Acculturative Stress Research Articles

유자녀 여성 이주민의 ‘괜찮은 일’에 대한 합의적 질적 연구

The study explored the characteristics of “good work” as perceived by migrant women with young children, and the challenges and resources in their work experiences. In-depth interviews were conducted with 18 migrant women with at least three years of work experience, and the interviews were analyzed using consensual qualitative research methods. The domains and categories that emerged from the analysis were reviewed by two external experts and revised, resulting in five domains and 23 categories. The results of the study revealed seven categories of decent work conditions perceived by migrant women: a work schedule that allows them to combine work and childcare, reasonable compensation, job security, welfare, an emotionally safe environment, moderate work intensity, and work that matches their level of Korean. In terms of migrant women's work experience, four domains and 16 categories were identified: the challenges of intersectionality of minority identities, psychological adaptive resources in work experience, social resources in work experience, and growth through working. The challenges of intersectionality of minority identities domain included language differences, work-family conflict, marginalization due to labeling as a migrant women, acculturation stress within the family, inaccessible institutional resources, and economic constraints. Psychological adaptive resources in the work experience domain included career adaptability, motivation, emotional regulation, and acculturation efforts. The social resources of the work experience domain included support from family and friends, support at work, support from organizations, and support from public policy. Finally, the categories of finding a better job and belonging were identified in the growth through the working domain. These findings are expected to contribute to the empirical understanding of decent work among migrant women and provide a basis for policy proposals to promote decent work.

THE MEDIATING ROLE OF SOCIAL SUPPORT IN THE RELATIONSHIP BETWEEN POSITIVE PSYCHOLOGICAL CAPITAL AND SOCIOCULTURAL ADAPTATION AMONG CHINESE INTERNATIONAL STUDENTS AT MALAYSIAN UNIVERSITY

The purpose of this study is to investigate the relationship and mechanisms influencing the positive psychological capital, social support and sociocultural adaptation of Chinese international students pursuing higher education in Malaysian universities. Through quantitative research methods, the mechanisms that facilitate or hinder the successful sociocultural adaptation of Chinese international students to a new sociocultural environment are revealed. Given the increasing popularity of cross-border international student mobility, this study is highly relevant and provides important insights into the potential opportunities and challenges posed by such mobility. The findings suggest a significant positive relationship between psychological resources (positive psychological capital) and sociocultural adaptation among Chinese overseas students. Meanwhile, social support played a partial mediating role, facilitating the transformation of internal strengths (psychological capital) to external outcomes (sociocultural adaptation). The findings of this study have important implications for university assistance programmes that aim to improve the success and well-being of Chinese overseas students by enhancing psychological resources. Furthermore, this investigation contributes fresh insights to the wider discourse on intercultural education, clarifying how psychological elements impact international student adjustment within such contexts. It serves as a foundation for crafting more impactful interventions targeted at mitigating acculturative stress encountered by international students during their overseas academic pursuits.

Latina Women, Obesity, and Culture: Design, Rationale, and Participant Characteristics of the ¡Viva la Cultura Latina! Community-Based Study.

Due to the high rates of overweight and obesity in Mexican and Puerto Rican women, interventions that target these groups are in great need. The purpose of this cross-sectional study is to explore the role of four cultural variables (acculturation, acculturative stress, ethnic identity, and cultural values) that may help to explain ethnic disparities in correlates of obesity (diet, physical activity, and body image) among Mexican and Puerto Rican women. This paper describes the study design, measures, and initial analyses of participant characteristics, as well as implications for the development of an obesity intervention. A total of 552 participants contacted the study staff, with 368 completing the oral script and initial eligibility interview. From these, 227 completed the written consent, 199 completed the "Health and Culture" interview, and 186 completed all study components; 42 women completed the qualitative interview. Data for the current study is from the 199 participants who completed the "Health and Culture" interview. Mexican women were younger, more likely to have completed less than a 9th grade education, and more likely to prefer to complete the interview in Spanish (vs. English) compared to Puerto Rican women. In addition, Mexican women were more likely to be in the normal-weight group, be a non-smoker, and not have health insurance compared to Puerto Rican women. Results revealed key initial differences between Puerto Rican and Mexican women which should be considered when developing interventions that address overweight and obesity.

Increases in Psychological Stress Are Associated With Higher Fasting Glucose in US Chinese Immigrants.

The majority of Chinese Americans is foreign-born, and it is well-documented that immigration to the United States (US) leads to increased risk for chronic diseases including type 2 diabetes. Increased disease risk has been attributed to changes in lifestyle behaviors following immigration, but few studies have considered the psychosocial impact of immigration upon biomarkers of disease risk. To examine associations ofpsychological stress and social isolation with markers of type 2 diabetes risk over time among US Chinese immigrants. In this longitudinal study of 614 Chinese immigrants, participants completed assessments of perceived stress, acculturative stress, negative life events, and social isolation annually atthree time points. Fasting blood samples were obtained at each time point to measure blood glucose, glycated hemoglobin, and insulin resistance. Mean duration between baseline and follow-up assessments was approximately 2 years. Increases in migration-related stress, perceived stress and social isolation were associated with significant increases in fasting glucose at follow-up independent of age, body mass index, length of US residence, and other potential covariates. Moreover, increases in glucose varied depending on perceived stress levels at baseline, such that those with higher baseline stress had a steeper increase in glucose over time. Psychological stress and social isolation are associated with increases in fasting glucose in a sample of US Chinese immigrants. Findings suggest that the unique experiences of immigration maybe involved in the risk of developing type 2 diabetes, a condition that is prevalent among US Chinese despite relatively low rates of obesity.

Interventions to enhance mental health and wellbeing among international college students: A systematic review and meta-analysis protocol.

International students contribute significantly to both the economy and the intellectual and cultural landscape of host countries. Their interactions with domestic students foster personal, socioeconomic, and political development, promopting a broader understanding of diverse cultures and values. This highlights how crucial international education is for staying competitive globally. However, international students often face challenges such as poor mental health, linguistic and cultural barriers, acculturative stress, and limited health literacy. Therefore, supporting their academic success and well-being on college campuses is essential. This protocol aims to describe strategies used to evaluate the effect of interventions on international students' mental health and wellbeing and propose directions for future research based on the evidence. We will conduct an extensive search in several databases including CINAHL, PubMed, Web of Science, PsyInFO, ERIC, and Google Scholar with no date limits. Two reviewers will independently screen the literature and extract data. We will then conduct meta-analyses of the extracted data. To the best of our knowledge, this study is the first systematic review with meta-analysis focusing on interventions to enhance mental health and wellbeing among international college students. This study will provide most updated empirical evidence on the effects of interventions aimed to improve international students' mental health and wellbeing. The findings from this study will summarize the importance of a range of interventions being available to international students who experience psychological distress and the effectiveness of each intervention. This study will also highlight the gap for researchers to focus on for future studies. PROSPERO registration number: CRD42024528767.

Burdensomeness, acculturative stress, and suicide ideation among second-generation Asian American and Latinx university students.

Burdensomeness, acculturative stress, and suicide ideation among second-generation Asian American and Latinx university students.

Factors associated with acculturative stress among international medical students in an Egyptian university

BackgroundInternational students frequently face difficulties that are specific to the typical college experience, in addition to facing other factors of acculturative stress, including cultural differences, language barriers, and comfortability in accommodation.AimThe study aims to measure the prevalence of acculturative stress among first-year international students enrolled at Faculty of Medicine in an Egyptian University and aims to reveal the factors that are associated with acculturative stress in these students.MethodologyA cross-sectional study was conducted on 422 international students in the academic year 2021–2022, using the Acculturative Stress Scale for International Students (ASSIS). The factors associated with acculturative stress were examined using the following criteria: comfort in accommodation, student adjustment to college, language proficiency, and academic pressure.ResultsThis study showed that 28.7% of the international students were “above the warning sign” of acculturative stress (above 109). The major stressors of acculturative stress among international students were the non-specific concerns, homesickness, and perceived discrimination, while the least reported stressors were fear and guilt. International students who scored in the “above the warning sign” in the (ASSIS) were mostly females (35.3%) and non-Arab students (37.8%). Having a friend or a family member living in Egypt significantly reduced the level of acculturative stress. Moreover, the ASSIS total score showed a negative correlation with the scores for overall language proficiency, comfort in accommodation, academic adjustment, and student adjustment to college.ConclusionAcculturative stress among the studied groups is influenced by several factors, including nationality, English and Arabic language proficiency, academic adjustment, and comfort of living. That being said, the most significant stressor is the country of origin, which is defined in terms of nationality or language proficiency. Consequently, resources that ensure the sustainability and growth of international students throughout their educational process must be made available to a multicultural environment in order to support and retain those students.Clinical trial numberNot applicable.

Parents' and Children's Emotional Well-Being and Language Beliefs in Heritage Bilingual Families.

The present study aimed to examine how parents' psychological characteristics and positive beliefs about multilingualism predict children's emotional well-being in 51 multilingual families with an immigrant background. Parents were interviewed to assess their beliefs about multilingualism and completed a battery of questionnaires assessing depression, anxiety, psychological distress, parental competence, quality of life, and acculturative stress. They also completed the Strengths and Difficulties Questionnaire (SDQ), which assessed their children's socio-emotional and behavioral characteristics. The results from regression analyses showed that parents' depressive symptoms were significant concurrent predictors of children's conduct problems. In contrast, higher acculturation stress was associated with more emotional problems and better prosociality in children, although the stronger predictor for the latter variable was parents' self-efficacy. Positive beliefs about bilingualism were not related to children's well-being. The discussion highlights the importance of targeting parents' depressive traits and acculturation stress as possible risk factors for children's emotional and behavioral problems. Conversely, fostering parental self-efficacy may promote children's prosociality.

A qualitative study exploring the perinatal experiences of social stress among first- and second-generation immigrant parents in Quebec, Canada

BackgroundPerinatal psychological distress adversely impacts the well-being and social adjustment of parents and their children. Expectant parents who have migrated may be at higher risk for perinatal psychological distress due to various migration-specific stressors and healthcare service barriers. Limited studies have examined the perceived determinants of perinatal distress in immigrant parents, particularly men. This study explored first and second-generation immigrant parents’ lived experiences of social stressors and facilitators of perinatal psychological well-being.MethodsParticipants were recruited by convenience and purposive sampling as part of a larger study. Semi-structured interviews were conducted virtually with first and second-generation immigrant women and men in Quebec, Canada. An inductive thematic analysis was performed.ResultsSixteen women (age = 34.8 ± 3.7 years) and ten men (age = 35.1 ± 4.9 years) from various ethnic backgrounds participated in the study at 7.4 ± 0.73 and 7.5 ± 0.72 months postpartum, respectively. Three themes were identified: (1) cultural pressures (cultural differences in parenting, gender-related cultural pressures, health and baby-related practices), (2) health and social service access (social benefits and resources, and systemic barriers in health care), and (3) discrimination (physical appearance or parental-related discrimination, gender-related discrimination, ethnic-related discrimination). First-generation immigrant parents reported greater acculturative stress (i.e. mental health stigma, health care access) and ethnic discrimination concerns related to their distress. Among men, barriers include feeling as though the paternal role was devalued by society and not receiving consideration by health care.ConclusionsOur results highlight different social factors of perinatal well-being perceived by men and women from various ethnic and immigration backgrounds during the perinatal period. Perceived factors include macro-level factors, such as a country’s social climate, health and social policies and services, and social aspects of acculturative stress. Our findings suggest the need for continued efforts to challenge and eliminate discriminatory practices. Interventions and resources directed at first-generation immigrant parents should be bolstered. Understanding what parents perceive to facilitate or hinder their psychological well-being can help inform the development of tailored evidence-based programs and policies to better meet the mental health needs of Canadians and reduce gender disparities in the treatment of perinatal distress.

Types and Predictors of Acculturative Stress Among Multicultural Adolescents in Middle School

Objectives: This study examines how acculturative stress in multicultural adolescents changes during their middle school years and categorizes groups with similar patterns of change. Additionally, the study explores predictive variables influencing these distinct acculturative stress trajectories and verifies how depression and life satisfaction vary according to different patterns of change.Methods: Leveraging data from the Multicultural Adolescent Panel (MAPS 1) conducted by the Korea Institute for Health and Social Affairs across the fourth to sixth waves, the researchers analyzed a cohort of 1,316 participants, including multicultural adolescents and their parents. Logistic regression analysis and ANOVA were employed to investigate potential disparities in growth mixture modeling and acculturative stress latent classes based on predictive factors.Results: Three latent groups of multicultural adolescents’ acculturative stress were identified: low-retention group, persistent increasing group, persistent decrease group. The logistic regression analysis revealed that gender, bicultural acceptance attitude, Korean-language proficiency, foreign parent’s native-language proficiency, parental acculturative stress, and peer support were significantly associated with latent groups. Additionally, significant differences in depression and life satisfaction during the third grade of middle school were observed according to the types of acculturative stress changes.Conclusion: Our study results indicate the need for various support programs aimed at promoting the psychosocial adaptation of multicultural adolescents. These programs should take into account the characteristics and individual differences in acculturative stress and should be implemented at the family level to facilitate social adaptation.

The relation between self-efficacy, resilience, acculturative stress and mental health problems in Syrian youth: the mediating role of acculturation strategies

The relation between self-efficacy, resilience, acculturative stress and mental health problems in Syrian youth: the mediating role of acculturation strategies

The Mediating Role of College Adaptation between Acculturative Stress and Intention to Continue Studying of Vietnamese International Students: Exploring the Moderated Mediation Role of Social Support

The Mediating Role of College Adaptation between Acculturative Stress and Intention to Continue Studying of Vietnamese International Students: Exploring the Moderated Mediation Role of Social Support

Mental health disparities among first generation immigrants to the US

Mental health disparities among first-generation immigrants to the United States are intricately linked to the historical and sociopolitical context of immigration. The Immigration and Nationality Act of 1965 and policies such as Deferred Action for Childhood Arrivals (DACA) have shaped the demographic and experiential landscape of first-generation immigrants, influencing their mental health outcomes. Objective: This study aims to examine the mental health disparities experienced by first-generation immigrants in the United States, identifying the contributing factors and exploring effective strategies for addressing these disparities. Methods: A comprehensive literature review was conducted, analyzing studies on mental health outcomes among first-generation immigrants. The review focused on factors contributing to mental health disparities, including pre-migration experiences, migration-related stressors, post-migration challenges, and systemic barriers to mental health care access. The review also explored intersectionality and its impact on mental health, as well as case studies and examples of successful interventions. Results: The "immigrant paradox" suggests that immigrants often exhibit better mental health outcomes than native-born individuals, though this effect diminishes over time. Factors such as strong family ties and community support initially contribute to this mental health advantage. However, post-migration challenges, including acculturation stress, socioeconomic hardship, and discrimination, often lead to a decline in mental health. Certain mental health conditions, such as PTSD and anxiety disorders, are more prevalent among specific immigrant groups, particularly those fleeing conflict or persecution. Structural, cultural, and systemic barriers hinder access to mental health care, exacerbating disparities. Successful interventions often involve community-based approaches, culturally competent care, and integrated service models. Conclusion: Addressing mental health disparities among first-generation immigrants requires a multifaceted approach, including community engagement, policy interventions, and culturally competent care. By investing in research and implementing evidence-based interventions, it is possible to reduce mental health disparities and improve outcomes for first-generation immigrants. Future research should focus on long-term mental health trajectories, the impact of digital technologies, and the role of social networks.

Latinx parent-child acculturative stress profiles and their relation to expressed emotion and academic achievement.

This study derived parent-child acculturative stress (AS) profiles to evaluate how dyadic AS relates to parental expressed emotion (EE) and academic achievement. A sample of 284 Latinx youth (Mage = 11.5 years; 55.6% female) and their parents completed The Acculturative Stress Measure, and AS profiles were obtained using latent profile analyses (LPA). Profiles were compared across two outcomes: child and parent reports of parental EE using the Brief Dyadic Scale of Expressed Emotion, which measures parental warmth, criticism, and emotional overinvolvement (EOI), and child standardized test scores. Four AS profiles emerged using LPA fit indices: high child-low parent (HCLP; 7.7%), low child-high parent (LCHP; 13.4%), moderate child-low parent (MCLP; 14.4%), and low child-low parent (LCLP; 64.4%). Youth and parents in profiles reporting higher AS reported higher EE, particularly EOI. Youth in profiles characterized by greater AS obtained lower test scores. Parent and child dyads can experience different levels of AS. Higher dyadic AS was associated with worse perceived parental attitudes, as measured by EE, and lower academic achievement. Parental EE subscale differences varied based on the informant and their AS level. Findings underscore the importance of considering cultural factors and incorporating multiple family member experiences to meet the needs of Latinx families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Acculturative stress and identity challenges undermine the successful reintegration of Australian veterans.

Reintegration into civilian society following military separation is a challenging process. There is a dearth of research into the impact of these factors on Australian veteran reintegration. The purpose of this phenomenological study was to explore the lived experience of Australian veterans during reintegration, through the lens of acculturative stress and identity. Ten interviews were conducted with ex-serving members of the Australian Defence Force. Post-1990 veterans of all genders, who were at least 18 years of age, from all service branches were eligible for the study. Thematic analysis revealed two overarching themes each with three main themes; acculturative stress (assimilation, societal issues, social isolation), and integrated identity (acceptance, integrated communities, and adapting to the civilian world). Each main theme contained two subthemes illustrating their significance. Difficulty integrating civilian and veteran identities was a key barrier to successful reintegration and negative separation experiences undermined integration of civilian and veteran identities. Acculturative stressors identified were poor understanding by family, community, and clinicians of the incompatibility between military and civilian cultures. Education is needed for clinicians, the community, and families about military culture and difficulties for veterans when reintegrating into civilian society. Support for reintegration should be tailored to the needs of veterans encompassing personally meaningful activities, use of military skills in civilian contexts, ongoing membership of the military community and engagement with other veterans. This will ultimately foster integration of veteran and civilian identities, enabling veterans to retain their veteran identity in a manner that is adaptive for the civilian context. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Acculturative stress and depressive symptoms among international university students: A meta-analytic investigation

Research has consistently supported a positive relationship between acculturative stress and depression among international students. However, variations in findings have indicated the need for a quantitative synthesis of existing studies. This random-effects meta-analysis included twenty-four independent studies meeting eligibility criteria, comprising 5712 international university students (Female = 55.56 %; mean age = 24.49, range 17–64 years old). Findings revealed a robust relationship (Fisher’s Z = 0.531; CI [0.305, 0.756]; p < 0.001) between acculturative stress and depressive symptoms among international university students, indicating a large effect (Cohen, 1992). Moderating variables such as age, gender, host culture, and measurement scales showed no significant effects on this association. The findings confirmed the positive correlation between acculturative stress and depression, showing that increased levels of acculturative stress among international university students are linked to higher levels of depression. The results suggest the potentially pivotal role of acculturative stress in understanding and addressing depressive symptoms among international university students. Importantly, the study highlights the need for future research involving a more diverse range of international students and countries, given the predominance of studies conducted in the United States with samples primarily of Asian origin.

Genotype-by-Environment Interactions in Nonalcoholic Fatty Liver Disease and Chronic Illness among Mexican Americans: The Role of Acculturation Stress.

This study examines the complex interplay of genetic and environmental interactions that shape chronic illness risk. Evidence is mounting for the role of genetic expression and the immune response in the pathogenesis of chronic disease. In the Rio Grande Valley of south Texas, where 90% of the population is Mexican American, chronic illnesses (including obesity, diabetes, nonalcoholic liver disease, and depression) are reaching epidemic proportions. This study leverages an ongoing family study of the genetic determinants of risk for obesity, diabetes, hypertension, hyperlipidemia, and depression in a Mexican American population. Data collected included blood pressure, BMI, hepatic transaminases, HbA1c, depression (BDI-II), acculturation/marginalization (ARSMA-II), and liver health as assessed by elastography. Heritability and genotype-by-environment (G×E) interactions were analyzed, focusing on the marginalization/separation measure of the ARSMA-II. Significant heritabilities were found for traits such as HbA1c (h2 = 0.52), marginalization (h2 = 0.30), AST (h2 = 0.25), ALT (h2 = 0.41), and BMI (h2 = 0.55). Genotype-by-environment interactions were significant for HbA1c, AST/ALT ratio, BDI-II, and CAP, indicating that genetic factors interact with marginalization to influence these traits. This study found that acculturation stress exacerbates the genetic response to chronic illness. These findings underscore the importance of considering G×E interactions in understanding disease susceptibility and may inform targeted interventions for at-risk populations. Further research is warranted to elucidate the underlying molecular pathways and replicate these findings in diverse populations.

Internationally educated nurses’ workplace acculturation and strategies for integration: Application of the Fourfold Model of Acculturation Theory (FMAT)

Introduction. Internationally educated nurses (IENs) bring diverse skills, experiences, and cultural perspectives to healthcare institutions in the host country. However, their integration involves multiple adjustments encompassing physical, sociocultural, linguistic, psychological, and economic changes. Aims. This paper aims to explore the acculturation processes experienced by IENs and create strategies to support them as they adjust to their new workplace environment. Methods. The Fourfold Model of Acculturation Theory (FMAT) was utilized to develop effective strategies to improve professional, psychosocial, cultural, and organizational outcomes for IENs. Findings. Poor IEN integration stemming from cultural disparities leads to acculturation stress. This stress involves physical health issues, mental exhaustion, identity confusion, social isolation, and marginalization by their colleagues. Implications. The successful integration of IENs requires the involvement of stakeholders at the host workplace. Two-way workplace integration requires efforts from and partnership between stakeholders and IENs. Conclusion. The Fourfold Model of Acculturation Theory underscores that IENs who embrace both their native and dominant cultures are better integrated into their new workplace environments. Such integration positively impacts the individual, institutional, and societal domains. Stakeholders, policymakers, program planners, and healthcare institutions must foster a pluralistic culture and provide support to domestic and international nurses in understanding their professional roles and practices.

“Struggling like fish out of water”: a qualitative case study of Chinese international students’ acculturative stress in the UK

“Struggling like fish out of water”: a qualitative case study of Chinese international students’ acculturative stress in the UK

Mental health priorities and cultural-responsiveness of the Mental Health First Aid (MHFA) training for Asian immigrant populations in Greater Boston, Massachusetts

BackgroundAsians and Asian Americans have the lowest rate of mental health service utilization (25%) in the US compared to other racial/ethnic groups (39 − 52%), despite high rates of depression, anxiety, and suicidal ideation. The lack of culturally-responsive mental health trainings hinders access to mental health services for these populations. We assessed the mental health priorities of Asian communities in Greater Boston and evaluated cultural responsiveness of the Mental Health First Aid (MHFA), a first-responder training teaching participants skills to recognize signs of mental health and substance use challenges, and how to appropriately respond.MethodsThis is community-based participatory research with the Boston Chinatown Neighborhood Center (BCNC), Asian Women For Health (AWFH), and the Addressing Disparities in Asian Populations through Translational Research (ADAPT) Coalition. We conducted focus groups with community-based organization staff and community members to assess mental health priorities of Asian populations in Boston, MA. We then evaluated the utility and cultural-responsiveness of the English-language MHFA for Asian populations through pre- and post-training questionnaires and focus groups with community participants. Paired t-tests were used to evaluate questionnaire responses. Thematic analysis was used to analyze interviews.ResultsIn total, ten staff and eight community members participated in focus groups, and 24 community members completed the MHFA and pre- and post-training questionnaires. Common mental health challenges in the Asian communities reported by participants were loneliness, high stigma around mental illnesses, academic pressure, and acculturation stress. Compared to pre-training, MHFA participants demonstrated lower personal mental health stigma (p < 0.001) and higher mental health literacy (p = 0.04) post-training. Participants also noted the lack of data statistics and case studies relevant to Asian populations in the training, and desired the training be offered in languages spoken by Asian ethnic subgroups (e.g., Chinese, Vietnamese).ConclusionCultural-responsiveness of the MHFA for Asian populations could be improved with the inclusion of data and case studies that capture common mental health challenges in the Asian communities and with translation of the MHFA to non-English languages predominant in Asian communities. Increasing the cultural relevance and language accessibility of the MHFA could facilitate wider adoption of these trainings across communities and help to reduce mental health stigma and gaps in literacy and service utilization.