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Holly LE. Cultural and Social Aspects of Anxiety Disorders. Psychiatr Clin North Am 2024; 47:775-785. [PMID: 39505453 DOI: 10.1016/j.psc.2024.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2024]
Abstract
Understanding the cultural and social aspects of anxiety disorders is necessary to ensure the design and implementation of effective, evidence-based methods for diagnosis, prevention, and treatment among diverse populations, particularly those who are minoritized, marginalized, and traditionally underserved. This article describes variations in anxiety disorder prevalence and the association between sociocultural characteristics and stressors known to increase risk for anxiety. The ways sociocultural context impacts anxiety phenomenology and expression is explored. Then, the literature examining differential help-seeking and service utilization among diverse populations is reviewed followed by a summary of culturally responsive, evidence-based practices for anxiety disorders.
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Affiliation(s)
- Lindsay E Holly
- Department of Psychology, Marquette University, Cramer Hall, 604 North 16th Street, Milwaukee, WI 53233, USA.
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Huerta C, Randell KA, Unger J, Rothenberger S, Chaves-Gnecco D, Barral R, Shaw D, Culyba AJ, Miller E, Ragavan MI. Associations Between Acculturation, Discrimination, and Adolescent Relationship Abuse: A Matched Parent-Adolescent Study of Latine Families. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241280087. [PMID: 39376060 DOI: 10.1177/08862605241280087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/09/2024]
Abstract
Adolescent relationship abuse (ARA) is prevalent among adolescents, including those who identify as Latine. However, there is limited research that has considered the cultural and structural mechanisms that may impact ARA experiences among Latine youth. Further, although parents play a crucial role in ARA prevention, few studies have investigated how adolescent-parent differences in acculturation and discrimination are associated with ARA. The objective of this exploratory study of Latine families was to examine how acculturation, discrimination, and adolescent-parent acculturation/discrimination differences relate to ARA victimization and perpetration. Parent-adolescent dyads recruited from clinic and community-based settings in Pittsburgh and Kansas City completed matched surveys. Parent-adolescent acculturation and discrimination differences were calculated using multilevel linear models. Multivariable logistic regression was used to examine associations among ARA victimization and perpetration and adolescent-reported acculturation, adolescent-reported discrimination, and adolescent-parent acculturation and discrimination differences. One hundred eighty-two adolescents and their parent/caregiver (n = 364) completed a matched survey in English or Spanish from March 2020 to March 2021. Forty-three percent of adolescents reported that they had started dating; of these 35% and 24% reported ARA victimization and perpetration, respectively. Higher levels of adolescent-reported acculturation conflict were associated with lower ARA victimization (adjusted odds ratio [aOR]: 0.24; 95% confidence interval, CI [0.08, 0.75]); conversely, higher adolescent-reported discrimination was associated with ARA victimization (aOR: 2.50 [1.30, 4.60]) and perpetration (aOR: 2.10 [1.10, 3.90]). Wider adolescent-parent acculturation differences in Spanish language (aOR: 3.40 [1.04, 11.30]) and interpersonal discrimination (aOR: 2.40 [1.10, 5.20]) were associated with increased ARA victimization. Results underscore the importance of discrimination in understanding ARA experiences among Latine youth. Future work should consider developing culturally and linguistically affirming ARA prevention programs for Latine adolescents and parents.
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Affiliation(s)
| | - Kimberly A Randell
- Children's Mercy, Kansas City, MO, USA
- University of Missouri-Kansas City, USA
| | | | | | | | - Romina Barral
- Children's Mercy, Kansas City, MO, USA
- University of Missouri-Kansas City, USA
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Mullins JL, Cheung CS, Michalska KJ. Caregiver experienced racism, acculturative stress, and political hostility predict anxiety in Latinx families residing in the United States. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2024; 30:792-804. [PMID: 38976407 PMCID: PMC11521533 DOI: 10.1037/cdp0000667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
OBJECTIVE Cultural stress potently predicts mental health inequities, such as anxiety, among adult and adolescent immigrants in the United States. However, less work has focused on preadolescence, a period marked by neurodevelopmental and psychosocial changes that can exacerbate anxiety symptoms. Latina girls, who exhibit heightened levels of untreated anxiety, may be at elevated risk. The present study tests whether cultural stress predicts anxiety symptoms in Latina girls and their caregivers. METHOD The primary caregivers of 161 predominantly Mexican-identifying Latina girls (Mage = 10.70, SD = 1.68) reported their exposure to racism, acculturative stress, and political hostility. They also reported their own and their daughter's anxiety severity. RESULTS To index cultural stress, a principal component was extracted from composite scores of the racism, acculturative stress, and political hostility questionnaires. Hierarchical regression analyses then tested whether the multidetermined cultural stress component predicted caregiver and child anxiety, with child age, annual household income, and subjective socioeconomic status entered at the first step. Cultural stress positively predicted caregiver (ΔR² = .13, p < .001) and child (ΔR² = .15, p < .001) anxiety symptoms over and above the observed inverse effects of subjective socioeconomic status, such that higher levels of cultural stress were associated with elevated levels of caregiver (ß = .37, p < .001) and child (ß = .39, p < .001) anxiety symptoms. CONCLUSIONS The results of this study highlight the role of racism, acculturative stress, and political hostility in escalating anxiety symptoms in Latinx families and identify cultural stress as a factor that likely contributes to the high rates of anxiety in Latina girls during a key developmental period. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Lorenzo-Blanco EI, Henriquez KL, Stein GL. Intermediary processes in Hispanic/Latinx/o youths' coping responses to cultural stressors. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2024; 34:1035-1053. [PMID: 38853361 PMCID: PMC11349472 DOI: 10.1111/jora.12988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 05/22/2024] [Indexed: 06/11/2024]
Abstract
Cultural stressors related to racism, xenophobia, and navigating bicultural contexts can compromise the healthy development of Hispanic/Latinx/o (H/L) youth. Youth' coping can minimize the adverse impact of this stress. Less is known about the intermediary processes related to youths' cultural stressor experiences and coping responses. We analyzed focus group data from H/L youth (N = 45; 50% girls; 0% nonbinary; Mage = 15.3) to hear their voices on how they interpret, react to, are impacted by and cope with cultural stressors. Using a Grounded Theory approach, we constructed four themes of intermediary processes (e.g., meaning making) and four themes of coping (e.g., distancing oneself). Youth actively processed their experiences, which informed their coping choices, pointing to youths' agency and resilience.
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Affiliation(s)
- Elma I Lorenzo-Blanco
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
| | - Kimberly L Henriquez
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
| | - Gabriela Livas Stein
- Department of Human Development and Family Sciences, University of Texas at Austin, Austin, Texas, USA
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Zeledon I, Unger JB, Meca A, Duque M, Lee R, Soto DW, Pickering T, Schwartz SJ. Cultural Stress Profiles: Describing Different Typologies of Migration Related and Cultural Stressors among Hispanic or Latino Youth. J Youth Adolesc 2023; 52:1632-1646. [PMID: 37199851 PMCID: PMC10193323 DOI: 10.1007/s10964-023-01784-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 04/29/2023] [Indexed: 05/19/2023]
Abstract
Youth of immigrant origin vary across their families' migration history (e.g., country of heritage, reasons for migration, etc.) and in the communities in which they reside. As such, these youth are often faced with different cultural and immigrant stressors. Although prior research documented the detrimental impact of cultural and immigrant stressors, variable-centered approaches fail to account for the fact that these stressors often co-occur. Addressing this gap, the current study identified typologies of cultural stressors in Hispanic/Latino adolescents using latent profile analysis. Cultural stress profiles were derived using socio-political stress, language brokering, in-group identity threats, and within-group discrimination as indicators. The study was conducted in two sites (Los Angeles and Miami; total N = 306) during Spring and Summer 2020. A four-profile solution was identified: Low Cultural Stress (n = 94, 30.7%), Sociopolitical and Language Brokering Stress (n = 147, 48%), Sociopolitical and In-group Identity Threat Stress (n = 48, 15.7%), and Higher Stress (n = 17, 5.6%). Results indicate that profiles with stress were characterized by worse mental health symptoms, reporting higher means of depression, stress, and lower self-esteem, as well as by higher heritage cultural orientation compared to the low stress profile. Interventions designed to mitigate the deleterious effects of cultural stressors would benefit from adopting an individualized, tailored approach that addresses youth's stress profile membership.
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Affiliation(s)
- Ingrid Zeledon
- University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
| | - Jennifer B Unger
- University of Southern California Keck School of Medicine, Los Angeles, CA, USA
| | - Alan Meca
- University of Texas at San Antonio, San Antonio, TX, USA
| | - Maria Duque
- University of Texas at Austin, Austin, TX, USA
| | - Ryan Lee
- University of Southern California Keck School of Medicine, Los Angeles, CA, USA
| | - Daniel W Soto
- University of Southern California Keck School of Medicine, Los Angeles, CA, USA
| | - Trevor Pickering
- University of Southern California Keck School of Medicine, Los Angeles, CA, USA
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Yıldız M, Yildirim MS, Elkoca A, Varol E, Aydin MA, Dege G. Investigation of the Relationship Between Xenophobic Attitude and Intercultural Sensitivity Level in Health Education Students. J Transcult Nurs 2023; 34:238-246. [PMID: 36927307 DOI: 10.1177/10436596231158136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
INTRODUCTION Intercultural sensitivity and xenophobia levels of health education students can affect the care they give to the patient. It is important to know the level of intercultural sensitivity and xenophobia of students receiving health education and to determine the relationship between them. The purpose of the study was to examine the relationship between xenophobic attitudes and intercultural sensitivity among university students. METHODS This quantitative cross-sectional research was conducted in between January and June 2022 with health education students. The study conducted with health education students at Gumushane University and Agri Ibrahim Cecen University. Child Development, Nursing, Emergency Management Services/Technicians, Nutrition and Dietetics, Elderly care, Social services, Medical Laboratory Techniques, and Disabled Care studying at these universities were included in the study. Students who received health education and wanted to participate voluntarily in the study were included. Students aged 18 and over, studying in the health education department of the university, studying in the 1, 2, 3, 4th classes and volunteering to participate in the study were included in the study. The Introductory Information Form, the Xenophobia Scale, and the Intercultural Sensitivity Scale were used to collect the research data. RESULTS This study was conducted with 789 students. According to our study, a significant negative correlation was found between the students' xenophobia scale and the intercultural sensitivity scale total score means (p < .05). Intercultural sensitivity has a negative and significant effect on the level of xenophobia (β = -0.116; t (787) = -3.283, p = .001). A significant difference was found between the students' Xenophobia Scale total score mean and gender, department, and grade (p < .05) as was the case between Intercultural Sensitivity Scale total score mean and gender, department, grade, immigrant acquaintance, and foreign language knowledge (English language) level (p < .05). DISCUSSION Intercultural sensitivity has a negative and significant effect on the level of xenophobia. It can negatively affect the level of caregiving of students receiving health education. It is thought that intercultural sensitivity will be developed by including course content in the curriculum to increase students' intercultural effectiveness and awareness levels and to reduce xenophobic prejudices.
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Affiliation(s)
| | | | - Ayşe Elkoca
- Gaziantep Islamic Science and Technology University, Turkey
| | - Ela Varol
- Agri Ibrahim Cecen University, Turkey
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Ye LZ, Fletcher J. Immigrant Status and the Social Returns to Academic Achievement in Adolescence. JOURNAL OF ETHNIC AND MIGRATION STUDIES 2022; 48:3619-3640. [PMID: 36389214 PMCID: PMC9642974 DOI: 10.1080/1369183x.2021.2020630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 12/15/2021] [Indexed: 06/16/2023]
Abstract
Social scientists have long debated whether high-achieving students of color are socially sanctioned. This discussion has rarely focused on immigrant students, who are exceptionally diverse in their educational performance and face challenges in social integration at school. This article assesses whether the effect of academic achievement on U.S. adolescents' popularity among peers varies by immigrant status. Further, we investigate whether the same pattern holds for immigrant students across racial/ethnic groups. While theoretical frameworks led us to expect that some immigrant groups would be socially punished for their school achievement, we did not find evidence for a negative effect of achievement (GPA) on popularity (number of alters nominating ego as a friend) for any group. Instead, the effect of achievement on popularity is positive but smaller among second-generation and foreign-born students than among white students from native-born families. This social penalty is observed across Black and most Hispanic immigrant subgroups, applies to some Asian immigrant subgroups, and does not apply to white immigrant students.
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Affiliation(s)
- Leafia Zi Ye
- Department of Sociology, University of Wisconsin-Madison
| | - Jason Fletcher
- La Follette School of Public Affairs and Department of Sociology, University of Wisconsin-Madison
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