Appartenances nationales et orientations d'acculturation au Québec.

This study proposes a new scale to monitor concepts of national belonging and assesses acculturation attitudes toward immigrants from France, Arab Muslim immigrants and Québec-based anglophone Canadians. Francophone Québécois undergraduates (N=265) completed the National Belonging Scale (NBS) and the Host Community Acculturation Scale (HCAS). Respondents strongly endorsed two main types of national belonging: civic and ethnic. Endorsement of Canadian national belonging was very weak. Acculturation results showed that undergraduates displayed more individualistic and integrationist orientations toward "valued" immigrants from France than toward "less valued" Arab Muslim immigrants. Acculturation attitudes toward anglophone Canadians fell between those held toward French immigrants and Arab Muslims, reflecting francophone Québécois ambivalence toward the anglophone minority of Québec. Results obtained on psychological correlates supported the construct validity of both the NBS and the HCAS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)