Skip to main content
Log in

Racial/Ethnic Differences in Caregiver Strain and Perceived Social Support Among Parents of Youth with Emotional and Behavioral Problems

  • Published:
Mental Health Services Research

Abstract

This study examined several hypotheses related to racial/ethnic variations in caregiver strain and perceived social support among parents caring for children with emotional/behavioral problems. A subsample of youth from the Patterns of Care (POC) study, which drew a stratified random sample of high-risk youth active to 1 of 5 public sectors of care, was used to test these hypotheses. When controlling for youth age, parental education, presence in an alcohol/drug or mental health (ADM) sector, and severity of child problems, African Americans reported significantly lower caregiver strain then did non-Hispanic Whites (NHWs), whereas Asian/Pacific Islanders (APIs) and Latinos did not differ significantly from NHWs. Contrary to prediction, both African Americans and APIs reported significantly lower perceived social support than NHWs, whereas Latinos did not differ significantly from NHWs. When perceived social support was controlled, the tendency of African American and API parents to report lower caregiver strain than NHWs became more pronounced. Thus, differences in perceived social support did not explain African Americans' lower caregiver strain. Other cultural variables such as familism and tolerance should be examined to identify processes that result in reduced perception of caregiver strain among African American parents caring for children with emotional/behavioral problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Achenbach, T. M. (1991a). Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T. M. (1991b). Manual for the Youth Self-Report and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Angold, A., Messer, S. C., Stangl, D., Farmer, E. M. Z., Costello, E. J., & Burns, B. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75-80.

    Google Scholar 

  • Aranda, M. P., & Knight, B. G. (1997). The influence of ethnicity and culture on the caregiver stress and coping process: A sociocultural review and analysis. The Gerontologist, 37, 342-354.

    Google Scholar 

  • Bird, H. R., Canino, G., Rubio-Stipec, M., & Ribera, J. C. (1987). Further measures of the psychometric properties of the Children's Global Assessment Scale. Archives of General Psychiatry, 44, 821-824.

    Google Scholar 

  • Bird, H. R., Shaffer, D., Fisher, P., Gould, M. S., Staghezza, B., Chen, J. Y., et al. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167-176.

    Google Scholar 

  • Brannan, A. M., Heflinger, C. A., & Bickman, L. (1997). The Caregiver Strain Questionnaire: Measuring the impact on the family of living with a child with serious emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212-222.

    Google Scholar 

  • Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramirez, R., et al. (2001). Test-retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29, 433-444.

    Google Scholar 

  • Connell, C. M., & Gibson, G. D. (1997). Racial, ethnic, and cultural differences in dementia caregiving: Review and analysis. The Gerontologist, 37, 35-364.

    Google Scholar 

  • Cox, C., & Monk, A. (1993). Hispanic culture and family care of Alzheimer's patients. Health and Social Work, 18(2), 92-100.

    Google Scholar 

  • Cutrona, C. E., & Russell, D. (1987). The provisions of social relationships and adaptations to stress. In W. H. Jones & D. Perlman (Eds.), Advances in personal relationships (Vol. 1, pp. 37-68) Greenwich, CT: JAI Press.

    Google Scholar 

  • Dilworth-Anderson, P., & Anderson, N. B. (1994). Dementia caregiving in Blacks: A contextual approach to research. In B. Lebowitz, E. Light, & G. Neidereche (Eds.), Mental and physical health of Alzheimer's caregivers (pp. 385-409). New York: Springer.

    Google Scholar 

  • Dunkel-Schetter, C., & Bennett, T. L. (1990). Differentiating the cognitive and behavioral aspects of social support. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 267-296). New York: Wiley.

    Google Scholar 

  • Farmer, E. M. Z., Burns, B. J., Angold, A., & Costello, E. J. (1997). Impact of children's mental health problems on families: Relationship with services use. Journal of Emotional and Behavioral Disorders, 5, 230-238.

    Google Scholar 

  • Fredman, L., Daly, M. P., & Lazur, A. M. (1995). Burden among white and black caregivers to elderly adults. Journal of Gerontology, 50B, S110-S118.

    Google Scholar 

  • Guarnaccia, P. J., & Parra, P. (1996). Ethnicity, social status, and families' experiences of caring for a mentally ill family member. Community Mental Health Journal, 32, 243-260.

    Google Scholar 

  • Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Collins, R. P., et al. (1996). Appraisal, coping, and social support as mediators of well-being in Black and White family caregivers of patients with Alzheimer's disease. Journal of Consulting and Clinical Psychology, 64(1), 121-129.

    Google Scholar 

  • Hatchett, S. J., & Jackson, J. S. (1993). African American extended kin systems: An assessment. In H. P. McAdoo (Ed.), Family ethnicity: Strength in diversity (pp. 90-108). Newbury Park, CA: Sage.

    Google Scholar 

  • Henry, G. T. (1990). Practical sampling. Newbury Park, CA: Sage.

    Google Scholar 

  • Horwitz, A. V., & Reinhard, S. C. (1995). Ethnic differences in caregiving duties and burdens among parents and siblings of persons with severe mental illnesses. Journal of Health and Social Behavior, 36, 138-140.

    Google Scholar 

  • Janevic, M. R., & Connell, C. M. (2001). Racial, ethnic, and cultural differences in the dementia and caregiving experience: Recent findings. The Gerontologist, 41, 334-347.

    Google Scholar 

  • Kleinbaum, D. G., Kupper, L. L., Muller, K. E., & Nizam, A. (1998). Applied regression analysis and other multivariable methods (3rd ed., pp. 194-198). Pacific Grove, CA: Duxbury Press.

    Google Scholar 

  • Lambert, M. C., Weisz, J. R., Knight, F., Desrosiers, M. F., Overly, K., & Thesiger, C. (1992). Jamaican and American adult perspectives on child psychopathology: Further exploration of the threshold model. Journal of Consulting and Clinical Psychology, 60, 146-149.

    Google Scholar 

  • Markus, H. R., & Kitayama, S. (1991). Culture and self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224-253.

    Google Scholar 

  • McCabe, K., Yeh, M., Hough, R., Landsverk, J., Hurlburt, M., Culver, S., et al. (1999). Racial/ethnic representation across five public sectors of care for youth. Journal of Emotional and Behavioral Disorders, 7, 72-82.

    Google Scholar 

  • Messer, S. C., Angold, A., Costello, E. J., & Burns, B. J. (1996). The Child and Adolescent Burden Assessment (CABA): Measuring the family impact of emotional and behavioral problems. International Journal of Methods in Psychiatric Research, 6, 261-284.

    Google Scholar 

  • Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., et al. (2002). Barriers to children's mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731-738.

    Google Scholar 

  • Roschelle, A. R. (1997). No more kin. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Sarason, B. R., Sarason, I. G., & Pierce, G. R. (1990). Traditional views of social support and their impact on assessment. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 9-25). New York: Wiley.

    Google Scholar 

  • Shaffer, D., Fisher, P., Dulcan, M. K., Davies, M., Piacentini, J., Schwab-Stone, M. E., et al. (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description, acceptability, prevalence rates, and performance in the MECA study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865-877.

    Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., et al. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28-38.

    Google Scholar 

  • Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1983). A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 1228-1231.

    Google Scholar 

  • Shaw, W. S., Patterson, T. L., Semple, S. J., Grant, I., Yu, E. S. H., Zhang, M. Y., et al. (1997). A cross-cultural validation of coping strategies and their associations with caregiving distress. The Gerontologist, 37, 490-504.

    Google Scholar 

  • Stueve, A., Vine, P., & Struening, E. L. (1997). Perceived burden among caregivers of adults with serious mental illness: Comparison of Black, Hispanic, and White families. American Journal of Orthopsychiatry, 67(2), 199-209.

    Google Scholar 

  • Uba, L. (1994). Asian Americans: Personality, patterns, identity, and mental health. New York: Guilford.

    Google Scholar 

  • UNOCCAP Work Group. (1996). Service Assessment for Children and Adolescents. Unpublished measure.

  • U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity: A report of the Surgeon General. Rockville, MD: Author.

    Google Scholar 

  • Valentine, D. P., McDermott, S., & Anderson, D. (1998). Mothers of adults with mental retardation: Is race a factor in perceptions of burdens and gratifications? Families in Society: The Journal of Contemporary Human Services, 79(6), 577-584.

    Google Scholar 

  • Weisz, J. R., McCarty, C. A., Eastman, K. L., Chaiyasit, W., & Suwanlert, S. (1997). Developmental psychopathology and culture: Ten lessons from Thailand. In S. S. Luthar, J. A. Burack, D. Cicchetti, & J. Weisz (Eds.), Developmental psychopathology: Perspectives on adjustment, risk, and disorder (pp. 568-592). New York: Cambridge University Press.

    Google Scholar 

  • Wood, J. B., & Parham, I. A. (1990). Coping with perceived burden: Ethnic and cultural issues in Alzheimer's family caregiving. Journal of Applied Gerontology, 9, 325-339.

    Google Scholar 

  • Youn, G., Knight, B. G., Jeong, H. S., & Benton, D. (1999). Differences in familism values and caregiving outcomes among Korean, Korean-American, and White American dementia caregivers. Psychology and Aging, 14, 355-364.

    Google Scholar 

  • Youngstrom, E., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. Journal of Consulting and Clinical Psychology, 68, 1038-1050.

    Google Scholar 

  • Zimmerman, R. S., Khoury, E. L., Vega, W. A., Gil, A. G., & Warheit, G. J. (1995). Teacher and parent perceptions of behavior problems among a sample of African American, Hispanic, and non-Hispanic White students. American Journal of Community Psychology, 23, 181-197.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

McCabe, K.M., Yeh, M., Lau, A. et al. Racial/Ethnic Differences in Caregiver Strain and Perceived Social Support Among Parents of Youth with Emotional and Behavioral Problems. Ment Health Serv Res 5, 137–147 (2003). https://doi.org/10.1023/A:1024439317884

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1024439317884

Navigation