Bicultural Stress Research Articles

The role of bicultural stress and shame on the well-being of South Asian college students in the United States.

South Asian U.S. college students experience socialization from South Asian cultures they grew up with and White culture outside the South Asian community. The present study considers that the ways of navigating two conflicting cultures and experiences of shame are associated with anxiety and life satisfaction among South Asian U.S. college students. An anonymous survey, distributed to 271 South Asian students (mean age = 22, 38.2% male, 59.2% female, 2.3% nonbinary), quantitively assessed how bicultural stress and shame are related to anxiety and life satisfaction. Open-ended questions asked students to describe experiences of bicultural identity stressors and shame. Survey results indicated bicultural stress and shame as predictors of anxiety and lower life satisfaction. Thematic analysis of open-ended question responses revealed experienced stressors related to academics, finances, family expectations, and fitting in. Shame experiences were tied to bicultural stress and family and self-imposed expectations of participants. There is a need to further investigate the relationships found in the present study and explore ways to support South Asian students experiencing bicultural stress and shame. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Disentangling the directionality among cultural stressors and psychosocial outcomes in recently immigrated Hispanic families: A random intercept cross-lagged panel model approach.

Research shows the impact of cultural stressors (e.g. perceived discrimination, bicultural stressors, negative context of reception) on adolescents' psychosocial outcomes. Given the presence of multiple cultural stressors in many Hispanic adolescents' lives, it is essential to examine the (a) developmental sequencing of cultural stressors among recent immigrant youth and (b) predictive effects of cultural stressors on adolescents' psychosocial outcomes. We employed a random intercept cross-lagged panel model to examine the longitudinal interplay among cultural stressors and their effects on youth outcomes using longitudinal data with six waves among 302 recently immigrated Hispanic adolescents (47% girls, Mage = 14.51, SD = .88). We observed bidirectional within-person relations and between-person associations among cultural stressors. At the within-person level, bidirectional cross-lagged effects emerged between perceived discrimination and bicultural stress, between perceived discrimination and negative context of reception, and between negative context of reception and bicultural stress. At the between-person level, bidirectional cross-lagged effects emerged only between perceived discrimination and bicultural stressors. Our findings indicate that cultural stressors explain heterogeneity in psychosocial outcomes: self-esteem was inversely predicted by all cultural stressors, whereas depressive symptoms were predicted only by perceived discrimination. In addition, optimism was predicted only by bicultural stressors, and externalizing behavior was predicted by both bicultural stressors and perceived discrimination. These results suggest that the longitudinal relationships among cultural stressors are (partly) bidirectional. Additionally, cultural stressors demonstrated differential predictive effects on psychosocial outcomes, indicating the added value of considering multiple cultural stressors and their longitudinal effects on adolescents' psychosocial outcomes.

African descent populations in the United States are not monolithic: A scoping review of African immigrants' mental health and coping strategies.

African immigrants in the United States have unique experiences and stressors, resulting in diverse outcomes and disparities. As such, examining the effects of cultural stressors (e.g., discrimination, the negative context of reception, bicultural stress) on immigrant populations' mental health can provide a useful framework for explaining and identifying malleable targets to reduce African immigrants' health disparities. This review mapped conceptual and methodological knowledge of cultural stress in African immigrants by applying the cultural stress theoretical framework to reveal (a) what we currently know about the impact of cultural stressors on African immigrants' mental health and (b) coping strategies African immigrants utilize to persist in achieving positive health outcomes. Conforming to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review guidelines, this scoping review spans five interdisciplinary, health-focused databases and includes peer-reviewed articles published in English since 1980. Covidence software was used to screen 2095 articles, review 129 full-text records, and extract data from the 22 studies that met criteria and focused on mental health. Participant and study characteristics (i.e., country of origin, generation, methodology, duration) are highlighted. The impact of discrimination on African immigrants' mental health was the dominant research focus. Congruent with cultural stress theory, negative context, bicultural stress, and immigration-related familial stress also negatively impact their mental health. Nevertheless, African immigrants utilize various coping strategies to achieve positive outcomes. Mapping the existing evidence of immigrant cultural stress and mental health elucidates gaps for research and demonstrates that culturally relevant interventions ought to address immigration-related stressors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A meta-analysis of the effectiveness of group art therapy for children and adolescents of multicultural families: A focus on Korea

Various policies and support have been implemented to help children and adolescents from multicultural families in Korea to psychologically and socially adapt to society and to improve their quality of life as members of Korean society. In this regard, group art therapy has been widely used and numerous studies have demonstrated its effectiveness. Accordingly, this study investigated the effectiveness of group art therapy in children and adolescents from multicultural families and individual research results were aggregated and analyzed to use as a scientific foundation. A total of eight databases based on English or Korean (Scopus, Web of Science, ProQuest, PubMed, Google Scholar, RISS, National Library of Korea, and National Assembly Library) were utilized to retrieve all research articles published by August 2022. The final 20 research articles were selected through a systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The comprehensive meta-analysis (CMA) 2.0 was utilized to analyze the effect size, possible causes of heterogeneity were explored, and publication bias was identified. As a major result, the total effect size was proven to be significantly large (Hedges’ g = 1.81). Furthermore, the largest effect size among the dependent variables was found in the negative domain of psychology/emotion corresponding to emotional and behavioral problems, acculturative stress, and bicultural stress (Hedges’ g = 2.55), followed by the static domain of psychology/emotion (2.29), sociality (1.93), and ego (1.83).

0128 Links Between Bicultural Stress and Sleep Problems in College: The Role of Cultural Congruence and School Belonging

0128 Links Between Bicultural Stress and Sleep Problems in College: The Role of Cultural Congruence and School Belonging

“It’s the Best of Both Worlds!”: Investigating Bicultural Stress in Adult Bicultural Canadians

This study delves into the ecological factors that predict bicultural stress among bicultural adult Canadians while uncovering common themes surrounding their bicultural identity and developmental journey. A sample of bicultural Canadians (N = 147; 88% female, Mage = 20.72) participated in an online survey consisting of standardized self-report measures and open-ended inquiries about their bicultural experience. The study identified factors contributing to current levels of bicultural stress through regression analysis. Additionally, thematic analysis was conducted to explore participants’ narratives about their bicultural experiences. Participants were of diverse racial/ethnic Canadian backgrounds (Middle Eastern, n = 50; East and Southeast Asian, n = 22; South Asian, n = 27; Black, n = 21; multiple ethnicities, n = 22; Latin, n = 5). The regression results demonstrated that ethnic identity, family cultural socialization towards heritage culture, perceived discrimination, and generational status contributed to feelings of bicultural stress. Thematic analysis revealed a developmental trajectory encompassing participants’ realization of their bicultural identity, navigating bicultural stress, and cultivating an appreciation for their dual cultures. Findings suggest that bicultural individuals’ interactions with their social environment may develop their bicultural identity towards more positive outcomes as they approach adulthood.

Profiles of acculturative strategies and cultural stressors among Hispanic/Latinx college-attending emerging adults.

The present study identified unique profiles of cultural stressors (i.e., bicultural stress, discrimination, and negative context of reception) and acculturative strategies (i.e., heritage practices, heritage identification, U.S. practices, and U.S. identification), in Hispanic/Latinx (HL) emerging adults. Additionally, we examined associations between positive and negative psychosocial functioning, with profiles of acculturative strategies and cultural stressors. The present study utilized a baseline sample of 779 HL college students (75.8% female, Mage = 20.80 years, SD = 2.66) drawn from a daily diary study on acculturation. Latent profile analysis identified four distinct profiles. The Bicultural and Low Cultural Stressors (B-LowCS; 53.55%) was marked by strong heritage and U.S. cultural orientation and low levels across all cultural stressors. The Marginalization and High Acculturative Stressors (M-HighAS; 20.13%) was marked by weak heritage and U.S. cultural orientation, high acculturative stressors, and low discrimination. The third profile, the Heritage Rejection and Low Cultural Stressors (HR-LowCS; 16.05%) was marked by rejection of heritage culture and low cultural stressors. Finally, the Separation and High Cultural Stressors (S-HighCS; 10.26%) was marked by weak U.S. cultural orientation and high cultural stressors. Consistent with past research, the B-LowCS profile was marked by the highest level of positive psychosocial functioning and the lowest levels of internalizing and externalizing symptoms. The results of the present study highlight the usefulness of person-centered approaches for understanding the interplay between acculturative strategies and cultural stressors, and the implications of these distinct profiles on psychosocial functioning in HL emerging adults. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Bicultural Stress and Bullying Behaviors Among Immigrant Origin Youth: The Promise of Developmental Assets

Bicultural stress, adolescents’ appraisal of intergenerational conflict and discrimination from peers, can strain youths’ capacity for functional coping and positive adaptation. Conversely, internal assets (IAs; i.e., positive identity and social competencies) promote thriving and resilience. We assessed associations between bicultural stress and past 30-day bullying victimization and perpetration and the protective effects of IAs among Hispanic and Somali youth. Results of multilevel mixed effects models indicate that bicultural stress was associated with higher frequency of past 30-day bullying victimization (β = 2.14, SE = 0.26) and perpetration (β = .79, SE = 0.17) however, youth with high IAs had the lowest frequency of bullying behaviors even at elevated levels of bicultural stress ( p’s < .001; adjusting for family functioning, parent/caregiver reported SES, marital status, and number of children). Results underscore the promise of fostering immigrant origin youths’ positive identity and social competencies to facilitate healthy developmental and well-being over the life course.

Context and Neuroendocrine Interplay in the Lab and Everyday Experiences: From Early Life to Adulthood

Context and Neuroendocrine Interplay in the Lab and Everyday Experiences: From Early Life to Adulthood

Additive, Common, and Cumulative Contributions of Stress on Diurnal Cortisol Activity: Evidence Among Latino College Students

The transition to college is a major socio-contextual shift marked by opportunity and stress. Adolescents who encounter significant stress during this time may experience changes in neuroendocrine function, an identified mechanism underlying associations between stress and psychopathology. Latino students may be particularly at-risk for stress exposure, as ethnic/racial minority youth experience both minority-specific and general life stressors. This study employed a “multi-risk model” to examine additive, common, and cumulative effects of various stressors on Latino college students’ diurnal cortisol. 180 Latino college students (Mage=18.95; 64.4% female) provided five saliva samples a day across three weekdays (M=14.88, SD=.95; 2,667 samples) to assess diurnal cortisol patterns (i.e., cortisol awakening response (CAR), diurnal cortisol slope (DCS)). Participants self-reported on multiple stress forms (general, academic, social, financial, bicultural, discrimination) via online survey and daily diary. Common and cumulative stress were assessed via exploratory factor analysis and cumulative risk index, respectively. Three-level growth curve models were fit using Mplus. In the additive model, general stress was associated with a flatter DCS (γ=.01, p=.03) and bicultural stress was linked with a steeper DCS (γ=-.07, p=.047). In the common model, college stress was related to a lower CAR (γ=-.09, p=.045). Higher cumulative stress was linked with a lower CAR (γ=-.06, p=.007). Findings highlight the physiological correlates of various stressors experienced by Latino college students. Results have implications for equity promoting interventions to reduce stress and subsequent physiological processes underlying the development of psychopathology.

Stress and diurnal cortisol among Latino/a college students: A multi-risk model approach.

The transition to college is a time of increased opportunity and stress spanning multiple domains. Adolescents who encounter significant stress during this transition may be vulnerable to adverse outcomes due to a "wear and tear" of the hypothalamic pituitary adrenal (HPA) axis. Latino/a students may be particularly at-risk for heightened stress exposure due to experiences of both minority-specific and general life stress. Despite this, little is known regarding the cumulative impact of multiple stressors on Latino/a students' HPA axis functioning. The present study employed a "multi-risk model" approach to examine additive, common, and cumulative effects of multiple stress forms (general, academic, social, financial, bicultural, ethnic/racial discrimination) on diurnal cortisol in a sample of first-year Latino/a college students (N = 196; 64.4% female; Mage = 18.95). Results indicated that no stress forms were additively associated with the cortisol awakening response (CAR), but general stress was associated with a flatter diurnal cortisol slope (DCS) and bicultural stress was linked with a steeper DCS. A college stress latent factor was associated with a lower CAR, whereas a latent factor of discrimination was not associated with diurnal cortisol. Cumulative risk was linked with a lower CAR. Findings highlight the physiological correlates of various stressors experienced by Latino/a college students.

이중문화 스트레스 대처능력에 대한 비대면 게슈탈트 미술치료의 효과

Objectives The purpose of this study is to investigate the psychological changes that Korean-Vietnamese multicultural children experience through non-face-to-face gestalt art therapy, and whether their ability to cope with bicultural stress is improved. Methods A total of three children participated in the study, children from Korean-Vietnamese multicultural families at the Multicultural Family Support Center. Non-face-to-face Gestalt art therapy in this study is based on Zinker's ‘notice-contact cycle’ and consists of a total of 4 stages: the sensory stage, the awareness stage, the energy mobilization/action/contact stage, and the retreat/finish stage. A total of 8 sessions were operated once a week. As an analysis method, a qualitative research method was applied to repeatedly analyze and categorize the stories according to the symbolism of the art work obtained from the recorded images for each session, the observation contents of the activity process, the artwork photos and the supervision data. As a research tool, the PPAT test (Person Picking an Apple from the Tree) was conducted before and after the program to measure the ability to cope with bicultural stress. Results Four top topics and eight bottom topics were derived for psychological changes experienced in the non-face-to-face Gestalt art therapy process. The upper categories were “my emotions faced through art work”, “facing with a weakened self”, “encounter with a positive self”, and “my new beginning that has changed”. Participating children went through the process of honestly expressing and accurately recognizing self-emotion through the recognition process of Gestalt art therapy, forming a positive perception of the two cultures and changing their thoughts and attitudes about how to cope with prejudice and discrimination around them. In the PPAT test, there were positive changes in problem-solving ability and coping ability using resources. Conclusions This study is meaningful in that non-face-to-face Gestalt art therapy is effective in reducing bicultural stress in multicultural children, providing useful information for healthy emotional development of children from multicultural families, and is expected to be used as basic data for the application and expansion of non-face-to-face art therapy.

Cultural stress, daily well-being, and internalizing and externalizing symptoms among Hispanic college students.

The present study was designed to examine the extent to which, in a sample of 873 Hispanic college students, daily levels of, and variability in, well-being would mediate the predictive effects of culturally related stressors (discrimination, negative context of reception, and bicultural stress) on internalizing and externalizing symptoms 11 days later. A 12-day daily diary design was utilized, where reports of cultural stressors were gathered on Day 1, daily well-being reports were gathered on Days 2-11, and outcomes were measured on Day 12 (with controls for Day 1 levels of these same outcomes). Structural equation modeling results indicated that daily means of, and variability in, well-being significantly mediated the predictive effect of Day 1 ethnic/racial discrimination, negative context of reception, and bicultural stress on Day 12 symptoms of anxiety and depression. No effects emerged for externalizing symptoms. When we decomposed the latent well-being variability construct into its component indicators (self-esteem, life satisfaction, psychological well-being/self-acceptance, and eudaimonic well-being), daily variability in life satisfaction and self-acceptance appeared to be primarily responsible for the mediated predictive effects we observed. These results are discussed in terms of implications for further research, for counseling practice, and for the development of more inclusive university practices and policies. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Assessing Racial and Ethnic Discrimination in Children: A Scoping Review of Available Measures for Child Health Disparities Research.

Objectives: To characterize the availability, content, and psychometric properties of self-reported measures that assess race/ethnicity-related discrimination or psychosocial stress and have potential relevance to studies of health disparities in children and adolescents.Design: Using PRISMA extension guidelines for scoping reviews, we searched Ovid Medline, CINAHL, PsychInfo, and Scopus databases from 1946 to April 20, 2020, using the search terms “stress,” “child,” “adolescents,” “discrimination,” and “psychometrics.” We limited the search to articles in English, with children and adolescents, in the United States. For each measure, we extracted information about the content, reliability, and construct validity.Results: The 12 measures that met inclusion criteria assessed discrimination or stress from racial discrimination in African American children and adolescents (n=8), acculturative stress in Hispanic/Latino children (n=1), or bicultural stress in Mexican American adolescents (n=2), and one measure assessed both discrimination-related and acculturative stress in Hispanic/Latino children. The majority (n=7) articles were published between 2001 and 2010. All discrimination measures evaluated individual experiences of discrimination and one also evaluated stressfulness of discrimination and coping. The acculturative stress measures assessed general stress and immigration-related discrimination, and the bicultural stress measures evaluated many different aspects of biculturalism.Conclusions: Despite the recent increased interest in the racial discrimination and stress as a contributor to racial or ethnic health disparities affecting U.S. children and adolescents, the small number of eligible measures identified and incomplete coverage of various types of racial and ethnic discrimination within and across population groups indicates a currently inadequate capacity to conduct child health disparity studies on this issue.

Bicultural stress and internalizing symptoms among U.S. Latinx youth: The moderating role of peer and parent support.

U.S. Latinx youth are at increased risk for internalizing problems, perhaps due to high levels of bicultural stress. Taking a resilience perspective, this study examined peer and parent support as potential protective factors that might buffer the effects of bicultural stress on depression and anxiety symptoms among U.S. Latinx youth. Participants were 306 Midwestern U.S. Latinx adolescents (M age = 15.50%, 46.2% girls) and their primary caregivers who completed individual interviews. Measures included two types of cultural stress (acculturative and enculturative stress) and, for each type, distinguished the extent of exposure to stressors from the subjective intensity of stress reported. Results indicated that acculturative and enculturative stress were positively associated with internalizing symptoms, while social support from peers and parents was negatively associated with symptoms. Evidence regarding a stress-buffering effect of social support was mixed. Whereas higher levels of peer support mitigated the effects of subjective acculturative stress on depression and anxiety symptoms, parental support did not show a buffering effect. Moreover, in some cases, cultural stress appeared to attenuate the beneficial effect of social support. Although there was some support for the stress-buffering hypothesis, the impact of bicultural stressors depended on the type of stress considered and whether the focus was on exposure to stressors or subjective stress, as well as the source of social support. The findings highlight the complex effects of bicultural stress on U.S. Latinx youth mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Prospective links between acculturative stress and academic well-being among Latinx adolescents

Two salient domains of acculturative stress, bicultural stress and English competency pressures, were examined as predictors of academic well-being, including grades, educational expectations, and academic identity over a one-year period using a heterogeneous sample of 329 Latinx youth (MTime1age = 13.67, SD = 0.57; 51% boys). The buffering effects of coping and school belonging were tested along with an exploration of the moderating roles of adolescent gender and nativity. Higher levels of bicultural stress were associated with lower levels of academic well-being over time for girls, whereas English competency pressures had nuanced relations to changes in academic well-being over time that were qualified by gender and nativity. Active coping was a protective factor in links between bicultural stressors and GPA; but, its effect on relations between English competency pressures and academic well-being was more nuanced, only present for foreign-born youth. School belonging did not emerge as a significant protective factor for Latinx youth.

Supplemental Material for Bicultural Stress and Internalizing Symptoms Among U.S. Latinx Youth: The Moderating Role of Peer and Parent Support

Supplemental Material for Bicultural Stress and Internalizing Symptoms Among U.S. Latinx Youth: The Moderating Role of Peer and Parent Support

Can cultural identity clarity protect the well-being of Latino/a Canadians from the negative impact of race-based rejection sensitivity?

The aim of the present study was to examine the understudied immigration and acculturation experience of the growing Latino/a community in Canada. Specifically, we explored the impact of race-based rejection sensitivity on well-being, and whether cultural identity clarity could help curtail any negative effects. Hypothesis 1 was that race-based rejection sensitivity would be negatively associated with well-being. Hypothesis 2 was that cultural identity clarity would moderate the association between race-based rejection sensitivity and well-being such that Latino/a immigrants lower in cultural identity clarity would experience poorer well-being than those higher in cultural identity clarity. A community sample of Latino/a immigrants (N = 136; Mage = 38.21; 51.47% female) completed a survey including measures of race-based rejection sensitivity, cultural identity clarity, bicultural stress, self-esteem, and life satisfaction. Correlation and regression analyses revealed that race-based rejection sensitivity was negatively associated with well-being. Additionally, high cultural identity clarity attenuated the negative association between race-based rejection sensitivity and well-being. Results of the present study suggest maintaining clarity over their heritage cultures postimmigration can be beneficial to Latino/a immigrants in Canada, in particular when they are sensitive to cues of racial discrimination. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Formative Research and Cultural Tailoring of a Substance Abuse Prevention Program for American Indian Youth: Findings From the Intertribal Talking Circle Intervention.

Background. Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of substance use and dependence were seen among AIs when compared to all other population groups, although these rates vary across different tribes. Among AI adolescents, high rates of substance use have been associated with environmental and historical factors, including poverty, historical trauma, bicultural stress, and changing tribal/familial roles. Our project, the Intertribal Talking Circle intervention, involved adapting, tailoring, implementing, and evaluating an existing intervention for AI youth of three tribal communities in the United States. Formative Results. Community partnership committees (CPCs) identified alcohol, marijuana, and prescription medications as high priority substances. CPC concerns focused on the increasing substance use in their communities and the corresponding negative impacts on families, stating a lack of coping skills, positive role models, and hope for the future as concerns for youth. Cultural Tailoring Process Results. Each site formed a CPC that culturally tailored the intervention for their tribal community. This included translating Keetoowah-Cherokee language, cultural practices, and symbolism into the local tribal customs for relevance. The CPCs were essential for incorporating local context and perceived concerns around AI adolescent substance use. These results may be helpful to other tribal communities developing/implementing substance use prevention interventions for AI youth. It is critical that Indigenous cultures and local context be factored into such programs.

Latino adolescents' daily bicultural stress and sleep: Gender and school context moderation.

Bicultural stress (i.e., challenge arising from navigating 2 cultural contexts) has significant consequences for Latino youth's health, but researchers have yet to examine the implications of bicultural stress for adolescents' sleep. The goals of this study were to examine whether individual and day-to-day (within-person) differences in bicultural stress were associated with Latino adolescents' sleep onset latency (i.e., time to fall asleep), sleep midpoint (i.e., sleep schedule), sleep duration (i.e., time asleep), and subjective sleep quality. Participants were 209 Latino late adolescents (Mage = 18.10 years; 64.4% female) attending over 90 different high schools who completed 7 daily diary surveys while wearing actigraph wristwatches (N = 1,320 daily observations). Participants also reported sleep problems in a standard survey. Statistical interactions were tested to assess moderation by gender and coethnic school composition. On average, more bicultural stressors across the week were associated with lower average sleep duration and more sleep problems for male (compared to female) adolescents and youth attending schools with higher (compared to lower) Latino student enrollment. Regarding day-to-day differences, more daily bicultural stressors than usual predicted longer sleep onset latency that night for male adolescents, earlier sleep midpoint that night, and less sleep duration that night for youth attending higher Latino-enrollment schools. Latino adolescents' everyday experiences of bicultural stress relate to differences in sleep duration, timing, and quality, with important variation by gender and school context. Results advance existing theory regarding social position factors that differentiate the health implications of bicultural stress for Latino youth. (PsycINFO Database Record (c) 2020 APA, all rights reserved).