This study examined causal beliefs about separation anxiety disorder (SAD) and preferences for help-seeking among 117 Indian American, Puerto Rican, and European American mothers. Mothers completed measures of acculturation and strength of religious faith (SORF) and, after reading vignettes describing SAD, made judgments about the etiology of symptoms and the likelihood of various forms of help-seeking for youth SAD symptoms. Hierarchical multiple regressions revealed that acculturation to mainstream American culture and SORF predicted mothers’ causal beliefs and preferences for help-seeking. In addition, Puerto Rican mothers were more likely than European American mothers to attribute symptoms to medical causes after accounting for cultural variables. Results highlight the importance of examining cultural constructs that contribute to ethnic group differences. Implications for future research and clinical practice are discussed.
Abe-KimJ.GongF.TakeuchiD. (2004). Religiosity, spirituality, and help-seeking among Filipino Americans: Religious clergy or mental health professionals?Journal of Community Psychology, 32, 675-689.
2.
AtkinsonD. R.GimR. H. (1989). Asian-American cultural identity and attitudes toward mental health services. Journal of Counseling Psychology, 36, 209-212.
3.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
4.
BernalG.Sáez-SantiagoE. (2006). Culturally centered psychosocial interventions. Journal of Community Psychology, 34, 121-132.
5.
BerryJ. W. (2006). Acculturation: A conceptual overview. In BornsteinM. H.CoteL. R. (Eds.), Acculturation and parent-child relationships (pp. 13-30). Mahwah, NJ: Lawrence Erlbaum Associates.
6.
CaninoI. A.Rubio-StipecM.CaninoG.EscobarJ. I. (1992). Functional somatic symptoms: A cross-ethnic comparison. American Journal of Orthopsychiatry, 62, 605-612.
7.
ChanskyT. E.KendallP. C. (1997). Social expectancies and self-perceptions in anxiety-disordered children. Journal of Anxiety Disorders, 11, 347-363.
8.
ChaviraD.SteinM.BaileyK.SteinM. (2004). Child anxiety in primary care: Prevalent but untreated. Depression and Anxiety, 20, 155-164.
9.
CohenA. B. (2009). Many forms of culture. American Psychologist, 64, 194-204.
10.
CostelloE.MustilloS.KeelerG.AngoldA. (2004). Prevalence of psychiatric disorders in children and adolescents. In LevineB.PetrilaJ.HennesseyK. (Eds.), Mental health services: A public health perspective (pp. 111-128). New York: Oxford University Press.
11.
DurvasulaR. S.MylvaganamG. A. (1994). Mental health of Asian-Indians: Relevant issues and community implications. Journal of Community Psychology, 22, 97-108.
12.
ErdfelderE.FaulF.BuchnerA. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, and Computers, 28, 1-11.
13.
GarlandA. F.LauA. S.YehM.McCabeK. M.HoughR. L.LandsverkJ. A. (2005). Racial and ethnic differences in utilization of mental health services among high risk youth. American Journal of Psychiatry, 162, 1336-1343.
14.
GinsburgG. S.SilvermanW. K. (1996). Phobic and anxiety disorders in Hispanic and Caucasian youth. Journal of Anxiety Disorders, 10, 517-528.
15.
HarmonH.LangleyA.GinsburgG. S. (2006). The role of gender and culture in treating youth with anxiety disorders. Journal of Cognitive Psychotherapy, 20, 301-310.
16.
HartogK.GowK. M. (2005). Religious attributions pertaining to the causes and cures of mental illness. Mental Health, Religion, and Culture, 8, 263-276.
17.
HelmsJ. E.JerniganM.MascherJ. (2005). The meaning of race in psychology and how to change it: A methodological perspective. American Psychologist, 60, 27-36.
18.
HillemeierM. M.FosterE. M.HeinrichsB.HeierB. (2007). Racial differences in parental reports of attention-deficit/hyperactivity disorder behaviors. Journal of Developmental and Behavioral Pediatrics, 28, 353-361.
19.
HofflichS. A.HughesA. A.KendallP. C. (2006). Somatic complaints and childhood anxiety disorders. International Journal of Clinical and Health Psychology, 6, 229-242.
20.
HollingsheadA. B. (1975). Four factor index of social status. Unpublished manuscript, Department of Sociology, Yale University.
21.
HwuH. G.ComptonW. M. (1994). Comparison of major epidemiological surveys using the diagnostic interview schedule. International Review of Psychiatry, 6, 309-327.
22.
IwamasaG. Y.PaiS. M. (2003). Anxiety disorders among ethnic minority groups. In BernalG.TrimbleJ. E.BurlewA. K.LeongF. T. L. (Eds.), Handbook of racial and ethnic minority psychology (pp. 429-447). Thousand Oaks, CA: Sage.
23.
KataokaS. H. K.ZhangL.WellsK. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548-1555.
24.
KendallP. C.HudsonJ. L.GoschE.Flannery-SchroederE.SuvegC. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282-297.
25.
KennedyM. A.ParharK. K.SamraJ.GorzalkaB. (2005). Suicide ideation in different generations of immigrants. Canadian Journal of Psychiatry, 50, 353-356.
26.
KirmayerL. J.YoungA. (1998). Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosomatic Medicine, 60, 420-430.
27.
KleinmanA. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Los Angeles: University of California Press.
28.
KumarA.NevidJ. S. (2010). Acculturation, enculturation, and perceptions of mental disorders in Asian Indian immigrants. Cultural Diversity and Ethnic Minority Psychology, 16, 274-283.
29.
LaraM.GamboaC.KahramanianM. I.MoralesL. S.Hayes-BautistaD. E. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367-397.
30.
LauA.TakeuchiD. (2001). Cultural factors in help-seeking for child behavior problems: Value orientation, affective responding, and severity appraisals among Chinese-American parents. Journal of Community Psychology, 29, 675-692.
31.
LewisC. A.ShevlinM.McGuckinC.NavratilM. (2001). The Santa Clara Strength of Religious Faith Questionnaire: Confirmatory factor analysis. Pastoral Psychology, 49, 379-384.
32.
MallinckrodtB.ShigeokaS.SuzukiL. A. (2005). Asian and Pacific Island American students’ acculturation and etiology beliefs about typical counseling presenting problems. Cultural Diversity and Ethnic Minority Psychology, 11, 227-238.
33.
MathewsM. (2008). Explanatory models for mental illness endorsed by Christian clergymen: The development and use of an instrument in Singapore. Mental Health, Religion and Culture, 11, 287-300.
34.
McCabeK.YehM.HoughR. L.LandsverkJ.HurlburtM. S.CulverS. W.ReynoldsB. (1999). Racial/ethnic representation across five public sectors of care for youth. Journal of Emotional and Behavioral Disorders, 7, 72-82.
35.
McLeodJ. D.FettesD. L.JensenP. S.PescosolidoB. A.MartinJ. K. (2007). Public knowledge, beliefs, and treatment preferences concerning attention-deficit hyperactivity disorder. Psychiatric Services, 58, 626-631.
36.
MivilleM. L.ConstantineM. G. (2006). Sociocultural predictors of psychological help-seeking attitudes and behavior among Mexican American college students. Cultural Diversity and Ethnic Minority Psychology, 12, 420-432.
37.
Morrissey-KaneE.PrinzR. J. (1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical Child and Family Psychology Review, 2, 183-198.
38.
NakaoK.TreasJ. (1992).Computing the 1989 Socioeconomic Index (General Social Survey Methodological Reports, No. 74). Chicago: National Opinion Research Center.
39.
NockM. K.PhilM.KazdinA. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155-180.
40.
OkazakiS.SueS. (1995). Methodological issues in assessment research with ethnic minorities. Psychological Assessment, 3, 367-375.
41.
PattersonJ.PeelC. J.HeinrichR. L.BischoffR. J.SchergerJ. (2002). Mental health professionals in medical settings. New York: W. W. Norton & Company, Inc.
42.
PinaA. A.SilvermanW. K. (2004). Clinical phenomenology, somatic symptoms, and distress in Hispanic/Latino and European American youths with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33, 227-236.
43.
PlanteT. G.BoccacciniM. T. (1997a). Reliability and validity of the Santa Clara Strength of Religious Faith Questionnaire. Pastoral Psychology, 45, 429-437.
44.
PlanteT. G.BoccacciniM. T. (1997b). The Santa Clara Strength of Religious Faith Questionnaire. Pastoral Psychology, 45, 375-387.
45.
PrathikantiS. (1997). East Indian American families. In LeeE. (Ed.), Working with Asian Americans (pp. 79-100). New York: Guilford Press.
46.
RamirezR. R. (2004). We the people: Hispanics in the United States (U.S. Census Bureau, Census 2000 Special Reports, CENSR-18). Available at www.census.gov/prod/2004pubs/censr-18.pdf
47.
ReevesT. J.BennettC. E. (2004).We the people: Asians in the United States (U.S. Census Bureau, Census 2000 Special Reports, CENSR-17). Available at www.census.gov/prod/2004pubs/censr-17.pdf
48.
ReimersT. M.WackerD. P.DerbyK. M.CooperL. J. (1995). Relation between parental attributions and the acceptability of behavioral treatment for their child’s behavior problems. Behavioral Disorders, 20, 171-178.
49.
RyderA. G.AldenL. E.PaulhusD. L. (2000). Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment. Journal of Personality and Social Psychology, 79, 49-65.
50.
SteinbergL.FletcherA. C. (1998). Data analytic strategies in research on ethnic minority youth. In McLoydV. C.SteinbergL. (Eds.), Studying minority adolescents: Conceptual, methodological, and theoretical issues (pp. 279-294). Mahwah, NJ: Lawrence Erlbaum Associates.
51.
TajimaE. A.HarachiT. W. (2010). Parenting beliefs and physical discipline practices among Southeast Asian immigrants: Parenting in the context of cultural adaptation to the United States. Journal of Cross-Cultural Psychology, 41, 212-235.
52.
TarakeshwarN.StantonJ.PargamentK. I. (2003). Religion: An overlooked dimension in cross-cultural psychology. Journal of Cross-Cultural Psychology, 34, 377-394.
53.
TataS. P.LeongF. T. L. (1994). Individualism-collectivism, social-network orientation, and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans. Journal of Counseling Psychology, 41, 280-287.
54.
U.S. Census Bureau. (2000). Household and family characteristics of children under 18 years by age, race, and Hispanic or Latino origin for the United States: 2000. Available at www.census.gov/population/cen2000/phc-t30/tab02.pdf
55.
Van AmeringenM.ManciniC.FarvoldenP. (2003). The impact of anxiety disorders on educational achievement. Journal of Anxiety Disorders, 17, 561-571.
56.
VarelaR. E.VernbergE. M.Sanchez-SosaJ. J.RiverosA.MitchellM.MashunkasheyJ. (2004). Anxiety reporting and culturally associated interpretation biases and cognitive schemas: A comparison of Mexican, Mexican American, and European American families. Journal of Clinical Child and Adolescent Psychology, 33, 237-247.
57.
WalkupJ. T.AlbanoA. M.PiacentiniJ.BirmaherB.ComptonS. N.SherrillJ. T.. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. The New England Journal of Medicine, 359, 2753-2766.
58.
WeiszJ. R.SuwanlertS.ChaiyasitW.WeissB.WalterB. R.AndersonW. W. (1988). Thai and American perspectives on over- and undercontrolled child behavior problems: Exploring the threshold model among parents, teachers, and psychologists. Journal of Consulting and Clinical Psychology, 56, 601-609.
59.
WilcoxC. E.WashburnR.PatelV. (2007). Seeking help for attention deficit hyperactivity disorder in developing countries: A study of parental explanatory models in Goa, India. Social Science and Medicine, 64, 1600-1610.
60.
YagmurluB.SansonA. (2009). Acculturation and parenting among Turkish mothers in Australia. Journal of Cross-Cultural Psychology, 40, 361-380.
61.
YehM.McCabeK.HoughR.LauA.FakhryF.GarlandA. (2005). Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about causes of child problems, and mental health service use. Journal of Consulting and Clinical Psychology, 73, 800-807.
62.
ZaneN.SueS.ChangJ.HuangL.LoweS.SrinivasanS.. (2005). Beyond ethnic match: Effects of client-therapist cognitive match in problem perception, coping orientation, and therapy goals on treatment outcomes. Journal of Community Psychology, 33, 569-585.
