Family emotion socialization and affective distress in Asian American and White American college students.

This study examined the retrospective reports of family emotion socialization experiences and current affective distress among 23 Asian American and 31 White American university students with subclinical levels of distress. Results indicated that most of the Asian Americans interviewed recalled being socialized by their family to suppress their emotions, whereas more than half of White Americans recalled being encouraged by their families to openly express emotions. For Asian Americans, growing up in a family that valued emotional suppression was associated with greater emotional distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapists' experiences treating Asian American women with eating disorders.

How do psychologists treat eating disorders (EDs) and subclinical issues in Asian American women in a culturally competent manner? Disordered eating and body dissatisfaction are so common in women that most therapists work with the issues to some degree, and it is increasingly likely they will see women of color. Asian American women are at significant risk and yet little treatment literature exists. Twelve therapists with experience in ED treatment were interviewed about their work with Asian American women. Grounded theory and consensual qualitative analysis methods were used to analyze the data, resulting in two central domains of conceptualization within the cultural context and treatment approach. Therapists reported that their clients were mostly first- and second-generation Americans who experienced acculturation stress and cultural conflict, particularly with elders. Other results suggested therapists perceived a strong connection between clients' desires to be thin and successful, and clients' efforts to conform to traditional Asian cultural values and fit in with U.S. mainstream culture. Therapists emphasized the cultural contextualization of family dynamics, developmental processes (e.g., individuation), and intergenerational conflicts. They viewed EDs as providing clients with culturally congruent coping strategies to affectively disconnect and to express distress. Treatment themes centered on psychoeducation and the importance of including parents in the treatment of their adult daughters. Helping clients navigate autonomy within the family and cultural context, and challenging clients and parents on the cultural (both Asian and mainstream U.S.) pressures regarding achievement and beauty were particularly important. Implications for therapy are discussed. (PsycINFO Database Record (c) 2011 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)     

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)     

A bilinear multidimensional measurement model of Asian American acculturation and enculturation: Implications for counseling interventions.

Several unilinear and bilinear dimensional measurement models of Asian American acculturation and enculturation were tested with confirmatory factor analysis. Bilinear models of acculturation consistently outperformed the unilinear model. In addition, models that articulated multiple dimensions (i.e., values and behavior) exhibited a better fit to the data than did unidimensional models. The degree to which Asian Americans adhered to the values and behavior associated with each culture differed. Specifically, there was a small relationship between values and behavior in the Asian cultural orientation, whereas there was a moderate relationship between values and behaviors in the Western cultural orientation and between Asian behavior and Western behavior. Present findings suggest that the way in which Asian Americans negotiate the acculturation and enculturation process is likely nuanced and complex. Implications for working with Asian Americans and future directions for research are explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences in familism values and caregiving outcomes among Korean, Korean American, and White American dementia caregivers.

Recent theories have suggested that burden and distress among dementia caregivers may be higher in American culture, which emphasizes individualism, and lower in cultures with higher levels of familism. However, immigrants may experience higher levels of burden because of acculturation with attendant values, conflicts and stresses. Forty-four Korean caregivers and 32 Korean American caregivers were compared with 54 White American caregivers on sociodemographic variables, familism, burden, anxiety, and depression. Familism was highest in Korean caregivers and lowest in Whites, with Korean Americans in the middle. Koreans and Korean Americans reported higher levels of burden. Koreans showed higher levels of depression and of anxiety than White American caregivers, with Koreans and Korean Americans higher than Whites on anxiety. These results suggest a need for greater specificity in theories about familism values, with attention to the specific meaning of familism in different cultures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping with intergenerational family conflict: Comparison of Asian American, Hispanic, and European American college students.

Using a stress-coping framework, the authors examined indirect and direct coping strategies as potential mediators in the relationship between intergenerational family conflict and psychological distress in Asian American, Hispanic, and European American college students. Asian American college students reported the highest likelihood of family conflict. Students from all cultural groups also used direct coping slightly more often than they did indirect coping. Only indirect coping mediated the effect of family conflict on distress for Asian Americans and European Americans, but it did so in the opposite direction than hypothesized. For these two cultural groups, indirect coping fully accounted for the variance shared between family conflict and psychological distress. For Hispanics, indirect coping partially mediated the effect of family conflict on psychological distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sources of ethnic differences between Asian American and White American college students on measures of depression and social anxiety.

This study tested an affect-specific explanation for the Asian and White American differences in depression and social anxiety. Construal of the self as independent or interdependent in relation to others (H. R. Markus & S. Kitayama, see record 1991-23978-001) was hypothesized to be 1 possible way in which culture may be expressed in individuals' psychological functioning, which in turn was hypothesized to be linked specifically to social anxiety. College students (N?=?348; 183 White Americans and 165 Asian Americans) completed self-report measures of depression, social anxiety, and self-construals. Asian Americans scored significantly higher than White Americans on measures of depression and social anxiety. When the covariance between depression and social anxiety was statistically controlled, ethnicity and self-construal variables were found, as predicted, to be associated with measures of social anxiety but not depression. These findings suggest a more differentiated perspective on the relations between culture, ethnicity, and emotional distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological adjustment among African American breast cancer patients: One-year follow-up results of a randomized psychoeducational group intervention.

The effectiveness of support group interventions for cancer patients has been established among White patients but has been virtually unstudied among minority patients. The current study represents the 1st randomized support group intervention targeted to African American women with breast cancer. Participants (N = 73) with nonmetastatic breast cancer were randomly assigned to an 8-week group intervention or an assessment-only control condition At 12 months, the intervention resulted in improved mood as well as improved general and cancer-specific psychological functioning among women with greater baseline distress or lower income. Subsequent research is needed to address effective methods of enrolling and following women with fewer psychosocial and financial resources, as they were the most likely to benefit from this particular intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cultural differences in optimism, pessimism, and coping: Predictors of subsequent adjustment in Asian American and Caucasian American college students.

Cultural differences were examined between 111 Asian American and 111 Caucasian American students matched on age and sex in a prospective design study. Using separate optimism and pessimism scores, Asian Americans were found to be more pessimistic than Caucasian Americans. Asian Americans were also found to use more problem avoidance and social withdrawal coping strategies than Caucasian Americans. When health outcomes were assessed 6 weeks later, Asian Americans were found to report more depressive and psychological symptoms, but not more physical symptoms, than Caucasian Americans. Results of separate regression analyses for each ethnic group indicated that along with different coping strategies, lack of optimism predicted all 3 health outcomes for Asian Americans, whereas pessimism predicted 2 of the 3 health outcomes for Caucasian Americans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing a bilinear domain-specific model of acculturation and enculturation across generational status.

This study attempted to replicate Miller’s (2007) finding that a bilinear domain-specific model of Asian American acculturation demonstrated superior model fit when compared to unilinear and bilinear domain-generic models. Current confirmatory factor analytic tests of competing acculturation models in a cross-validation sample of 306 participants were consistent with Miller’s findings. In addition, this study provided novel findings regarding the nature of the acculturation process by testing the bilinear domain-specific model across 1st and 2nd generation samples. Specifically, the generational status moderator hypothesis—that a unilinear model of acculturation would be most appropriate for 1st generation individuals and a bilinear model of acculturation would be most appropriate for 2nd generation individuals—was tested with 494 1st and 2nd generation Asian Americans. Contrary to the assumptions of the generational status moderator hypothesis, present findings demonstrated the appropriateness of the bilinear domain-specific model for both 1st and 2nd generation Asian Americans. Present findings also revealed a pattern of shared and unique relationships between cultural orientations and acculturation domains across generations. Implications for research and counseling are explored. (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)     

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)     

American = White?

Six studies investigated the extent to which American ethnic groups (African, Asian, and White) are associated with the category "American." Although strong explicit commitments to egalitarian principles were expressed in Study 1, Studies 2-6 consistently revealed that both African and Asian Americans as groups are less associated with the national category "American" than are White Americans. Under some circumstances, a dissociation between mean levels of explicit beliefs and implicit responses emerged such that an ethnic minority was explicitly regarded to be more American than were White Americans, but implicit measures showed the reverse pattern (Studies 3 and 4). In addition, Asian American participants themselves showed the American = White effect, although African Americans did not (Study 5). The American = White association was positively correlated with the strength of national identity in White Americans. Together, these studies provide evidence that to be American is implicitly synonymous with being White. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reviewing acculturation and Asian Americans: How acculturation affects health, adjustment, school achievement, and counseling.

The minority population in the United States is larger than the total population of all but 11 countries with Asian Americans comprising the third largest group. This review will be a useful resource for researchers or practitioners seeking information on why acculturation is important. The review will confirm how acculturation has outcomes for Asian American’s physical health, adjustment, school performance, and response to counseling or psychotherapy. The review will also suggest implications that various research findings have for future research as well as implications for practitioners working with Asian American clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Breast carcinoma survival analysis for African American and white women in an equal-access health care system

BACKGROUND: This retrospective review of breast carcinoma cases in the Department of Defense (DoD) Central Tumor Registry evaluated differences in survival patterns between African American and white women treated in U.S. military health care facilities. The study examined the effects of age, stage of cancer, tumor size, grade, lymph node involvement, waiting time between diagnosis and first treatment, marital status, military dependent status, alcohol usage, tobacco usage, and family history of cancer. METHODS: Researchers reviewed the tumor registry records of 6577 women (5879 whites and 698 African Americans) diagnosed with breast carcinoma. The patients, ages 19-97 years, were diagnosed between 1975 and 1994. A hazard ratio (relative risk of mortality) model compared African American and white patients, adjusting for various combinations of covariates; impact of independent variables on the risk of death; prognostic factors significantly associated with survival; disease free and overall survival times; effects of ethnicity, stage, and age on survival; and trends in stage at diagnosis. A P value (2-sided) of less than 0.05 was considered statistically significant. RESULTS: After adjustment for age, the risk of death was 1.45 (95% confidence interval [CI], 1.20-1.76) times greater for African American women than for white women. Adjustment for stage reduced the risk to 1.41 (95% CI, 1.16-1.70); further adjustment for demographic variables and most clinical variables had no effect. Still, African American women treated in the military health care facilities had a better survival rate than African American women represented in the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute. In our study, the 5-year risk of death, from any cause, was 1.37 for African American women with breast carcinoma; in other words, the mortality rate for African American women was 24.77% compared with 18.08% for white women. In the latest SEER data, the 5-year relative risk of death for African American women compared with white women is 1.86. The mortality rate in SEER is 34.2% for African American women and 18.4% for white women. The survival rate for white DoD beneficiaries is comparable to that for white women in SEER. CONCLUSIONS: These observations suggest that ready access to medical facilities and the full complement of treatment options that are standard for all DoD patients improve survival rates for African American women. However, a significant unexplained difference in survival still exists between African American and white military beneficiaries.     

Attitudes of Canadian oncology practitioners toward psychosocial interventions in clinical and research settings in women with breast cancer

The aim of this study was to survey Canadian oncology practitioners' attitudes toward psychosocial concerns and issues in women with breast cancer. Surveys were mailed to 351 medical, radiation and surgical oncologists and 375 oncology nurses. Standard questionnaires assessed attitudes towards psychosocial issues in women with primary and metastatic breast cancer and evaluated the practitioners' willingness to refer women to psychosocial intervention trials in the presence and absence of competing drug trials. Responses were obtained from 74% of those surveyed. Respondents reported being aware of the common occurrence of psychosocial problems in women with metastatic breast cancer, however, physicians were less likely than nurses to offer these women psychosocial support on a prophylactic basis (p < 0.0001) and they expressed greater concern than nurses about scientific validity of (p = 0.0003), and potential psychological damage from (p = 0.005), psychosocial support groups. Nurses were more likely than physicians to favour a study investigating group psychosocial support over competing drug studies (p < or = 0.003) in the metastatic setting. Physicians were less likely than nurses to deal with weight problems prophylactically in women with primary breast cancer (p = 0.0009) and they expressed greater concern over scientific validity of psychosocial interventions addressing weight than nurses (p = 0.0008); nurses were more concerned about excessive expectations of patients regarding potential benefits of such interventions (p < 0.0001). Regardless, nurses were more likely than physicians to favour a psychosocial intervention study focused on weight management over drug studies in pre- (p = 0.0006) and postmenopausal women (p = 0.05) with primary breast cancer. Canadian oncology practitioners are aware of the common occurrence of psychosocial distress in women with breast cancer. Physicians and nurses assigned differing priorities to psychosocial interventions in both clinical and research situations.     

Challenging conventional wisdom about who quits: Revelations from corporate America.

Findings from 20 corporations from the Attrition and Retention Consortium, which collects quit statistics about 475,458 professionals and managers, extended and disputed established findings about who quits. Multilevel analyses revealed that company tenure is curvilinearly related to turnover and that a job's past attrition rate strengthens the (negative) performance- exit relationship. Further, women quit more than men, while African Americans, Hispanic Americans, and Asian Americans quit more than White Americans, though racial differences disappeared after confounds were controlled for. African American, Hispanic American, and Asian American women quit more than men of the same ethnicities and White Americans, but statistical controls nullified evidence for dual discrimination toward minority women. Greater corporate flight among women and minorities during early employment nonetheless hampers progress toward a more diversified workforce in corporate America. (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)     

Weight, self-esteem, ethnicity, and depressive symptomatology during pregnancy among inner-city women.

The relationship of weight and self-esteem to depressive symptomatology was examined among 36 African American and 96 European American pregnant inner-city women. Lower self-esteem and higher deviations from medically ideal weight predicted increased dysphoria during the 3rd trimester for European American women, but only lower self-esteem predicted increased dysphoria for African American women. These results support the hypothesis that African Americans are less likely than European Americans to experience negative psychological repercussions of greater weight. Consistent with findings among nonpregnant middle-class samples, these results extend the association between heavier weight and increased risk for psychological distress to pregnant women of European American descent. (PsycINFO Database Record (c) 2010 APA, all rights reserved)