Objective: The aim of this study was to compare levels of emotional and behavioural problems and competencies among immigrant and non-immigrant adolescents, and to determine factors that may contribute to any differences reported.
Method: Subjects were selected randomly from students aged 12-16 years attending a high school with a high proportion of immigrants in Perth, Western Australia. Parents completed the Child Behaviour Checklist (CBCL), and students completed the Youth Self-Report (YSR) and a Personal History Questionnaire.
Results: On univariate analyses, non-immigrant adolescents had significantly higher CBCL and YSR scores than immigrant adolescents. Multivariate analyses suggested that CBCL scores were predicted by a number of variables other than immigration, including family intactness, socioeconomic status (SES) and gender. Higher YSR scores were predicted by non-intact families, school setting and non-immigrant status, and higher competencies scores were predicted by higher SES and parents not being immigrants.
Conclusions: In assessing the effects of immigration on adolescent mental health, it is important to control for factors associated with adolescent behavioural and emotional problems and to use multiple informants. Overall, immigrant adolescents report fewer total and externalising problems and fewer competencies than native-born adolescents. This finding may reflect strict immigration policies or cultural differences in definitions of psychopathology and the social expectations for adolescents' behaviour.
BeiserMDionRGotowiecAHymanIVuN.Immigrant and refugee children in Canada. Canadian Journal of Psychiatry1995; 40:67–72.
2.
PawliukNGrizenkoNChan-YipAGantousPMathewJNguyenD.Acculturation style and psychological functioning in children of immigrants. American Journal of Orthopsychiatry1996; 66:111–121.
3.
AronowitzM.The social and emotional adjustment of immigrant children: a review of the literature. International Migration Review1984; 18:237–257.
4.
LeffJ.Psychiatry around the globe: a transcultural view. London: Gaskell, 1988.
5.
MurphyHBMMigration and the major mental disorders: a reappraisal. In: ZwingmannCAPfister-AmmendeM, eds. Uprooting and after. New York: Springer, 1973.
6.
Canadian Task Force on Mental Health Issues Affecting Immigrants and Refugees.Review of the literature on migrant mental health. Health and Welfare Canada, Cat. no. Ci96–37/1988E. Ottawa: Ministry of Supply and Services, 1988.
7.
MurphyHBMMigration, culture and mental illness. Psychological Medicine1977; 7:667–684.
8.
CarlinJEChild and adolescent refugees: psychiatric assessment and treatment. In: WilliamsCJWestermeyerJ, eds. Refugee mental health in resettlement countries. Washington, DC: Hemisphere, 1986.
9.
KlimidisSStuartGMinasIHAtaAWImmigrant status and gender effects on psychopathology and self-concept in adolescents: a test of the migration-morbidity hypothesis. Comprehensive Psychiatry1994; 35:393–404.
10.
KrupinskiJBurrowsG.The price of freedom. Sydney: Pergamon, 1986.
11.
JayasuriyaLSangDFieldingA.Ethnicity, immigration and mental illness. A critical review of Australian research. Canberra: Australian Government Publishing Service, 1992.
12.
BashirMRIssues of immigration for the health and adjustment of young people. Journal of Paediatrics and Child Health1993; 29:S42–S45.
13.
HolzerCESwansonJWHuynHaMQGanjuVKJonoRTLeCKPsychiatric disorder among the Vietnamese-origin population in Texas: a diagnostic survey of 100 households in Harris and Galveston Counties. Final Report to the Texas Department of Mental Health and Mental Retardation. Galveston, TX: University of Texas Medical Branch, 1988.
14.
ChangLMorrisseyRFKoplewiczHSPrevalence of psychiatric symptoms and their relation to adjustment among Chinese-American youth. Journal of the American Academy of Child and Adolescent Psychiatry1995; 34:91–99.
15.
Munroe-BlumHBoyleMHOffordDKatesN.Immigrant children: psychiatric disorder, school performance, and service utilization. American Journal of Orthopsychiatry1989; 59:510–519.
16.
SamDLThe psychological adjustment of young immigrants in Norway. Scandinavian Journal of Psychology1994; 35:240–253.
17.
FichterMMEltonMDiallinaMKoptagel-IlalGFthenakisWEWeyererS.Mental illness in Greek and Turkish adolescents. European Archives of Psychiatry and Neurological Science1988; 273:125–134.
18.
CrijnenAAMAchenbachTMVerhulstFCComparisons of problems reported by parents of children in twelve cultures: total problems, externalizing, and internalizing. Journal of the American Academy of Child and Adolescent Psychiatry1997; 36:1269–1277.
19.
HackettLHackettR.Parental ideas of normal and deviant child behaviour: a comparison of two ethnic groups. British Journal of Psychiatry1993; 162:353–357.
20.
BirdHRYagerTJStaghezzaBGouldMSCaninoGRubio-StipecM.Impairment in the epidemiological measurement of childhood psychopathology in the community. Journal of the American Academy of Child and Adolescent Psychiatry1990; 29:796–803.
21.
AchenbachTMManual for the Child Behavior Checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry, 1991.
22.
AchenbachTMManual for the Youth Self-Report and 1991 Profile. Burlington, VT: University of Vermont, Department of Psychiatry, 1991.
23.
SilburnSRZubrickSRGartonAWestern Australian child health survey: family and community health. Perth: Australian Bureau of Statistics and the TVW Telethon Institute for Child Health Research, 1996.
24.
Australian Bureau of Statistics.Coding system occupational level. 1st ed. ABS catalogue no. 1223.0. Canberra: Australian Bureau of Statistics, 1980.
25.
KaganJ.The nature of the child. New York: Basic Books, 1984.
26.
LeeE.Cultural factors in working with Southeast Asian refugee adolescents. Journal of Adolescence1988; 11:167–179.