Acculturative stress and coping among Korean immigrant elders residing in non-Korean ethnic enclaves

Abstract

Few studies that have been conducted on Korean immigrant elders have been carried out in areas without Korean ethnic enclaves due to their small numbers and proportion. This nonprobability cross-sectional study utilized a structured survey to examine the relationships of acculturative stress, coping, and depressive symptoms among 108 non-institutionalized Korean immigrant elders residing in areas without Korean ethnic enclaves. Multivariate analysis results indicated that acculturative stress might be the most significant risk factor for depressive symptoms, which could decrease coping efficacy of social support and increase somatic symptoms of Korean immigrant elders residing in non-Korean ethnic enclaves. Implications for future research, practice, and policy are discussed.

Keywords

Acculturative stress depressive symptoms Korean immigrant elders social support somatization

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References

Administration on Aging (AoA) (2010) ‘A Profile of Older Americans: 2011’. Available online at: www.aoa.gov/AoARoot/Aging_Statistics/Profile?2011/6.aspx (accessed 9 April 2013).

Aldwin

C.M.

(2007) Stress, Coping and Development: An Integrative Perspective. New York: Guilford Press.

Brislin

R.W.

(1970) ‘Back-Translation for Cross-Cultural Research’, Journal of Cross-Cultural Psychology 1: 185–216.

Casado

B.L.

Leung

(2002) ‘Migratory Grief and Depression among Elderly Chinese American Immigrants’, Journal of Gerontological Social Work 36: 5–26.

Choi

Chentsova-Dutton

Parrott

W.G.

(2016) ‘The Effectiveness of Somatization in Communicating Distress in Korean and American Cultural Contexts’, Frontiers in Psychology 7: 1–17.

Choi

Yeom

H.A.

(2011) ‘Identifying and Treating the Culture-Bound Syndrome of Hwa-Byung among Older Korean Immigrant Women: Recommendations for Practitioners’, Journal of the American Academy of Nurse Practitioners 23: 226–32.

Chung

(2005) ‘The Sociocultural Reality of the Asian Immigrant Elderly’, Journal of Gerontological Social Work 44(1–2): 81–93.

Crockett

L.J.

Iturbide

M.I.

Stone

R.A.

McGinley

Raffaelli

Carlo

(2007) ‘Acculturative Stress, Social Support, and Coping: Relations to Psychological Adjustment among Mexican American College Students’, Cultural Diversity & Ethnic Minority Psychology 13(4): 347–55.

Derogatis

L.R.

Lipman

R.S.

Covi

(1973) ‘SCL-90: An Outpatient Psychiatric Rating Scale – Preliminary Report’, Psychopharmacology Bulletin 9: 13–28.

10.

Diwan

Jonnalagadda

S.S.

Balaswamy

(2004) ‘Resources Predicting Positive and Negative Affect during the Experience of Stress: A Study of Older Asian Indian Immigrants in the United States’, Gerontologist 44: 605–14.

11.

Ensel

W.M.

Lin

(1991) ‘The Life Stress Paradigm and Psychological Distress’, Journal of Health and Social Behavior 32: 321–41.

12.

Han

H.R.

Kim

Lee

H.B.

Pistulka

Kim

K.B.

(2007) ‘Correlates of Depression in the Korean American Elderly: Focusing on Personal Resources of Social Support’, Journal of Cross-Cultural Gerontology 22: 115–27.

13.

Bentler

P.M.

(1999) ‘Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria Versus New Alternatives’, Structural Equation Modeling 6: 1–55.

14.

Hurh

W.M.

Kim

K.C.

(1990) ‘Correlates of Korean Immigrants’ Mental Health’, Journal of Nervous and Mental Disease 178(11): 703–11.

15.

Jang

Chiriboga

D.A.

(2010) ‘Living in a Different World: Acculturative Stress among Korean American Elders’, Journal of Gerontology: Psychological Sciences 65B: 14–21.

16.

Jang

Chiriboga

D.A.

Okazaki

(2009) ‘Attitudes Toward Mental Health Services: Age-Group Differences in Korean American Adults’, Aging & Mental Health 13(1): 127–34.

17.

Jang

Kim

Park

N.S.

Chiriboga

D.A.

(2016) ‘Emotional Confidants in Ethnic Communities: Social Network Analysis of Korean American Older Adults’, Journal of Aging and Health 28(2): 324–40.

18.

Jang

Roh

Chiriboga

(2014) ‘The Impact of Acculturation on Depressive Symptoms: A Comparison of Older Korean Americans in Two Areas’, Asian American Journal of Psychology 5(3): 200–5.

19.

Jang

Shin

Cho

Kim

Chiriboga

D.A.

(2011) ‘The Interactive Role of Chronic Medical Conditions and Sleep Disturbance in Predicting Depressive Symptoms among Korean American Older Adults’, Aging & Mental Health 15(2): 198–203.

20.

Kang

S.Y.

Domanski

M.D.

Moon

S.S.

(2009) ‘Ethnic Enclave Resources and Predictors of Depression among Arizona’s Korean Immigrant Elders’, Journal of Gerontological Social Work 52: 489–502.

21.

Katon

Kleinman

Rosen

(1982) ‘Depression and Somatization: A Review Part II’, American Journal of Medicine 72(February): 241–7.

22.

Kaugh

(1999) ‘Changing Status and Roles of Older Korean Immigrants in the United States’, International Journal of Aging & Human Development 49(3): 213–29.

23.

Kim

B.J.

Auh

Lee

Y.J.

Ahn

(2013) ‘The Impact of Social Capital on Depression among Older Chinese and Korean Immigrants: Similarities and Differences’, Aging & Mental Health 17(7): 844–52.

24.

Kim

B.J.

Sangalang

Kihl

(2012) ‘Effects of Acculturation and Social Network Support on Depression among Elderly Korean Immigrants’, Aging & Mental Health 16(6): 787–94.

25.

Kim

H.S.

Sherman

D.K.

Taylor

S.E.

(2006a) ‘Pursuit of Comfort and Pursuit of Harmony: Culture, Relationships, and Social Support Seeking’, Personality and Social Psychology Bulletin 32: 1595–607.

26.

Kim

I.J.

Kim

L.I.

Kelly

J.G.

(2006b) ‘Developing Cultural Competence in Working with Korean Immigrant Families’, Journal of Community Psychology 34: 149–65.

27.

Kleinman

(1982) ‘Neurasthenia and Depression: A Study of Somatization and Culture in China’, Culture, Medicine and Psychiatry 6: 117–190.

28.

Kleinman

(1988) The Illness Narratives: Suffering, Healing and the Human Condition. New York: Basic Books.

29.

Kuo

B.C.H.

Chong

Joseph

(2008) ‘Depression and its Psychosocial Correlates among Older Asian Immigrants in North America: A Critical Review of Two Decades’ Research’, Journal of Aging and Health 20(6): 615–52.

30.

Kuo

W.H.

(1984) ‘Prevalence of Depression among Asian-Americans’, Journal of Nervous and Mental Disease 172(8): 449–57.

31.

Lawton

M.P.

Brody

E.M.

(1969) ‘Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living’, Gerontologist 9(3): 179–86.

32.

Lazarus

R.S.

Folkman

(1984) Stress, Appraisal, and Coping. New York: Springer Publishing Company.

33.

Lee

J.E.

Kim

M.T.

Han

H.R.

(2015) ‘Correlates of Health-Related Quality of Life among Korean Immigrant Elders’, Journal of Applied Gerontology 34(7): 844–57.

34.

Lee

Y.M.

Holm

(2012) ‘Stressors Related to Depression among Elderly Korean Immigrants’, Issues in Mental Health Nursing 33: 52–8.

35.

Mills

Henretta

J.C.

(2001) ‘Racial, Ethnic, and Sociodemographic Differences in the Level of Psychological Distress among Older Americans’, Research on Aging 23(2): 131–52.

36.

Min

J.W.

Moon

Lubben

J.E.

(2005) ‘Determinants of Psychological Distress over Time among Older Korean Immigrants and Non-Hispanic White Elders: Evidence from a Two-Wave Panel Study’, Aging & Mental Health 9(3): 210–22.

37.

Min

S.K.

Suh

S.Y.

Song

K.J.

(2009) ‘Symptoms to Use for Diagnostic Criteria of Hwa-Byung, an Anger Syndrome’, Psychiatry Invest 6: 7–12.

38.

Moon

Lubben

J.E.

Villa

(1998) ‘Awareness and Utilization of Community Long-Term Care Services by Elderly Korean and Non-Hispanic White Americans’, Gerontologist 38: 309–16.

39.

Mui

A.C.

(2000) ‘Stress, Coping, and Depression among Elderly Korean Immigrants’, Journal of Human Behavior in the Social Environment 3: 281–99.

40.

Mui

A.C.

Kang

S.Y.

(2006) ‘Acculturation Stress and Depression among Asian Immigrant Elders’, Social Work 51: 243–55.

41.

Mui

A.C.

Shibusawa

(2008) Asian American Elders in the Twenty-First Century: Key Indicators of Well-Being. New York: Columbia University Press.

42.

Noh

Avison

W.R.

(1996) ‘Asian Immigrants and the Stress Process: A Study of Koreans in Canada’, Journal of Health and Social Behavior 37: 192–206.

43.

Koeske

G.F.

Sales

(2002) ‘Acculturation, Stress, and Depressive Symptoms among Korean Immigrants in the United States’, Journal of Social Psychology 142: 511–26.

44.

Pang

K.Y.

(1995) ‘A Cross-Cultural Understanding of Depression among Elderly Korean Immigrants’, Clinical Gerontologist 15: 3–20.

45.

Pang

K.Y.

(2000) ‘Symptom Expression and Somatization among Elderly Korean Immigrants’, Journal of Clinical Geropsychology 6: 199–212.

46.

Park

H.S.

Rubin

(2012) ‘The Mediating Role of Acculturative Stress in the Relationship Between Acculturation Level and Depression among Korean Immigrants in the U.S’, International Journal of Intercultural Relations 36: 611–23.

47.

Park

Roh

(2013) ‘Daily Spiritual Experiences, Social Support, and Depression among Elderly Korean Immigrants’, Aging & Mental Health 17(1): 102–8.

48.

Park

N.S.

Jang

Lee

B.S.

J.E.

Haley

W.E.

Chiriboga

D.A.

(2015) ‘An Empirical Typology of Social Networks and its Association with Physical and Mental Health: A Study with Older Korean Immigrants’, Journal of Gerontology Series B: Psychological Sciences and Social Sciences 70(1): 67–76.

49.

Park

S.Y.

Bernstein

K.S.

(2008) ‘Depression and Korean American Immigrants’, Archives of Psychiatric Nursing 22(1): 12–9.

50.

Ryff

C.D.

(1989) ‘Happiness is Everything, or is it? Explorations on the Meaning of Psychological Well-Being’, Journal of Personality and Social Psychology 57(6): 1069–81.

51.

Schermelleh-Engel

Moosbrugger

Muller

(2003) ‘Evaluating the Fit of Structural Equation Models: Test of Significance and Descriptive Goodness-of-Fit Measures’, Methods of Psychological Research Online 8: 23–74.

52.

Sheikh

J.I.

Yesavage

J.A.

(1986) ‘Geriatric Depression Scale (GDS): Recent Evidence and Development of a Shorter Version’, Clinical Gerontologist 5: 165–73.

53.

Shibusawa

Mui

A.C.

(2002) ‘Stress, Coping, and Depression among Japanese American Elders’, Journal of Gerontological Social Work 36: 63–81.

54.

Shin

H.S.

Han

H.-R.

Kim

M.T.

(2007) ‘Predictors of Psychological Well-Being amongst Korean Immigrants to the United States: A Structured Interview Survey’, International Journal of Nursing Studies 44: 415–26.

55.

Sin

M.K.

Choe

M.A.

Kim

Chae

Y.R.

Jeon

M.Y.

(2010) ‘Depressive Symptoms in Community-Dwelling Elderly Korean Immigrants and Elderly Koreans’, Research in Gerontological Nursing 3(4): 262–9.

56.

Steiger

J.H.

(2007) ‘Understanding the Limitations of Global Fit Assessment in Structural Equation Modeling’, Personality and Individual Differences 42(5): 893–8.

57.

Stokes

S.C.

Thompson

L.W.

Murphy

Gallagher-Thompson

(2002) ‘Screening for Depression in Immigrant Chinese-American Elders’, Journal of Gerontological Social Work 36: 27–44.

58.

Suh

(2013) ‘Stories to be Told: Korean Doctors between Hwa-Byung (Fire-Illness) and Depression, 1970–2011’, Culture, Medicine, and Psychiatry 37: 81–104.

59.

Suinn

R.M.

Rickard-Figueroa

Lew

Vigil

(1987) ‘The Suinn-Lew Asian Self-Identity Acculturation Scale: An Initial Report’, Educational and Psychological Measurement 47: 401–7.

60.

Taylor

S.E.

(2010) ‘Health’, in Fiske

R.T.

Gilbert

D.T.

Lindzey

(eds) Handbook of Social Psychology, pp. 698–723. Hoboken, NJ: John Wiley & Sons, Inc.

61.

Taylor

S.E.

Sherman

D.K.

Kim

H.S.

Jarcho

Takagi

Dunagan

M.S.

(2004) ‘Culture and Social Support: Who Seeks it and Why?’, Journal of Personality and Social Psychology 87: 354–62.

62.

Terrazas

Batog

(2010) ‘Korean Immigrants in the United States’, Migration Policy Institute. Available online at: www.migrationinformation.org/USfocus/display.cfm?id=793 (accessed 20 October 2011).

63.

Treas

Mazumdar

(2002) ‘Older People in America’s Immigrant Families: Dilemmas of Dependence, Integration, and Isolation’, Journal of Aging Studies 16: 243–58.

64.

Turner

R.J.

Frankel

Levin

(1983) ‘Social Support: Conceptualization, Measurement, and Implications for Mental Health’, in Greenley

(ed.) Research in Community and Mental Health, pp. 67–111. Greenwich, CT: JAI Press.

65.

US Census Bureau (2010) ‘2010 Census Summary File 1’. Available at: http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_SF1_P34I&prodType=table (accessed 11 August 2011).

66.

Wong

S.T.

Yoo

G.J.

Stewart

A.L.

(2006) ‘The Changing Meaning of Family Support among Older Chinese and Korean Immigrants’, Journal of Gerontology: Social Sciences 61B: S4–9.

67.

Wong

S.T.

Yoo

G.J.

Stewart

A.L.

(2007) ‘An Empirical Evaluation of Social Support and Psychological Well-Being in Older Chinese and Korean Immigrants’, Ethnicity & Health 12: 43–67.

68.

Chi

Plassman

B.L.

Guo

(2010) ‘Depressive Symptoms and Health Problems among Chinese Immigrant Elders in the US and Chinese Elders in China’, Aging & Mental Health 14: 695–704.

69.

Tran

T.V.

Amjad

Q.A.

(2004) ‘Chronic Illnesses and Depression among Chinese Immigrant Elders’, Journal of Gerontological Social Work 43(2–3): 79–95.

70.

Chi

(2013) ‘Acculturative Stress and Depressive Symptoms among Asian Immigrants in the United States: The Roles of Social Support and Negative Interaction’, Asian American Journal of Psychology 4(3): 217–26.

71.

S.H.

Tidwell

(2005) ‘Adult Korean Americans: Their Attitudes Toward Seeking Professional Counseling Services’, Community Mental Health Journal 41: 571–80.

72.

Yoo

J.A.

Zippay

(2012) ‘Social Networks among Lower Income Korean Elderly Immigrants in the US’, Journal of Aging Studies 26: 368–76.

73.

Zhou

Min

Sun

Kim

S.J.

Ahn

J.S.

Peng

Noh

Ryder

A.G.

(2015) ‘Extending a Structural Model of Somatization to South Koreans: Cultural Values, Somatization Tendency, and the Presentation of Depressive Symptoms’, Journal of Affective Disorders 176: 151–4.