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Mylord M, Moran JK, Özler G, Nassar R, Anwarzay S, Hintz SJ, Schouler-Ocak M. The dynamics of discrimination, resilience, and social support in the mental health of migrants with and without citizenship. Int Rev Psychiatry 2023; 35:352-361. [PMID: 37267027 DOI: 10.1080/09540261.2023.2190409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 06/03/2023]
Abstract
Perceived discrimination has a significant negative impact on indices of mental health. One potential buffering factor in this is psychological resilience, which encompasses the ability to recover from or adapt successfully to adversity and use coping strategies, such as positive reappraisal of adverse events. This study examines the role of resilience as well as social support in buffering these effects in groups of migrants both with and without local residence permits. We conducted a non-experimental observational study with a cross-sectional design, collecting a variety of health variables in migrant groups in a naturalistic setting, during the COVID-19 period. The total sample consisted of 201 subjects, 88 of whom had a German residence title and 113 did not. These two groups were compared on the following variables of interest: social support, resilience, discrimination, and general mental health. There was no evidence for a difference in mental health between migrants with and without citizenship. However, our results suggested that migrants without citizenship reported less social support, less resilience, and more discrimination, which continued to have a distinct effect on mental health beyond resilience and social support. Psychological resilience mediated the link between social support and mental health, as well as being related to the perception of discrimination in the migrant group without citizenship. In conclusion, our models of migrants with and without citizenship showed that resilience specifically directly affected perceived discrimination in those without citizenship. The high levels of discrimination and lack of social support, particularly in the migrant group without citizenship, are concerning and suggest a focus for future interventions.
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Affiliation(s)
- Marie Mylord
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
| | - James K Moran
- Department of Psychiatry and Psychotherapy, Multisensory Integration Lab, Charite Universitätsmedizin Berlin, Berlin, Germany
| | - Gözde Özler
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
| | - Racha Nassar
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
| | - Shahram Anwarzay
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
| | - Soraya-Julia Hintz
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
| | - Meryam Schouler-Ocak
- Psychiatric University Clinic of Charite at St. Hedwig Hospital Berlin, Berlin, Germany
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Urzúa A, Aragón D, Landabur R, Henríquez D, Cortés L. Acculturation strategies and blood cortisol in colombian Migrants in Chile. BMC Psychol 2023; 11:94. [PMID: 37004122 PMCID: PMC10064708 DOI: 10.1186/s40359-023-01147-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 03/26/2023] [Indexed: 04/03/2023] Open
Abstract
BACKGROUND migration is a worldwide phenomenon that is growing at an accelerated pace. When people who migrate come into contact with a new culture, they are immersed in a process called acculturation. In this process, people oscillate between maintaining their own culture or acquiring the culture and customs of the host country, resulting in the so-called acculturation strategies. According to Berry's proposal, there are four main acculturation strategies: assimilation, integration, marginalization and separation. The few existing studies of Latinos in an Anglo-Saxon country relate the use of the integration strategy (biculturalism) with lower cortisol levels. No studies have been found on the subject in Latino migrants in a Latino country. METHOD a cross-sectional design was used to analyze the relationship between acculturation strategies and blood cortisol levels, based on the hypothesis that an integration strategy or biculturalism would be linked to lower cortisol levels. The study involved 314 Colombian migrants in Chile, who were evaluated with a scale of acculturation strategies according to the model proposed by Berry, in addition to providing blood samples to analyze cortisol levels. RESULTS migrants who show a preference for leave behind the culture of the country of origin have higher levels of cortisol ng/ml in blood. According to multiple comparisons the mean cortisol value was significantly different between integrated and assimilated subjects, with the mean cortisol of the integrated being significantly lower than that of the subjects typed as marginalized. CONCLUSION The patterns of the relationship between biculturalism and cortisol found in Latino migrants in Anglo-Saxon countries are repeated in Latino migrants in a Latino country. It is necessary to explore the influence of other variables in this relationship, since it seems that the best adaptive strategy, and therefore the cortisol response, will vary according to the socio-cultural context of the host country.
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Affiliation(s)
- Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile.
| | - Diego Aragón
- Escuela de Medicina, Universidad de Tarapacá, Arica, Chile
| | - Rodrigo Landabur
- Departamento de Psicología, Universidad de Atacama, Copiapó, Chile
| | - Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
| | - Leonel Cortés
- Departamento de Tecnología Médica, Universidad de Antofagasta, Antofagasta, Chile
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Henríquez D, Urzúa A. Positive Social Interaction and Psychological Kinship Mediate the Effect of Identity Fusion on Psychological Well-Being in South-South Migrants. TRENDS IN PSYCHOLOGY 2023. [PMCID: PMC9946703 DOI: 10.1007/s43076-023-00269-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
The present study provides evidence of how positive social interaction and the perception of psychological kinship are mechanisms by which identity fusion with the host country is associated with the psychological well-being of Venezuelan migrants in Chile. The sample consisted of 323 Venezuelan migrants, of whom 147 (45.5%) were men. The participants were residents of the city of Santiago, Chile. The variables assessed were psychological well-being, identity fusion with host country, positive social interaction, and psychological kinship. Structural equation modeling was performed to estimate the proposed mediation model. The estimation method used was robust weighted least squares estimation. The first model showed that people who felt more fused with the host country had higher levels of psychological well-being. On the other hand, the second estimated model indicated that both positive social interaction and psychological kinship fully mediate the relationship between identity fusion with the host country and immigrants’ psychological well-being. It is not the mere sensation of feeling merged with the host country that increases the psychological well-being of migrants, but rather it is the positive social interactions and feeling that members of the host country are like family that are the components that link the fusion with the host country and the psychological well-being of Venezuelan migrants in Chile.
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Affiliation(s)
- Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Avda. Angamos 0610, Antofagasta, Chile
| | - Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Avda. Angamos 0610, Antofagasta, Chile
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Urzúa A, Baeza-Rivera MJ, Caqueo-Urízar A, Henríquez D. Optimism and Intolerance to Uncertainty May Mediate the Negative Effect of Discrimination on Mental Health in Migrant Population. Healthcare (Basel) 2023; 11:healthcare11040503. [PMID: 36833036 PMCID: PMC9956353 DOI: 10.3390/healthcare11040503] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 01/30/2023] [Accepted: 02/04/2023] [Indexed: 02/11/2023] Open
Abstract
(1) Background: Migration causes effects on the people who migrate and on the societies that receive them, which can be positive or negative, depending on the characteristics of the interaction. One negative effect is the emergence of mental health disorders associated with the presence of discrimination, a relationship for which there is abundant evidence, although there is less research on factors that may alter this effect. (2) Objective: To evaluate the possible mediating role of optimism and intolerance to uncertainty in the relationship between discrimination and mental health. (3) Method: Nine hundred and nineteen adult Colombian migrants residing in Chile, 49.5% were men and 50.5% women, ages from 18 to 65 years, were evaluated. The Discrimination Experience Scale, BDI-IA Inventory, BAI, LOT-R and the Intolerance to Uncertainty Scale were applied. The effects were estimated using structural equation modeling. (4) Results: A mediating effect of both dispositional optimism and intolerance to uncertainty on the relationship between discrimination and mental symptomatology was observed. (5) Conclusions: The impact on individual suffering and the social cost of mental health problems require investigating variables on the relationship between discrimination and mental health, including mediators of this relationship, which turn out to be central elements in the development of future strategies for the reduction of anxiety and depression symptoms.
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Affiliation(s)
- Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile
- Correspondence:
| | | | | | - Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile
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Henríquez D, Urzúa A, López-López W. Social Support as a Mediator of the Relationship between Identity Fusion and Psychological Well-Being in South-South Migrant Populations. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2022; 24:1-23. [PMID: 36277258 PMCID: PMC9579654 DOI: 10.1007/s12134-022-00996-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2022] [Indexed: 11/25/2022]
Abstract
The present study provides evidence of how perceived social support is a mechanism by which identity fusion with the country of origin is associated with psychological well-being in a migrant population. The study design was cross-sectional. We use intentional sampling based on the accessibility of the participants and using the snowball strategy through an online survey. This study included 323 Venezuelan migrants, of whom 176 (54.5%) were women, all residents of the city of Santiago, Chile. The variables assessed were perceived social support, identity fusion, and psychological well-being. Structural equation modeling was used to estimate the proposed mediation model. The estimation method used was robust weighted least squares estimation. The estimated models indicated that perceived social support has a mediating effect on the positive relationship between identity fusion and psychological well-being of Venezuelan migrants residing in Chile. According to these results, feeling a sense of fusion with the country of origin and the perception of having sources of care and protection are factors that may help to improve the psychological well-being of Venezuelan migrants living in Chile. Implications and limitations of these results are discussed.
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Affiliation(s)
- Diego Henríquez
- Universidad Católica del Norte, Avda. Angamos 0610, Antofagasta, Chile
| | - Alfonso Urzúa
- Universidad Católica del Norte, Avda. Angamos 0610, Antofagasta, Chile
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Perceived Discrimination at School and Developmental Outcomes among Bai Adolescents: The Mediating Roles of Self-Esteem and Ethnic Identity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020657. [PMID: 35055479 PMCID: PMC8775612 DOI: 10.3390/ijerph19020657] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/27/2021] [Accepted: 01/04/2022] [Indexed: 11/16/2022]
Abstract
Although discrimination is widely acknowledged to impair developmental outcomes among ethnic minority adolescents, literature differentiating discrimination based on personal characteristics and group membership is lacking, especially in Chinese contexts, and the mechanisms of those relationships remain unclear. In response, the study presented here examined whether self-esteem mediates the relationship between perceived academic discrimination and developmental outcomes among such ethnic minority adolescents, and whether ethnic identity mediates the relationship between perceived ethnic discrimination and developmental outcomes. Multistage cluster random sampling performed in Dali and Kunming, China, yielded a sample of 813 Bai adolescents whose data was analysed in structural equation modelling. The results indicate that perceived academic discrimination had a direct negative effect on adolescents' mental health, while perceived ethnic discrimination had direct negative effects on their behavioural adjustment and social competence. Perceived academic discrimination also indirectly affected adolescents' behavioural adjustment, mental health, and social competence via self-esteem, whereas perceived ethnic discrimination indirectly affected their behavioural adjustment and social competence via ethnic identity. These findings deepen current understandings of how perceived discrimination, self-esteem, and ethnic identity affect the developmental outcomes of ethnic minority adolescents and provide practical recommendations for policymakers and social workers to promote those outcomes in China.
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Urzúa A, Henríquez D, Caqueo-Urízar A, Landabur R. Ethnic Identity and Collective Self-Esteem Mediate the Effect of Anxiety and Depression on Quality of Life in a Migrant Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:174. [PMID: 35010433 PMCID: PMC8751200 DOI: 10.3390/ijerph19010174] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 12/15/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
Migration processes can often trigger negative interactions with the context, generating problems in both the physical and mental health of migrants, which have an impact on both their well-being and their quality of life. In this framework, the research aimed to assess the mediating effect of ethnic identity and collective self-esteem on the inverse relationship between mental health problems and quality of life. Data were collected from 908 first-generation Colombian migrants living in Chile, of whom 50.2% were women and with an average age of 35 years. They were assessed with The World Health Organization Quality of Life (WHOQoL)-Bref, Smith's ethnic identity questionnaire, Basabe's collective self-esteem, and Beck's Anxiety and Depression questionnaires. The results provide evidence that both collective self-esteem and ethnic identity exert a partial mediation effect on the relationship between anxiety and depression on quality of life. The study provides evidence of the protective role that the maintenance and reinforcement of ethnic identity and collective self-esteem can have, with a view to strengthening the planning of interventions both in the field of prevention of mental health problems and in the improvement of quality of life based on evidence.
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Affiliation(s)
- Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1240000, Chile;
| | - Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1240000, Chile;
| | | | - Rodrigo Landabur
- Departamento de Psicología, Universidad de Atacama, Copiapó 1530000, Chile;
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Henríquez D, Urzúa A, López-López W. Indicators of Identity and Psychological Well-Being in Immigrant Population. Front Psychol 2021; 12:707101. [PMID: 34744867 PMCID: PMC8565597 DOI: 10.3389/fpsyg.2021.707101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Accepted: 09/24/2021] [Indexed: 11/13/2022] Open
Abstract
Multiple research has indicated that group identity processes are critical to understanding the dynamics of psychological well-being linked to migration. However, few studies have analyzed the relationship between identity from different theoretical perspectives, and the mental health of migrants in the Latin-American context. Therefore, the purpose of this study was to analyze the relationship between several identity indicators such as ethnic identity, collective self-esteem, identity fusion (with the country of origin and the host country) simultaneously, and different dimensions of psychological well-being of Colombian migrants living in Chile. The sample consisted of 887 Colombian migrants, of whom 435 (49%) were men and 452 (51%) were women. Participants were residents of the cities of Arica (n=204; 23%), Antofagasta (n=469; 52.9%), and Santiago (n=214; 24.1%) in Chile. The results revealed by structural equation modeling indicate that collective self-esteem and ethnic identity show positive relationships with almost all dimensions of psychological well-being, while identity fusion with Colombia only showed a positive relationship with the dimension positive relationships and identity fusion with Chile only showed a positive relationship with the dimension autonomy. Implications and limitations of these results are discussed at the end.
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Affiliation(s)
- Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
| | - Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
| | - Wilson López-López
- Facultad de Psicología, Pontificia Universidad Javeriana, Bogotá, Colombia
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Urzúa A, Caqueo-Urízar A, Henríquez D, Williams DR. Discrimination and Health: The Mediating Effect of Acculturative Stress. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105312. [PMID: 34067653 PMCID: PMC8156443 DOI: 10.3390/ijerph18105312] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 04/25/2021] [Accepted: 05/12/2021] [Indexed: 11/21/2022]
Abstract
There is not much evidence on the effects of south–south migration and its consequences on physical and mental health. Our objective was to examine the mediating role of Acculturative Stress in the association between ethnic discrimination and racial discrimination with physical and mental health. This research is a non-experimental, analytical, cross-sectional study. A total of 976 adult Colombian migrants living in Chile were interviewed. We used the Everyday Discrimination Scale, the acculturative stress scale, and the Medical Outcomes Study Short Form (SF-12) for health status; we found that racial and ethnic discrimination had a negative effect on physical and mental health. In the simultaneous presence of both types of discrimination, racial discrimination was completely absorbed by ethnic discrimination, the latter becoming a total mediator of the effect of racial discrimination on mental and physical health. Our findings are consistent with the literature, which suggests that there are various types of discrimination which, individually or in their intersectionality, can have negative effects on health.
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Affiliation(s)
- Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1240000, Chile
- Correspondence:
| | - Alejandra Caqueo-Urízar
- Instituto de Alta Investigación, Universidad de Tarapacá, Arica 1000000, Chile; (A.C.-U.); (D.H.)
| | - Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1240000, Chile
| | - David R. Williams
- TH Chan School of Public Health, Harvard University, Boston, MA 02115, USA;
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