Background: Length of residence has been viewed as an indicator of acculturation among immigrants and refugees in their host society. This study aims to test an inverted U relationship between length of residence and depression in a community-based sample of Vietnamese Americans.
Methods: Data were collected from a community-based survey of adult Vietnamese Americans living in an East Coast metropolitan area consisting of 349 respondents aged 18 and older. However, due to missing data, the actual sample in our regression analysis using listwise deletion method is 311. Among the participants, 52.1% are female (n = 182), and 47.9% are male (n = 167). The age of the respondents ranges from 18 to 73 years with the average age being 38.76 (SD = 13.76). The average number of years that the participants lived within the United States was 7.01 years (SD = 5.22).
Results: Findings from a polynomial regression analysis support the hypothesis that depression levels tend to be high during the first decade of initial resettlement. However, after approximately 12.5 years, depression levels decrease.
Conclusion: As revealed by the data and community experts, immigrants/refugees tend to suffer from higher levels of psychological problems during their first decade of resettlement. It takes more than a decade for a non-English-speaking immigrant or refugee to adjust psychologically into his/her host society.
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References
1.
ALDERETE, E. , VEGA, W.A. , KOLODY, B. & AGUILAR-GAXIOLA, S. (2000) Effects of time in the United States and Indian ethnicity on DSM-III-R Psychiatric disorders among Mexican Americans in California . Journal of Nervous and Mental Disease, 188, 90-100 .
2.
AROIAN, K. & NORRIS, A. (2002) Assessing risk for depression among immigrants at two-year follow-up . Archives of Psychiatric Nursing, 16, 245-253 .
3.
AROIAN, K. & NORRIS, A. (2003) Depression trajectories in relatively recent immigrants . Comprehensive Psychiatry, 44, 420-427 .
4.
BEISER, M. (1988) Influences of time and attachment on depression in Southeast Asian refugees . American Journal of Psychiatry, 145, 46-51 .
5.
BUCHWALD, D. , MANSON, S.M. , DINGES, N.G. , KEANE, E.M. & KINZIE, J.D. (1993) Prevalence of depressive symptoms among established Vietnamese refugees in the United States: Detection in a primary care setting . Journal of General Internal Medicine, 8, 76-81 .
6.
CABASSA, L. (2003) Measuring acculturation: Where we are and where we need to go . Hispanic Journal of Behavioral Sciences, 25, 124-146 .
7.
CHUNG, R.C. & KAGAWA-SINGER, M. (1993) Predictors of psychological distress among southeast Asian refugees . Social Science Medicine, 36, 631-639 .
8.
FRANKS, F. & FAUX, S.A. (1990) Depression, stress, mastery, and social resources in four ethnocultural women's groups . Research in Nursing and Health, 13, 283-292 .
9.
HAUF, E. & VAGLUM, P. (1995) Organised violence and the stress of exile . British Journal of Psychiatry, 166, 360-367 .
10.
HURH, W.M. & KIM, K.C. (1989) Adaptation stages and mental health of Korean male immigrants . Paper presented at American Sociological Association Conference, August 1989, Washington, DC, USA.
11.
HURH, W.M. & KIM, K.C. (1990) Religious participation of Korean immigrants in the United States . Journal of the Scientific Study of Religion, 29, 19-34 .
12.
HURH, W.M. & KIM, K.C. (1994) Uprooting and rerooting: Mental health stages of Korean immigrants in the U.S . Paper presented at International Sociological Association Conference, July 1994, Bielefeld, Germany.
13.
KIM, S. & REW, L. (1994) Ethnic identity, role integration, quality of life, and depression in Korean-American women . Archives of Psychiatric Nursing, 8, 348-356 .
14.
LIN, E.H. , IHLE, L.J. & TAZUMA, L. (1985) Depression among Vietnamese refugees in a primary care clinic . American Journal of Medicine, 78, 41-44 .
15.
NATIONAL INSTITUTE OF MENTAL HEALTH (2002) Depression. (Publication No. 02-3561). National Institutes of Health , retrieved 12 May 2003 from http://www.nimh.nih.gov/publicat/depression.cfm%23ptdep1.
16.
NEGY, C. & WOODS, D.J. (1992) The importance of acculturation in understanding research with Hispanic-Americans . Hispanic Journal of Behavioral Sciences, 14, 224-247 .
17.
RYDER, A.G. , ALDEN, L.E. & PAULHUS, D.L. (2000) Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment . Journal of Personality & Social Psychology, 79, 49-65 .
18.
SA, J.T. (1995) Psychotherapeutic transference in ethnic patients. PhD dissertation, Santa Barbara, CA, Pacifica Graduate Institute.
19.
SERRANO, E. & ANDERSON, J. (2003) Assessment of a Refined Short Acculturation Scale for Latino preteens in rural Colorado . Hispanic Journal of Behavioral Sciences, 25, 240-253 .
20.
SLUZKI, C.E. (1986) Migration and family conflict. In Coping with Life Crises (ed. R.H. Moos , pp. 277-288). New York: Plenum .
21.
TRAN, T.V. (1993) Psychological traumas and depression in a sample of Vietnamese people in the United States . Health & Social Work, 18, 184-193 .
22.
TRAN, T.V. , NGO, D. & CONWAY, K. (2003) A cross-cultural measure of depressive symptoms among Vietnamese Americans . Social Work Research, 27, 56-64 .
23.
TRAN, T.V. , FITZPATRICK, T. , BERG, W. & WRIGHT, JR, R. (1996) Acculturation, health, stress, and psychological distress among elderly Hispanics . Journal of Cross-Cultural Gerontology, 11, 149-165 .
24.
TRAN, T.V. , WRIGHT, JR, R. & MINDEL, C.H. (1987) Alienation among Vietnamese refugees in the United States: A causal approach . Social Service Research, 11, 59-75 .
25.
WEISSMAN, M.M. , SHOLOMSKAS, D. , POTTENGER, M. , PRUSOFF, B.A. & LOCKED, B.Z. (1977) Assessing depressive symptoms in five psychiatric populations: a validation study . Journal of Epidemiology, 106, 203-214 .
26.
WENZEL, A. , STEER, R.A. & BECK, A.T. (2005) Are there any gender differences of self-reported somatic symptoms of depression?Journal of Affective Disorders, 89, 177-181 .
27.
WESTERMEYER, J. & UECKER, J.J. (1997) Predictors of hostility in a group of relocated refugees . Cultural Diversity and Mental Health, 3, 53-60 .
28.
WESTERMEYER, J. , NEIDER, J. & VANG, T.F. (1984) Acculturation and mental health: A study of Hmong refugees at 1.5 and 3.5 years post-migration . Social Science and Medicines, 18, 87-93 .
29.
WILLIAMS, R. (1993) Health and length of residence among south Asians in Glasgow: A study controlling for age . Journal of Public Health Medicines, 15, 52-60 .
30.
WITTINK, D.R. (1988) The Application of Regression Analysis. Needham Heights, MA: Allyn and Bacon, Inc.
31.
ZEA, M.C. (2003) The abbreviated multidimensional acculturation scale: Empirical validation with two Latino/Latina samples . Cultural Diversity & Ethnic Minority Psychology, 9, 107-126 .
