Studies have reported discrepant findings about the relationship between acculturation and mental health, often because of inattention to interethnic group differences. This 2003 exploratory study of various Latina ethnic groups attending the Women, Infant, and Children (WIC) Program compared five measures of acculturation and mental health status/utilization. The subgroups differed on language, immigration/migration history, and the prevalence of anxiety attacks and depressive syndrome. The prevalence of anxiety attacks was the highest among those who spoke primarily Spanish, the prevalence of the depressive syndrome was the highest among those with more traditional beliefs, and the use of mental health services was the highest among those with less traditional beliefs. Implications for practice are discussed.
Almeida, R. (1998). The dislocation of women’s experience in family therapy. Journal of Feminist Family Therapy, 10, 1-22.
2.
Alvidrez, J. (1999). Ethnic variations in mental health attitudes and service use among low-income African, Latina, and European American young women. Community Mental Health, 35, 515-530.
3.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
4.
Aranda, M., Lee, P., & Wilson, S. (2001). Correlates of depression in older Latinos. Home Health Care Service Quarterly, 20, 1-20.
5.
Bassuk, E., Browne, A., & Buckner, J. (1996). Single mothers and welfare. Scientific American, 275, 60-63.
6.
Bein, A., Torres, A., & Kurilla, V. (2000). Service delivery issues in early termination of Latino clients. Journal of Human Behavior in the Social Environment, 3, 43-59.
7.
Beiser, M. (2003). Why should researchers care about culture?Canadian Journal of Psychiatry, 48, 154-160.
8.
Berenson, A., Breitkopf, C., & Wu, Z. (2003). Reproductive correlates of depressive symptoms among low-income minority women. Obstetrics and Gynecology, 1002, 1310-1317.
9.
Black, C. (2003). Translating principles into practice: Implementing the feminist and strength perspective in work with battered women. Affilia, 18, 332-349.
10.
Black, S., Holzer, C., Markides, K., & Ray, L. (2000, November). The influence of chronic illness and physical disability on depressive disorders among older Mexican Americans. Paper presented at the 53rd Annual Scientific Meeting of the Gerontological Society of America, Washington, DC.
11.
Blazer, D., Kessler, R., McGonagle, K., & Swartz, M. (1994, July). The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. American Journal of Psychiatry, 151, 979-986.
12.
Brach, C., & Fraser, I. (2000). Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review, 57, 181-217.
13.
Burnam, M., Hough, R., Karno, M., Escobar, J., & Telles, C. (1987) Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behavior, 28, 89-102.
14.
Comas-Diaz, L. (1987). Feminist therapy with mainland Puerto Rican women. Psychology of Women Quarterly, 11, 461-464.
15.
Cortes, D., Rogler, L., & Malgady, R. (1994). Biculturality among Puerto Ricans in the United States. American Journal of Community Psychology, 22, 707-715.
16.
Currie, D., & Wiesenberg, S. (2003). Promoting women’s health-seeking behaviors: Research and the empowerment of women. Health Care for Women International, 24, 880-899.
17.
Doyal, L. (1995). What makes women sick: Gender and the political economy of health. New Brunswick, NJ: Rutgers University Press.
18.
Escobar, J. (1998). Immigration and mental health: Why are immigrants better off?Archives of General Psychiatry, 55, 781-782.
19.
Gelman, C. (2004). Toward a better understanding of the use of psychodynamically-informed treatment with Latinos: Findings from clinical experience. Clinical Social Work Journal, 32, 61-77.
20.
Gutierrez, L., & Lewis, E. A. (1994). Community organizing with women of color: A feminist approach. Journal of Community Practice, 1, 23-44.
21.
Heneghan, A., Silver, E., Bauman, L., Westbrook L., & Stein, R. (1998). Depressive symptoms in inner-city mothers of young children: Who is at risk?Pediatrics, 102, 1394-1400.
22.
Hovey, J., & Magana, C. (2000). Acculturative stress, anxiety and depression among Mexican immigrant farmers in the Midwest United States. Journal of Immigrant Health, 2, 119-131.
23.
Kessler, R., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K., et al. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association (JAMA), 289, 3095-3105.
24.
Koss-Chioino, J. (1999). Depression among Puerto Rican women: Culture, etiology and diagnosis. Hispanic Journal of Behavioral Sciences, 21, 321-330.
25.
Kurz, B. (in press). Depression and mental health utilization among women in WIC. Journal of Ethnic and Cultural Diversity in Social Work.
26.
Landrine, H., & Klonoff, E. (1994). Cultural diversity in causal attributions for illness: The role of the supernatural. Journal of Behavioral Medicine, 17, 181-193.
27.
Marin, G., Sabogal, F., Marin, B., Otero-Sabogal, R., & Perez-Stable, E. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183-205.
28.
McGoldrick, M. (Ed.). (1998). Re-visioning family therapy: Race, culture and gender in clinical practice. New York: Guilford.
29.
McIntyre, L., Officer, S., & Robinson, L. (2003). Feeling poor: The felt experience of low-income mothers. Affilia, 18, 316-330.
30.
Meyers, H., Lesser, I., Rodriguez, N., Mira, C., Hwang, W., Camp, C., et al. (2002). Ethnic differences in clinical presentation of depression in adult women. Cultural Diversity and Ethnic Minority Psychology, 8, 138-156.
31.
Minh-Ha, T. (1991). When the moon waxes red: Representation, gender and cultural politics. New York: Routledge.
32.
Miranda, J., Azocar, F., Komaromy, M., & Golding, J. (1998). Unmet mental health needs of women in publicsector gynecologic clinics. American Journal of Obstetrics and Gynecology, 178, 212-217.
33.
Miranda, J., Chung, J., Green, B., Krupnick, J., Siddique, J., Revicki, D., et al. (2003). Treating depression in predominantly low-income young minority women. JAMA, 290(1), 57-65.
34.
Narayan, U., & Harding, S. (2000). Decentering the center: Philosophy for a multicultural, postcolonial and feminist world. Bloomington: Indiana University Press.
35.
Negroni-Rodriguez, L., & Morales, J. (2001) Individual and family assessment skills with Latino/Hispanic Americans. In R. Fong & S. Furuto (Eds.), Culturally competent practice: Skills, interventions and evaluations (pp. 132-146). Boston: Allyn & Bacon.
36.
Office of the Surgeon General. (2001). Culture, race and ethnicity. In A supplement to mental health: A report of the Surgeon General. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/cre/fact3.asp
37.
Ramos, B., & Carlson, B. (2004). Lifetime abuse and mental health distress among English-speaking Latinas. Affilia, 19, 239-256.
38.
Richardson, J., Porter, D., & Jones, J. (2004). Child nutrition and WIC programs: Background and funding. New York; Nova Science.
39.
Rosen, D., Spencer, M., Tolman, R., Williams, D., & Jackson, J. (2003). Psychiatric disorders and substance dependence among unmarried low-income mothers. Health and Social Work, 28, 157-165.
40.
Spitzer, R., Kroenke, K., & Williams, J. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. JAMA, 282, 1737-1744.
41.
U.S. Department of Health and Human Services (USDHHS). (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author.
42.
USDHHS, Offices for Civil Rights. (2000). Title VI of the Civil Rights Act of 1964: Policy guidance on prohibition against national origin discrimination as it affects persons with limited English proficiency. Federal Register, 68(103).
43.
Vega, W., & Alegria, M. (2001). Latino mental health and treatment in the United States. In M. Aguirre-Molina, C. Molina, & R. Zanbana (Eds.), Health issues in the Latino community (pp. 179-208). San Francisco: Jossey-Bass.
44.
Vega, W., Kolody, B., Agular-Gaxiola, S., Alderette, E., Catalano, R., & Caraveo-Anduaga, J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican American in California. Archives of General Psychiatry, 55, 771-778.
45.
Vega, W., & Lopez, S. (2001). Priority issues in Latino mental health service research. Mental Health Service Research, 3, 189-200.
46.
Williams, C., & Berry, J. (1991). Primary prevention of acculturative stress among refugees: Application of psychological theory and practice. American Psychologist, 46, 632-641.
