Multicultural Psychology Commons^™

The Impact Of Traditional Machismo On Mental Health Outcomes: Depression And Suicide Risk Among Latino Immigrant And Non-Immigrant Men, Yesenia A, Romero

Electronic Theses and Dissertations

Traditional masculine norms have long been recognized as influential factors in men’s psychological well-being. Within Latino cultures, the construct of machismo represents a culturally specific form of masculinity characterized by ideals of masculinity and characterized by ideals of strength, dominance, and emotional restraint. While these norms may promote resilience and family responsibilities, rigid adherence to traditional machismo has also been associated with emotional suppression, reduced help-seeking behaviors, and increased psychological distress. The present study conducted a meta-analysis to examine the relationship between traditional machismo and mental health outcomes among Latino men, with particular attention to depressive symptoms as well as …

Depression, Belonging, And Self-Censorship About Palestine Among Arab Americans, Ghadir Habeeb, Amanda Jiang, Batool Alderawi, Yara Mekawi, Nadia Al-Dajani

The Cardinal Edge

Background: As a result of exposure to traumatic media depicting the Gaza genocide, many Arab Americans are moved to speak up in support of Palestine. Due to the suppression of pro-Palestinian advocacy, however, many Arab Americans self-censor as a defense mechanism, which can alleviate distress but can also exacerbate depressive symptoms. Belongingness may serve as a protective factor against the negative effects of self-censorship. Centering Arab Americans’ experiences, this study examines the relationship between self-censorship and depression, as well as the role of belongingness in this association.

Method: Arab Americans adults recruited through Qualtrics Survey Panels completed questionnaires assessing self-censorship, …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

The Cross Cultural Study Of Self-Ideation: Eastern Vs Western, Florencia Suhartono

Williams Honors College, Honors Research Projects

Self-Ideation behavior, a topic that although is increasing in awareness, is also increasing in victims as well. One thing is very clear however, both the Eastern and Western countries still see suicide and its related attitude in a taboo perspective. Regarding this, factors of various customs of each respective country will be further explained; taking note on how their contrasting cultural differences may potentially feed on the self-harming attitude that each victim may have developed. It will continue on explaining the more specific details on how each side of the world reacts when a person declares their self-ideating thoughts, studying …

The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti

Doctoral Dissertations

The COVID-19 pandemic significantly impacted the mental health of both international and domestic graduate students, exacerbating social isolation, financial strain, and psychological distress. This qualitative study examines the long-term effects of the pandemic on these student populations, exploring shared and divergent experiences, coping strategies, and evolving priorities. While both groups faced heightened anxiety and academic disruptions, international students encountered additional stressors, including cultural displacement, visa uncertainties, and limited support networks. Domestic students, in contrast, struggled with routine disruptions but had greater access to familial and social support. Across both groups, the pandemic prompted a reassessment of personal and professional priorities, …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

Factor Structure Of The Ces-D-20 Scale In Young Adults In Singapore: An Examination Of Six Alternative Structures And Measurement Invariance By Sex, Nadyanna M. Majeed, K. T. A. Sandeeshwara Kasturiratna, Nicole Ruiying Chen, Andree Hartanto

Research Collection School of Social Sciences

Building on past research that has indicated cultural variations in the factor structure of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D-20), as well as several limitations validating the CES-D-20 within a Singapore context, this study investigated the CES-D-20's factor structure and sex-based measurement invariance in Singapore. A large young adult sample in Singapore (N = 1008) was utilised, and the original CES-D-20 was administered to all participants. The findings confirmed the four-factor model's robustness over five other alternative models (RMSEA = .05, SRMR = .04), where each of the 20 items loaded significantly onto its respective factor (all …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim

Student Theses

Despite the surge of the Korean population within the United States, the Korean-American population is significantly underrepresented in research when observed separately from other Asian groups. The Republic of Korea has had the highest suicide rate within the OECD nations for well over a decade (Organization of Economic Cooperation and Development), and evidence suggests that the risk of suicidality may extend to Koreans living abroad (Kung, 2018). There is also evidence of high prevalence of depressive symptoms in Korean-Americans (Bernstein et al., 2011). In addition, Koreans are consistently demonstrated to hold stigmatizing beliefs about mental illness, however, very little research …

Examining The Effects Of Social Group Persecution And Traumatic Humiliation In Survivors Of Torture, Tilda Cvrkel

Clinical Psychology Dissertations

Refugees and asylum seekers account for 34.4 million people worldwide (UNHCR, 2021), and up to 40% of this population are survivors of torture (UNHCR, 2017). The Istanbul Protocol (United Nations, 2022) describes one of the explicit ends of torture as the severing of a person from their community, a breaking of their dignity and humanity. This may be done explicitly, through acts of traumatic humiliation. Traumatic humiliation includes acts such as forcing victims to eat religiously forbidden food, forced posing or touching others in culturally taboo sexual ways, forced nudity or clothing that reflects misgendering (such as “emasculating” clothing), widespread …

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …

Experiences Of Covid-19-Related Racism And Impact On Depression Trajectories Among Racially/Ethnically Minoritized Adolescents, Sabrina R. Liu, Elysia Poggi Davis, Anton M. Palma, Hal S. Stern, Curt A. Sandman, Laura M. Glynn

Psychology Faculty Articles and Research

Purpose

In 2020, racially/ethnically minoritized (REMD) youth faced the “dual pandemics” of COVID-19 and racism, both significant stressors with potential for adverse mental health effects. The current study tested whether short- and long-term trajectories of depressive symptoms from before to during the COVID-19 pandemic differed between REMD adolescents who did and did not endorse exposure to COVID-19-era-related racism (i.e., racism stemming from conditions created or exacerbated by the COVID-19 pandemic).

Methods

A community sample of 100 REMD adolescents enrolled in an ongoing longitudinal study of mental health was assessed before and during the COVID-19 pandemic. Participants were 51% girls, mean …

The Impact Of Implicit Bias On The Overdiagnosis Of Schizophrenia, Ace Ogbebor

Electronic Theses, Projects, and Dissertations

According to the American Psychiatric Association (2017), Black Americans are more likely to be diagnosed with schizophrenia and less likely to be diagnosed with a mood disorder in compassion to their White counterparts presenting with the same symptoms. To address mechanisms of implicit bias and the implications for mental health practice, it is imperative to investigate the diagnostic process of students who will enter the field of mental health.

According to the Council on Social Work Education, 80% of MSW graduates work in positions providing micro-level direct service to individuals, families, and groups (CSWE, 2019). Moreover, 80% of MSW graduates …

Demographic Disparities In College Students’ Psychological Adjustment During Covid-19, Anna Marston

Honors Theses

The goal of the present study was to explore psychological adjustment during the COVID-19 pandemic in undergraduate college students. Since March 2020, undergraduates have endured extended lockdowns, quarantines, and social distancing efforts that may affect mental health, especially for historically marginalized groups such as women and people of color. Furthermore, research on coping styles suggests that those who cope with a stressor such as a pandemic in healthy, adaptive ways may be protected against psychological difficulty. In February/March 2021 (Time 1) and again in April/May 2021 (Time 2), college students (N = 277) from two residential liberal arts institutions were …

Examining Attitudes Toward Mental Health In Chinese Americans, Xiao Shan Jiang

Psychology Honors Papers

Asian Americans are one of the fastest-growing ethnic groups in the United States with Chinese Americans being the largest group within the Asian American community (U.S. Census Bureau, 2016; Pew Research Center, 2017). Previous research has found evidence that there is a reluctance in the Chinese-American community to seek mental health services due to a fear of stigma and a tendency to define psychiatric conditions in physical rather than psychological terms. Whether these tendencies differ across generations is another question to explore. This thesis looked at both Chinese-American ethnicity and participants’ age as potential influences on attitudes toward mental health …

Mental Health, Bullying, And Victimization Among Chinese Adolescents, Yang Wen, Xihe Zhu, Justin A. Haegele, Fangliang Yu

Human Movement Studies & Special Education Faculty Publications

The purpose of this study was to examine if adolescents who experience anxiety or depression have higher levels of reported bullying victimization or perpetration than those who do not. Based on the existing research, we hypothesized that those who experienced moderate or severe depression and anxiety would have higher rates of bullying victimization and perpetration when compared to those who experienced mild or no depression. This study used an observational design, and data were collected from a convenience sample of adolescents in a large regional high school in an Eastern province of China. The final sample included 1481 adolescents aged …

Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen

College of Graduate Studies: Theses & Dissertations

Poverty, typically measured by economic well-being or depravation, is the result of systemic flaws built into the structure of society that adversely impact multiple dimensions of health and well-being. The specific stressors that disproportionately impact low-income individuals are called poverty-based stressors, and they encompass multiple categories of risk including physical, psychosocial, and financial risks. Currently, there is not an adequate measure of poverty-based stressors for low-income adults in the United States (U.S.), which restricts our ability to accurately determine the effects of poverty on important health-related outcomes. The purpose of this dissertation was to develop a psychometrically sound measure of …

The Multicultural Distress, Depression, Anxiety, And Stress Levels Of Black Undergraduate Students As Compared To Asian, Latinx, And White Undergraduate Students, Franklin Dickerson Turner

Journal of Research Initiatives

College students who experienced poor academic performance, depression, and anxiety reported having higher levels of stress than those students who were more successful academically (Andrews & Wilding, 2004; Bennett, 2003). It is also known that marginalized students have a higher tendency to experience stress. This study took a systematic look at levels of Multicultural distress, stress, depression, and anxiety as reported by Asian, Black, Latin, and White students at a major urban university. The findings indicated no significant differences in the general stress, depression, and anxiety levels based on a students’ race. However, Asian, Black, and Latin students had a …

The Effects Of Ethnic Identity And Family Obligations On Somatic Symptoms Among Latinx Emerging Adults, Jazmin Lara

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Somatic symptoms have been associated with psychological distress across different cultures and are used to diagnose depressive and anxiety disorders in the U.S. Across cultures, individuals with internalizing disorders may present with somatic symptoms outside of the diagnostic criteria, emphasizing the importance of these physical concerns. For example, Latinxs tend to endorse more somatic symptoms than White Americans, suggesting that different cultural aspects may contribute to the higher endorsement of somatic symptoms among Latinxs. However, not many studies have examined specific sociocultural factors that may be influencing somatic symptom report. This is especially true among emerging adults who are in …

The Effectiveness Of A Transaffirmative Cognitive Behavioral Therapy Group-Based Intervention To Help Transgender Individuals Suffering From Depression, Joy Riach

Doctoral Dissertations

Transgender individuals report higher levels of elevated symptoms of depression and anxiety due to psychological distress caused by pervasive transphobic discrimination and prejudice that persist in pathologizing and stigmatizing their lived experiences. An important first step would be to develop, implement, and assess transaffirmative interventions that address the mental health issues that this population is particularly susceptible to, such as depression. This current study was designed to assess the effectiveness of one such culturally adapted intervention, which was a 5-week-long, group-based therapy developed for treating depression in transgender individuals using cognitive behavioral therapy (CBT). This was then followed with one …

Depressed & Dis-Eased: Storytelling, Melancholia And The Rhetorical Affordances Of Affect, Carlee Franklin

Electronic Theses, Projects, and Dissertations

Because racial oppression is often internalized, this thesis examines literature written by POC about protagonists of color struggling with depression. The pieces are Gwendolyn Brooks’ Maud Martha, Haruki Murakami’s “Tony Takitani,” and Junot Diaz’s The Brief Wondrous Life of Oscar Wao. Using literary concepts informed by Black feminist theory, decolonial theory, and affect studies, as well as rhetorical frameworks of silence and listening, this thesis attempts to better understand how the relationship between depression and racial oppression work to color the life expectancy and perspectives of depressed people of color

Empty Cribs: Infertility Challenges For Orthodox Jewish Couples, Itay Kohane

Antioch University Dissertations & Theses

This dissertation discusses an issue that is of importance to many people throughout their lifetime—infertility. One in every eight couples (12%) is incapable of carrying a pregnancy to term after one year of natural attempts. This paper further examines the prevalence of infertility among couples, bringing into focus more common variables such as gender and age. But, going beyond these, the present study will demonstrate that other variables including stressors such as social factors, interpersonal dynamics, and personal judgment affect couples in a manner which indirectly reduces their chances of conceiving a child. This research will touch on a number …

Integrative Pharmacotherapeutic Approaches To Treating Depression, Charlotte Tse

Independent Study Project (ISP) Collection

Traditional Chinese Medicine (TCM), based in the philosophy-religions of Buddhism, Confucianism, and Daoism, is more than a purely prescriptive medical system; it is a way of life focused primarily on the principles of prevention rather than the more reactionary direction that pharmacotherapy in the US has taken. Mental illness is expected to account for a quarter of China’s overall health burden by 2020, with depression affecting around 100 million people and nearly 30 percent of young Chinese adults. Conventional antidepressants have a delayed onset and unpredictable therapeutic efficacy in this condition, especially in mild to moderate cases of depression. In …

The Impact Of Racial Microaggressions And Major Discriminatory Events On Mental Health, Florence Lui

Dissertations, Theses, and Capstone Projects

The current study, a secondary data analysis, sought to determine the number and nature of latent groups for experiences of spectrum racial discrimination (i.e., both major and microaggressive racial discrimination) in a sample of emerging adults from a people of color (POC)-majority public university setting in the United States, and to understand the role of socio-demographic variables in defining each group. In addition, the study aimed to ascertain the extent to which endorsing spectrum racial discrimination experiences predicted anxiety and/or depression above the effects of general, non-race-related stress. Finally, the analyses gauged the mediating and/or moderating role of coping in …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Navigating The Closet: A Mixed Methods Approach To Assessing The Impact Of Concealment On Psychological Outcomes For Sexual And Gender Minorities, James Michael M. Brennan

Graduate Student Theses, Dissertations, & Professional Papers

Background: Sexual and gender minority (SGM) individuals suffer at disproportionate rates of depression, anxiety, and substance use, among other mental and physical health outcomes, compared to heterosexual individuals. Concealment of non-heterosexual sexual identity and/or non-cisgender gender identity may be a key contributor to these disparities. Many SGM individuals engage in concealment as a means to avoid victimization, or because of negative perceptions of their own identity. Concealment as a construct has been conceptualized as comprising cognitive, affective, and behavioral components, each of which individually has been demonstrated to have negative health impacts. Additionally, concealment occurs over time between the intrapersonal …

The Role Of Strength: Navigating Perinatal Loss Among Black Women, Ashley N. Hill

Theses and Dissertations

In the U.S., Black mothers experience fetal and infant mortality at alarming rates when compared to White and Latina mothers (Gregory, Drake, & Martin, 2018). The intent of this study was to examine perinatal loss among Black American women and to expand understanding of how the Strong Black Woman (SBW) ideology influences bereavement. Data were gathered from (N=109) Black American bereaved mothers. It was predicted that endorsement of differing aspects of the SBW would moderate the relationship between perinatal grief and psychosocial outcomes (i.e., depression and post-traumatic growth). Regression analyses, alongside a bootstrapping procedure via PROCESS (Hayes, 2017), …

Stop, Meditate, And Listen: A Treatment Modality For Iraqi Refugees With Depression, Katherine Goehring

Doctor of Nursing Practice Final Manuscripts

Purposes: To implement a mindfulness meditation program with Arabic speaking clients as an adjunctive treatment of depression

Background: Depression rates among Iraqi refugees are between 28.3 and 75% compared to 8.6% in the general population (Slewa-Younan, Guajardo, Heriseanu, & Hasan, 2015). Treatment options are limited at Neighborhood Healthcare in El Cajon due to budget limitations, cultural beliefs and language barriers, among other reasons. Individual therapy is intended to be a brief intervention due to limited staffing. Many middle eastern refugees decline group therapy due to stigma surrounding mental health treatment and concerns about privacy. Even though traditional treatment …

Differences In The Role Of Acculturation On The Correlates Of Suicidal Ideation Among Asian Subgroups, Khadijah Ahmad

Dissertations, Theses, and Capstone Projects

Ethnic and racial differences have been acknowledged in the relationship between culture and psychopathology, and acculturation has been associated with risk for suicidal ideation. The present paper examined the relation between acculturation and the correlates of suicide (i.e., hopelessness, depression) among Asian subgroups. Because an emphasis on Asians as a homogenous group obfuscates important ethnic differences that may influence risk for suicide, the present paper sought to highlight differences in risk for suicide among different Asian subgroups. This paper is divided into seven sections that address the role of acculturation and cultural values, norms, and beliefs on the correlates of …