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Rahim HF, Mooren TTM, Knipscheer JW, van den Brink F, Chung JM, Laceulle OM, Boelen PA. Associations among migration risk factors, cultural identity conflict, and psychological symptoms among Syrian emerging adults with refugee backgrounds in the Netherlands. J Clin Psychol 2023; 79:1434-1451. [PMID: 36785921 DOI: 10.1002/jclp.23492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 12/02/2022] [Accepted: 01/22/2023] [Indexed: 02/15/2023]
Abstract
OBJECTIVES In the present study, we examined relations between premigration, perimigration, and postmigration risk factors (i.e., potentially traumatic events [PTEs], postmigration living problems [PMLPs], stressful life events) and psychological symptoms (i.e., anxiety/depression, posttraumatic stress) in Syrian emerging adults with refugee backgrounds; we also tested cultural identity conflict as a possible mediator of these relations. We expected that greater exposure to migration risk factors was associated with more psychological symptoms and that higher cultural identity conflict would contribute to these associations. METHODS We used data from the first wave of Karakter, a longitudinal study of 158 Syrians with refugee backgrounds (69.0% men, age range 18-35). Participants completed a questionnaire assessing PTEs, PMLPs, stressful life events, cultural identity conflict, and symptoms of anxiety/depression and posttraumatic stress. RESULTS Correlational analyses indicated that more PTEs and stressful life events were related to higher levels of cultural identity conflict and more psychological symptoms. Furthermore, greater cultural identity conflict was associated with more psychological symptoms. We did not observe indirect effects of cultural identity conflict in the mediation analyses. CONCLUSIONS Results suggest that postmigration stressors and cultural identity conflict are associated with psychological symptoms among Syrian emerging adults who have resettled in the Netherlands.
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Affiliation(s)
- Haza F Rahim
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands
| | - Trudy T M Mooren
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.,ARQ National Psychotrauma Centre, Diemen, The Netherlands
| | - Jeroen W Knipscheer
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.,ARQ National Psychotrauma Centre, Diemen, The Netherlands
| | - Femke van den Brink
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands
| | - Joanne M Chung
- Department of Psychology, University of Toronto Mississauga, Ontario, Canada
| | - Odilia M Laceulle
- Department of Developmental Psychology, Utrecht University, Utrecht, The Netherlands
| | - Paul A Boelen
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.,ARQ National Psychotrauma Centre, Diemen, The Netherlands
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Ikram M, Shaikh NF, Siddiqui ZA, Dwibedi N, Misra R, Vishwanatha JK, Sambamoorthi U. Factors associated with COVID-19-related mental health among Asian Indians in the United States. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2023; 11:100472. [PMID: 36624854 PMCID: PMC9812469 DOI: 10.1016/j.jadr.2023.100472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 12/14/2022] [Accepted: 01/03/2023] [Indexed: 01/06/2023] Open
Abstract
Background In the United States, the COVID-19 pandemic has caused increased mental health symptoms and mental illness. Specific subgroups such as Asian Indians in the US have also been subject to additional stressors due to unprecedented loss of lives in their home country and increased Asian hate due to the misperception that Asians are to be blamed for the spread of the SARS-CoV-2. Objective We examined the various factors including discrimination associated with COVID-19-related mental health symptoms among Asian Indians. Methods We administered an online survey between May 2021 and July 2021 using convenient and snowball sampling methods to recruit Asian Indian adults (age > 18 years, N = 289). The survey included questions on mental health and the experience with unfair treatment in day-to-day life. Descriptive analysis and logistic regressions were performed. Results Overall, 46.0% reported feeling down, depressed, or lonely and feeling nervous, tense, or worried due to the COVID-19 pandemic; 90.0% had received at least one dose of vaccination and 74.7% reported some form of discrimination. In the fully-adjusted logistic regression, age (AOR = 0.95; 95%CI- 0.92, 0.97;p < 0.01) and general health (AOR=0.84; 95%CI- 0.73, 0.97; p < 0.015) were negatively associated with mental health symptoms. Participants who experienced discrimination were more likely (AOR=1.26; 95%CI- 1.08, 1.46; p < 0.01) to report mental health symptoms. Conclusion In this highly vaccinated group of Asian Indians discriminatory behaviors were associated with mental health symptoms suggesting the need for novel institutional level policy responses to reduce anti-Asian racism.
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Affiliation(s)
- Mohammad Ikram
- Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Robert C. Byrd Health Sciences Center [North], P.O. Box 9510 Morgantown, WV 26506-9510, United States
| | - Nazneen Fatima Shaikh
- Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Robert C. Byrd Health Sciences Center [North], P.O. Box 9510 Morgantown, WV 26506-9510, United States
| | - Zasim Azhar Siddiqui
- Department of Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Robert C. Byrd Health Sciences Center [North], P.O. Box 9510 Morgantown, WV 26506-9510, United States
| | - Nilanjana Dwibedi
- The Janssen Pharmaceutical Companies of Johnson & Johnson, United States
| | - Ranjita Misra
- Social and Behavioral Sciences, School of Public Health, West Virginia University, PO Box 9190,3812 B HSC South, Department of Social & Behavioral Sciences, Morgantown, WV 26506, United States
| | - Jamboor K Vishwanatha
- Texas Center for Health Disparities, National Research Mentoring Network, AIM-AHEAD Coordinating Center, Texas CEAL Consortium, Institute for Health Disparities, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, United States
| | - Usha Sambamoorthi
- Pharmacotherapy Department, College of Pharmacy, University of North Texas Health Sciences Center,"Vashisht" Professor of Asian Health Disparities HEARD Scholar, United States
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Roysircar G, Masseratagah T, Tran Q, Neizvestnaya M, Thompson A. Immigrant youth of Indian origin: Generational differences in self‐critical perfectionism. JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT 2022. [DOI: 10.1002/jmcd.12272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Gargi Roysircar
- Department of Clinical Psychology Antioch University New England Keene New Hampshire USA
| | - Tara Masseratagah
- Department of Clinical Psychology Antioch University New England Keene New Hampshire USA
| | - Quynh Tran
- Department of Clinical Psychology Antioch University New England Keene New Hampshire USA
| | - Maria Neizvestnaya
- Department of Clinical Psychology Antioch University New England Keene New Hampshire USA
| | - Ashland Thompson
- Department of Psychiatry The University of North Carolina at Chapel Hill Chapel Hill North Carolina USA
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Ko Y, Lee ES, Park S. Effects of laughter therapy on the stress response of married immigrant women in South Korea: A randomized controlled trial. Health Care Women Int 2021; 43:518-531. [PMID: 34506719 DOI: 10.1080/07399332.2021.1963968] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The authors aimed to investigate the effects of a laughter therapy (LT) program on the acculturative stress, anxiety, depression, salivary cortisol, and salivary IgA of married immigrant women in South Korea. A randomized waiting-list control design was utilized. The 19 experimental group participants were given LT twice a week for 2 weeks, whereas the 22 participants in the waiting-list control group received no treatment during the same period but received it afterward. Outcomes were measured right after the completion of the intervention and 2 weeks later. The experimental group showed significantly decreased levels of acculturative stress, anxiety, depression, and salivary cortisol compared to the control group. As for salivary IgA, however, the experimental group showed no statistically significant decrease compared to the control group. An LT program can be a good option for married immigrant women undergoing acculturation experiences in consideration of its effectiveness.
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Affiliation(s)
- Yejung Ko
- Department of Nursing, Gwangju University, Gwangju, South Korea
| | - Eun-Suk Lee
- Healthcare center, Jangan University, Hwaseong-si, South Korea
| | - Sihyun Park
- Department of Nursing, Chung-Ang University, Seoul, South Korea
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Rahim HF, Mooren TTM, van den Brink F, Knipscheer JW, Boelen PA. Cultural Identity Conflict and Psychological Well-Being in Bicultural Young Adults: Do Self-Concept Clarity and Self-Esteem Matter? J Nerv Ment Dis 2021; 209:525-532. [PMID: 34009862 DOI: 10.1097/nmd.0000000000001332] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
ABSTRACT The present study examined the relationship between cultural identity conflict and psychological well-being, as well as the role of self-concept clarity and self-esteem in mediating this linkage. Elevated cultural identity conflict was hypothesized to be associated with lower psychological well-being via both (lower) self-concept clarity and (lower) self-esteem, with self-concept clarity preceding self-esteem. In a cross-sectional design, 473 bicultural young adults (age range, 18-35) completed an online questionnaire assessing cultural identity conflict, self-concept clarity, self-esteem, emotional distress, psychopathological symptoms, and satisfaction with life. Correlation analyses revealed that elevated cultural identity conflict was positively associated with emotional distress and psychopathological symptoms, and negatively associated with satisfaction with life. Mediation analyses indicated that these associations were mediated by lower self-concept clarity and lower self-esteem. The results support the importance of interventions that foster the development of skills in bicultural young adults to obtain more self-concept clarity and promote self-esteem and psychological well-being.
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Affiliation(s)
- Haza F Rahim
- Department of Clinical Psychology, Utrecht University, Utrecht
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Mathew Joseph N, Hanneman SK, Bishop SL. Physical activity, acculturation, and immigrant status of Asian Indian women living in the United States. Appl Nurs Res 2019; 47:52-56. [PMID: 31113548 DOI: 10.1016/j.apnr.2019.04.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 04/18/2019] [Accepted: 04/28/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Nitha Mathew Joseph
- Department of Undergraduate Studies, Cizik School of Nursing, The University of Texas Health Science Center, 6901 Bertner Avenue, Room 691, Houston, TX 77030, United States of America.
| | - Sandra K Hanneman
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Center for Nursing Research, Room #585, 6901 Bertner Avenue, Houston, TX 77030, United States of America.
| | - Sheryl L Bishop
- School of Nursing, The University of Texas Medical Branch at Galveston, 301 University Blvd., Galveston, TX, United States of America.
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Prout TA, Gottdiener WH, Camargo A, Murphy S. The relationship between defense mechanisms and religious coping using a new two-factor solution for the Defense Style Questionnaire-40. Bull Menninger Clin 2018; 82:224-252. [PMID: 30179043 DOI: 10.1521/bumc.2018.82.3.224] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This study examined the factor structure of the Defense Style Questionnaire (DSQ-40) and explored the relationships between defense mechanisms and religious coping in a diverse sample of 380 college students. In contrast with the three-factor model of defenses proposed by the developers of the DSQ-40, principal axis factoring yielded two internally consistent components: adaptive and maladaptive defense styles. Endorsement of adaptive defenses was positively correlated with the use of positive religious coping strategies and negatively correlated with negative religious coping. Maladaptive defenses were associated with the endorsement of negative religious coping strategies. Clinical implications of these findings are discussed and recommendations are made for future use of the DSQ-40.
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Affiliation(s)
- Tracy A Prout
- Ferkauf Graduate School of Psychology, Bronx, New York
| | | | | | - Sean Murphy
- Pacella Research Center of the New York Psychoanalytic Society and Institute, New York, New York
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