Addressing Mental Health Disparities With Asian American Clients: Examining the Generalizability of the Common Factors Model

Although mental health disparities for Asian Americans are known, reasons for the disparities are not well understood within the counseling process. This study coded Asian American and White clients' reports of helpful counselor actions into empirically supported common factors to determine which within‐session processes might reduce mental health disparities for Asian American clients. Asian American clients' reports of helpful therapist actions did not differ from those of White clients, suggesting that disparities do not originate in differences in the foundational aspects of counseling. Implications for addressing disparities are discussed.     

Communication Styles,Cultural Values,and Counseling Effectiveness With Asian Americans

This study examined counseling intervention designed for Asian Americans. Participants (N = 158) rated session effectiveness after viewing a videotape of a counselor using a culturally congruent or incongruent communication style. Analyses of variance showed that the incongruent style was viewed as more satisfying and credible than the congruent style. Factor analysis showed that participants perceived “being direct” and “maintaining harmony” styles, and multiple regression analyses revealed that these perceptions had a positive relationship with effectiveness.     

The Religion–Health Connection Among African Americans: What Is the Role of Social Capital?

Researchers have expressed growing interest in factors that may explain the relationship between religious involvement and health‐related outcomes. Faith‐based organizations are a significant institution in African American communities, both serving religious/spiritual needs and providing an important source of social capital. These communities often suffer a disproportionate burden of health conditions as well. The present study examined the role of social capital (social support, interconnectedness, and community participation) in the relationship between religious involvement (beliefs and behaviours) and physical and emotional functioning and depressive symptoms, among a national probability sample of African Americans (N = 803). Participants completed telephone interviews. We used structural equation modelling to test hypotheses based on the theoretical model. Results indicate that interconnectedness played a modest mediational role in the relationship between religious behaviours/participation and depressive symptoms. Interconnectedness was predictive of fewer depressive symptoms and marginally with better emotional functioning. Findings highlight the importance of trust in and commitment to one's community for health and have implications for community‐based health promotion initiatives. Copyright © 2014 John Wiley & Sons, Ltd.     

Social Network Characteristics,Social Support,and Cigarette Smoking among Asian/Pacific Islander Young Adults

Cigarette smoking may be one of the factors contributing to the high levels of cancer‐related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate to smoking across A/PI subgroups has been lacking. This study investigated the associations between social network characteristics (e.g., size, composition), perceived social support, and recent cigarette use across Native Hawaiian, Filipino, and East Asian (e.g., Japanese, Chinese) young adults (18–35 year old). Cross‐sectional, self‐report data were collected from N = 435 participants (M age = 25.6, SD = 8.3; 61% women). Ethnic differences were found in a number of pathways linking social network characteristics, perceived social support, and cigarette smoking. Larger network size was strongly associated with higher perceived social support and lower recent cigarette smoking among Native Hawaiians but not Filipinos or East Asians. Higher perceived social support was associated with lower recent smoking among East Asians and Filipinos but not Native Hawaiians. Implications are discussed with regard to smoking prevention and cessation among A/PI.     

The faith community and mental health resilience amongst Australian Ismaili Muslim youth

The religio-cultural community of minority ethnic migrants can strongly affect post-migration adaptation. Whilst religion itself may influence resilience, the social support network it provides may also play a role. Extant literature on resilience and migrant communities has largely focused on refugees whilst the experience of younger voluntary migrants and second-generation immigrants, who may experience “acculturative stress”, has been overlooked. This study examines 18–25 year old diasporic and post-diasporic Ismaili Muslim youth in Australia. Of the 11 youth respondents, five were Australian-born/raised (“post-diasporic”) and six were recent immigrants (“diasporic”). Five community leaders were also interviewed for triangulation. Respondents were obtained using purposive and convenience sampling in two Australian cities. Results demonstrate how faith engagement and civic participation were utilised in developing resilience when facing mental health stressors encountered during the migratory and acculturative processes.     

Critical Race Theory as a Decisional Framework for the Ethical Counseling of African American Clients

The authors introduce critical race theory as a decisional framework for ethical counseling, with a focus on racial disparities when working particularly with African American clients. The authors provide a fictional case example that explains how this framework can be implemented when conducting cross‐cultural counseling with African American clients. Implications for counselors are provided.     

Work Experiences of Foreign‐Born Asian Women Counseling and Psychology Faculty

Eleven foreign‐born and ‐raised Asian women faculty in counseling and psychology programs in the United States were interviewed about their work experiences. Analysis using consensual qualitative research revealed 7 sources of stressors, 6 emotional reactions associated with stressors, 5 coping strategies, and 4 types of intrinsic rewards gained from encountering challenges. The results of the study provide information about the unique experiences of this understudied group and have implications for the U.S. higher education system. Se entrevistó a once profesoras universitarias asiáticas de programas de consejería y psicología en Estados Unidos nacidas y criadas en el extranjero acerca de sus experiencias de trabajo. Un análisis basado en investigación cualitativa consensuada reveló 7 fuentes de estrés, 6 reacciones emocionales asociadas a los motivos del estrés, 5 estrategias de afrontamiento y 4 tipos de recompensa intrínseca ganada por afrontar los desafíos. Los resultados del estudio proporcionan información sobre las experiencias únicas de este grupo que no ha sido estudiado suficientemente, y tienen implicaciones para el sistema de educación superior en Estados Unidos.     

The Effect of Perfectionism and Acculturative Stress on Levels of Depression Experienced by East Asian International Students

This study examined relationships among acculturative stress, grade point average satisfaction, maladaptive perfectionism, and depression in 52 East Asian international students and 126 North American students. Results indicated that a combined effect of perfectionism and acculturative stress accounted for more than 30% of the variance related to depression. Implications include the importance of attending to perfectionism and acculturative stress for improving the overall well‐being of East Asian international students. Este estudio examinó las relaciones entre el estrés aculturativo, la satisfacción con el promedio de calificaciones, el perfeccionismo inadaptado y la depresión en 52 estudiantes internacionales del este asiático y 126 estudiantes norteamericanos. Los resultados indicaron que el efecto combinado del perfeccionismo y el estrés aculturativo representó más del 30% de la varianza relacionada con la depresión. Las implicaciones incluyen la importancia de prestar atención a los niveles de perfeccionismo y estrés aculturativo para mejorar el bienestar general de los estudiantes internacionales del este asiático.     

Underage drinking as a predictor of alcohol use disorder among African Americans

This study aimed to examine the effect of underage drinking (UD) on alcohol use disorder (AUD) among African Americans. Data from the 2010 National Survey of Drug Use and Health (NSDUH) (N = 19 240; age range 25–75 years) were analysed for the study. Following regression analysis, African Americans with a history of underage drinking were found to be approximately four times more likely to experience AUD than their counterparts without a history of underage drinking. Within the underage drinking history group, those who are married and who had higher levels of education were less likely to have AUD compared to single persons who had lower levels of education. Age and gender did not predict AUD among those with a history of underage drinking. The findings of this study suggest that familial relationships may moderate the risks for AUD from UD. Primary socialisation theory might explain risk for AUD from UD among African Americans by way of intergenerational transmission of health values.     

South Asian American Daughter–Father Relationships in the Aftermath of Maternal Loss

ABSTRACT

In this transcendental phenomenological study, we interviewed five South Asian American daughter–father dyads regarding their experiences of coping and resiliency in the aftermath of maternal/spousal loss. Mothers play a crucial role in immigrant families as they serve not only as caregivers, but also as the main people who facilitate the transmission of culture. An untimely death of mothers in immigrant families can lead to confusion of roles within the family subsystems. Three main themes emerged for daughters from the interviews: (a) re-grieving, (b) coping/resiliency, and (c) daughter’s relationship with father following maternal loss. Three themes also emerged from the interviews with the fathers: (a) lack of traditional sources of familial support, (b) coping/resiliency, and (c) relationship with daughter following spousal loss. We utilized dyadic analysis to examine the dynamics of the daughter–father relationship. Overall, in the aftermath of maternal loss, the families experienced significant reorganization in its structure and reassignment of roles. For many of the daughters, cultural norms of patriarchy and traditional gender roles explained their pattern of assuming more responsibility in the household after the death of their mothers. Findings also showed how the intersection of gender, culture, and immigration status contributed to the process of complicated grief following maternal loss and the struggles experienced with reorganization of familial roles, rules, and expectations for South Asian American daughters and their fathers. Results from this study have implications for future research and clinical practice.