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The Impact of Acculturation Style and Acculturative Hassles on the Mental Health of Somali Adolescent Refugees

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Abstract

Refugee adolescents often immigrate to a new society because of experiences of persecution and trauma, which can have profound effects on their mental health. Once they immigrate, many refugees experience stressors related to resettlement and acculturation in the new society. The current study examined relationships among acculturation styles and hassles and the well-being of young refugees as well as the role of gender. Data were collected from 135 young refugees (M age = 15.39, SD = 2.2; 62 % male) from Somalia resettled in the United States The findings from our study indicate that in addition to trauma history, acculturative hassles and acculturation style impact the wellbeing of Somali refugee adolescents. These findings indicate the need to understand both past experiences as well as current challenges. Potential areas for intervention are discussed.

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References

  1. UNHCR: UNHCR regional operations profile—North America and the Caribbean. http://www.unhcr.org/pages/49e492086.html (2014). Access on 11 June 2014.

  2. BRYCS: Bridging refugee youth and children’s services. http://www.brycs.org/aboutrefugees/refugee101.cfm (2014). Access on 13 June 2014.

  3. Morse J.: U.S. welcomes record number of refugees. U.S. Department of State. http://iipdigital.usembassy.gov/st/english/article/2013/10/20131023285033.html#axzz3WSV2YSBB (2013). Access on 29 May 2014.

  4. Betancourt TS, Newnham EA, Layne CM, Kim S, Steinberg AM, Ellis H, Birman D. Trauma history and psychopathology in war-affected refugee children referred for trauma-related mental health services in the United States. J Trauma Stress. 2012;25(6):682–90. doi:10.1002/jts.21749.

    Article  PubMed  Google Scholar 

  5. Marshall GN, Schell TL, Elliott MN, Berthold SM, Chun C. Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA. 2005;294(5):571–9.

    Article  CAS  PubMed  Google Scholar 

  6. Wagner J, Burke G, Kuoch T, Scully M, Armeli S, Rajan TV. Trauma, healthcare access, and health outcomes among Southeast Asian refugees in Connecticut. J Immigr Minor Health. 2013;15(6):1065–72. doi:10.1007/s10903-012-9715-2.

    Article  PubMed  Google Scholar 

  7. Watts DJ, Friedman JF, Vivier PM, Tompkins CE, Alario AJ. Healthcare utilization of refugee children after resettlement. J Immigr Minor Health. 2012;14(4):583–8. doi:10.1007/s10903-011-9530-1.

    Article  PubMed  Google Scholar 

  8. Ellis BH, MacDonald HZ, Klunk-Gillis J, Lincoln A, Strunin L, Cabral HJ. Discrimination and mental health among Somali refugee adolescents: the role of acculturation and gender. Am J Orthopsychiatr. 2010;80(4):567–75. doi:10.1111/j.1939-0025.2010.01061.x.

    Article  Google Scholar 

  9. Ellis BH, Miller A, Baldwin H, Abdi S. New directions in refugee youth mental health services: overcoming barriers to engagement. J Child Adolesc Trauma. 2011;4(1):69–85.

    Article  Google Scholar 

  10. Birman D, Tran N. Psychological distress and adjustment of Vietnamese refugees in the United States: associations with pre- and postmigration factors. Am J Orthopsychiatr. 2008;78(1):109–20. doi:10.1037/0002-9432.78.1.109.

    Article  Google Scholar 

  11. Weine S. Developing preventive mental health interventions for refugee families in resettlement. Fam Process. 2011;50(3):410–30. doi:10.1111/j.1545-5300.2011.01366.x.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537–49. doi:10.1001/jama.2009.1132.

    Article  CAS  PubMed  Google Scholar 

  13. Kroll J, Yusuf AI, Fujiwara K. Psychoses, PTSD, and depression in Somali refugees in Minnesota. Soc Psychiatr Psychiatr Epidemiol. 2011;46(6):481–93. doi:10.1007/s00127-010-0216-0.

    Article  Google Scholar 

  14. Berry JW. Acculturation: living successfully in two cultures. Int J Intercult Relat. 2005;29(6):697–712. doi:10.1016/j.ijintrel.2005.07.013.

    Article  Google Scholar 

  15. Berry JW. Achieving a global psychology. Can Psychol. 2014;54(1):55–61.

    Article  Google Scholar 

  16. Jang Y, Kim G, Chiriboga D, King-Kallimanis B. A bidimensional model of acculturation for Korean American older adults. J Aging Stud. 2007;21(3):267–75.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Abu-Bader SH, Tirmazi MT, Ross-Sheriff F. The impact of acculturation on depression among older Muslim immigrants in the United States. 2011; 54(4):425–48. doi: 10.1080/01634372.2011.560928.

  18. Torres L. Predicting levels of Latino depression: acculturation, acculturative stress, and coping. Cult Divers Ethn Minor Psychol. 2010;16:256–63. doi:10.1037/a0017357.

    Article  Google Scholar 

  19. Ebin VJ, Sneed CD, Morisky DE, Rotheram-Borus MJ, Magnusson AM, Malotte CK. Acculturation and interrelationships between problem and health-promoting behaviors among Latino adolescent. J Adolesc Health. 2001;28:62–72. doi:10.1016/S1054-139X(00)00162-2.

    Article  CAS  PubMed  Google Scholar 

  20. Gil AG, Wagner EF, Vega WA. Acculturation, familism, and alcohol use among Latino adolescent males: longitudinal relations. J Community Psychol. 2000;28(4):443–58. doi:10.1002/1520-6629(200007)28:4<443:AID-JCOP6>3.0.CO;2-A.

    Article  Google Scholar 

  21. McQueen A, Getz JG, Bray JH. Acculturation, substance use, and deviant behavior: examining separation and family conflict as mediators. Child Dev. 2003;74(6):1737–50.

    Article  PubMed  Google Scholar 

  22. Lorenzo-Blanco EI, Unger JB, Ritt-Olson A, Soto D, Baezconde-Garbanati L. Acculturation, gender, depression, and cigarette smoking among U.S. Hispanic youth: the mediating role of perceived discrimination. J Youth Adolesc. 2011;40(11):1519–33. doi:10.1007/s10964-011-9633-y.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Bhui KS, Lenguerrand E, Maynard MJ, Stansfeld SA, Harding S. Does cultural integration explain a mental health advantage for adolescents? Int J Epidemiol. 2012;41:791–802. doi:10.1093/ije/dys007.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Nakash O, Nagar M, Shoshani A, Zubida H, Harper R. The effect of acculturation and discrimination on mental health symptoms and risk behaviors among adolescent migrants in Israel. Cult Divers Ethnic Minor Psychol. 2012;18(3):228–38. doi:10.1037/a0027659.

    Article  Google Scholar 

  25. Nakash O, Nagar M, Shoshani A, Lurie I. The association between acculturation patterns and mental health symptoms among Eritrean and Sudanese asylum seekers in Israel. Cult Divers Ethnic Minor Psychol. 2014;. doi:10.1037/a0037534.

    Google Scholar 

  26. Lazarevic V, Wiley A, Pleck J. Associations of acculturation with family and individual wellbeing in Serbian refugee young adults in the United States. J Comp Family Stud. 2012;43(2):218–36.

    Google Scholar 

  27. Birman D, Simon CD, Chan WY, Tran N. A life domains perspective on acculturation and psychological adjustment: a study of refugees from the Former Soviet Union. Am J Community Psychol. 2014;53:60–72. doi:10.1007/s10464-013-9614-2.

    Article  PubMed  Google Scholar 

  28. Gong F, Xu J, Fujishiro K, Takeuchi DT. A life course perspective on migration and mental health among Asian immigrants: the role of human agency. Soc Sci Med. 2011;73(11):1618–26. doi:10.1016/j.socscimed.2011.09.014.

    Article  PubMed  Google Scholar 

  29. Harker K. Immigrant generation, assimilation, and adolescent psychological well-being. Soc Forces. 2001;79(3):969–1004. doi:10.1353/sof.2001.0010.

    Article  Google Scholar 

  30. Jones A. Disability, health, and generation status: how Hispanics in US fare in late life. J Immigr Minor Health. 2012;14(3):467–74. doi:10.1007/s10903-011-9500-7.

    Article  PubMed  Google Scholar 

  31. Pumariega A, Rothe E, Pumariega JB. Mental health of immigrants and refugees. Commun Ment Health J. 2005;41(5):581–97. doi:10.1007/s10597-005-6363-1.

    Article  Google Scholar 

  32. Rumbaut RG. Ages, life stages, and generational cohort: decomposing the immigrant first and second generation in the United States. Int Migrat Rev. 2004;38(3):1160–205. doi:10.1111/j.1747-7379.2004.tb00232.x.

    Article  Google Scholar 

  33. Berry JW, Kim U, Minde T, Mok D. Comparative studies of acculturative stress. Int Migrat Rev. 1987;21(3):491–511.

    Article  Google Scholar 

  34. Sam DL, Berry JW. Acculturation: when individuals and groups of different cultural backgrounds meet. Perspect Psychol Sci. 2010;5(4):472–81. doi:10.1177/1745691610373075.

    Article  PubMed  Google Scholar 

  35. Park HS, Rubin A. The mediating role of acculturative stress in the relationship between acculturation level and depression among Korean immigrants in the U.S. Int J Intercult Relat. 2012;36(5):611–23. doi:10.1016/j.ijintrel.2012.04.008.

    Article  Google Scholar 

  36. Mui AC, Kang SY. Acculturation stress and depression among Asian immigrant elders. Soc Work. 2006;51(3):243–55.

    Article  PubMed  Google Scholar 

  37. Hovey JD, Magaña CG. Psychosocial predictors of anxiety among immigrant Mexican migrant farmworkers: implications for prevention and treatment. Cultur Divers Ethnic Minor Psychol. 2002;8(3):274–89. doi:10.1037/1099-9809.8.3.274.

    Article  PubMed  Google Scholar 

  38. Revollo HW, Qureshi A, Collazos F, Valero S, Casas M. Acculturative stress as a risk factor of depression and anxiety in the Latin American immigrant population. Int Rev Psychiatr. 2011;23(1):84–92. doi:10.3109/09540261.2010.545988.

    Article  Google Scholar 

  39. Suarez-Morales L, Lopez B. The impact of acculturative stress and daily hassles on pre-adolescent psychological adjustment: examining anxiety symptoms. J Prim Prev. 2009;30(3–4):335–49.

    Article  PubMed  Google Scholar 

  40. Lee CS, Chang JC, Liu CY, Chang CJ, Chen TH, Chen CH et al. Acculturation, psychiatric comorbidity, and posttraumatic stress disorder in a Taiwanese aboriginal population. Soc Psychiatr Psychiatr Epidemiol. 44(1):55–62. doi: 10.1007/s00127-008-0405-2.

  41. Jorden S, Matheson K, Anisman H. Supportive and unsupportive social interactions in relation to cultural adaptation and psychological distress among Somali refugees exposed to collective or personal traumas. J Cross Cult Psychol. 2009;40(5):853–74. doi:10.1177/0022022109339182.

    Article  Google Scholar 

  42. Ellis BH, Kia-Keating M, Yusuf SA, Lincoln A, Nur A. Ethical research in refugee communities and the use of community participatory methods. Transcult Psychiatr. 2007;44(3):459–81.

    Article  Google Scholar 

  43. Birman D, Trickett EJ. Cultural transitions in first generation immigrants: a study of Soviet Jewish refugee adolescents and parents. J Cross Cult Psychol. 2001;32(4):456–77. doi:10.1177/0022022101032004006.

    Article  Google Scholar 

  44. Vinokurov A, Trickett EJ, Birman D. Acculturative hassles and immigrant adolescents: a life-domain assessment for Soviet Jewish refugees. J Soc Psychol. 2002;142(4):425–45. doi:10.1080/00224540209603910.

    Article  PubMed  Google Scholar 

  45. Layne C, Stuvland R, Saltzman W, Djapo N, Pynoos RS. War trauma screening scale (unpublished manuscript). 1999.

  46. Rodriguez N, Steinberg A, Pynoos RS. UCLA PTSD index for DSM-IV (Revision 1), child version, adolescent version, parent version. Los Angeles: UCLA Trauma Psychiatry Service; 1999.

    Google Scholar 

  47. Birleson P, Hudson I, Buchanan DG, Wolff S. Clinical evaluation of a self-rating scale for depressive disorder in childhood (Depression Self-Rating Scale). J Child Psychol Psychiatr. 1987;28(1):43–60. doi:10.1111/j.1469-7610.1987.tb00651.x.

    Article  CAS  Google Scholar 

  48. IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp; 2013.

    Google Scholar 

  49. Ellis BH, Miller AB, Abdi S, Barrett C, Blood EA, Betancourt TS. Multi-tier mental health program for refugee youth. J Consult Clin Psychol. 2013;81(1):129–40. doi:10.1037/a0029844.

    Article  PubMed  Google Scholar 

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Acknowledgments

We would like to thank Abdirahman Nur and Siraad Yusuf for their community engagement efforts. We would also like to thank Brandy Hubbard for her work on earlier drafts of the paper.

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Correspondence to Alisa K. Lincoln.

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Lincoln, A.K., Lazarevic, V., White, M.T. et al. The Impact of Acculturation Style and Acculturative Hassles on the Mental Health of Somali Adolescent Refugees. J Immigrant Minority Health 18, 771–778 (2016). https://doi.org/10.1007/s10903-015-0232-y

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