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Help Seeking Attitudes Among Cambodian and Laotian Refugees: Implications for Public Mental Health Approaches

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Abstract

This is a pilot study of demographic and acculturation factors in relation to attitudes toward seeking psychological help among Lao and Cambodian refugees and immigrants in the United States of America. Cambodian and Laotian American adults in the United States of America were approached to complete help-seeking attitudes and acculturation scales. T test and hierarchical multiple regression analyses were used to analyze the relationships between the demographic and acculturation variables, and attitudes toward seeking psychological help. Out of 270 target subjects approached there were 108 respondents. Of the demographic variables, gender was associated with favorable attitudes towards psychological help-seeking. As expected, women were significantly more likely than men to recognize the need for help, to seek psychological help, to be more open to discussing mental health problems, and have more confidence in professional services. Acculturation was more powerfully associated with help- seeking attitudes than any of the demographic variables. In hierarchical multiple regression, acculturation contributed significant unique variance over and beyond the entire set of demographic variables to openness to discussing problems and having confidence in professional help. The findings of this pilot study suggest that there are significant barriers to seeking psychological help among Lao and Cambodian Americans. Attention to the issues of gender and levels of acculturation may improve access.

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References

  1. Abe-Kim J, Takeuchi DT, Hong S, Zane N, Sue S, Spencer MS, Appel H, Nicdao E, Alegría M. Use of mental health-related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American study. Am J Public Health. 2007;97:91–8. doi:10.2105/AJPH.2006.098541.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Atkinson DR, Kim RH. Asian American cultural identity and attitude toward mental health services. J Couns Psychol. 1989;38:473–8.

  3. Berry JW. Acculturative stress. In: Organista PB, Chun KM, Marin G, editors. Reading in ethnic psychology. New York: Routledge; 1998.

    Google Scholar 

  4. Berry JW, Sam D. Acculturation and adaptation. In: Berry JW, Segall MH, Kagitcibasi C, editors. Hand book of cross-cultural psychology, vol. 3. Boston: Allyn and Bacon; 1997. p. 291–326.

    Google Scholar 

  5. Chin LJ, Liem HJ, Cheng-Ham DM, Hong KG. Transference and empathy in Asian American psychotherapy: cultural values and treatment needs. Connecticut: Praeger; 1993.

    Google Scholar 

  6. Choi JB, Thomas M. Predictive factors of acculturation attitudes and social support among Asian Immigrant in the USA. Int J Soc Welf. 2009;18:76–84.

    Article  Google Scholar 

  7. Chu JP, Sue S. Asian American Mental Health: what we know and what we don’t know. Online Read Psychol Cult. 2011;. doi:10.9707/2307-0919.1026.

    Google Scholar 

  8. Chung R, Kagawa-Singer M. An interpretation of symptom presentation and distress: a Southeast Asian example. J Nerv Ment Dis. 1995;183(10):639–48.

    Article  CAS  PubMed  Google Scholar 

  9. Hatfield E, Rapson RL, Le YCL. Ethnic and gender differences in emotional ideology, experience, and expression. Int J Pers Relationsh. 2009;3(1):30–57.

    Google Scholar 

  10. Fischer HE, Turner LB. Orientation to seeking professional help: development and research utility of an attitude scale. J Consult Clin Psychol. 1970;35(1):79–90.

    Article  CAS  PubMed  Google Scholar 

  11. Gim RH, Atkinson DR, Whitley S. Asian culture values, attitudes toward seeking professional psychological health and willingness to see a counselor. J Counsel Psychol. 1990;37:281–5.

    Article  Google Scholar 

  12. Indo-Chinese Culture & Services Center. Southeast Asian health care. Portland: Indochinese Cultural & Services Center; 1982.

    Google Scholar 

  13. Johnson ME. Influences of gender and gender role orientation on attitudes. J Psychol. 1988;122(3):237–41.

    Article  Google Scholar 

  14. Kelly AE, Achter JA. Self-concealment and attitudes in university students. J Counsel Psychol. 1995;42:40–6.

    Article  Google Scholar 

  15. Kim KMS, Omizo MM. Asian culture values, attitudes toward seeking professional psychological health and willingness to see a counselor. Counsel Psychol. 2003;31(3):343–61.

    Article  Google Scholar 

  16. Kinzie JD, Fredrickson R, Ben R, Fleck J, Karls W. Posttraumatic stress disorder among survivors of cambodian concentration camps. Am J Psychiatry. 1984;141:645–50.

    Article  CAS  PubMed  Google Scholar 

  17. Kinzie JD. Overview of Clinical issues in the treatment of Southeast Asian refugees. In: Owan TC, editor. Southeast Asian mental health: treatment, prevention, services, training and research. Washington, DC: NIMH; 1985. p. 113–35.

    Google Scholar 

  18. Kinzie J, Boehnlein JK, Leung PK, Moore LJ, Reily C, Smith D. The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees. Am J Psychiatry. 1990;147:913–7.

    Article  CAS  PubMed  Google Scholar 

  19. Kleinman A. The illness narratives. New York: Basic books; 1983.

    Google Scholar 

  20. Kunz EF. The refugee in flight: kinetic models and forms of adjustment. Int Migrat Rev. 1973;7:126–46.

    Article  Google Scholar 

  21. Leong F, Glidden L. Counseling and psychotherapy with Asian Americans: review of the literature. J Counsel Psychol. 1986;33:196–206.

    Article  Google Scholar 

  22. Lese KP, Robbins SB. Relationship between goal attributes and the academic achievement of Southeast Asian adolescent refugees. J Counsel Psychol. 1994;41:45–52.

    Article  Google Scholar 

  23. Ma GX. Between Two World: the use of traditional and Western health services by Chinese immigrants. J Community Health. 1999;24:421–37.

    Article  CAS  PubMed  Google Scholar 

  24. Marshall NG, Schell LT, Elliot NM, Berthold MS, Chun Ch-Ah. Mental health of Cambodian refugees two decades after resettlement in the United States. J Am Med Assoc. 2005;295(5):571–9.

    Article  Google Scholar 

  25. Marshall NGM, Berthold MS, Schell LB, Schell LT, Elliot N, Chun Ch-Ah, Hambarsoomian K. Rates and correlates of seeking mental health services among Cambodian refugees. Am J Public Health. 2006;96(12):1829–35.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Mollica RF, Lavell J. The psychosocial impact of war trauma and torture on Southeast Asian refugees. Am J Psychiatry. 1987;144(12):567–72.

    Google Scholar 

  27. Moon A, Tashima N. Help-seeking behavior and attitudes of Southeast Asian refugees: San Francisco: Pacific Asian Mental Health Research Project; 1982

  28. Nam SK, Chu HJ, Lee MK, Lee JH, Kim N, Lee SM. A meta-analysis of gender differences in attitudes toward seeking professional psychological help. J Am Coll Health. 2011;59(2):110–6.

    Article  Google Scholar 

  29. Ng CH. Stigma of Mental Illness in Asian Cultures. Aust NZ J Psychiatry. 1997;31:382–90.

    Article  CAS  Google Scholar 

  30. Nicholson BL. The influence of pre-emigration and post migrations stressors on mental health: a study of Southeast Asian refugees. Soc Work Res. 1997;21(1):19–31.

    Article  Google Scholar 

  31. Nicassio PM. The psychological adjustment of Southeast Asian refugee. J Cross Cult Psychol. 1985;16(2):153–73.

    Article  Google Scholar 

  32. Nguyen QCX, Anderson PL. Vietnamese Americans’ attitudes toward seeking mental health services: relation to cultural variable. J Community Psychol. 2005;33(2):213–31.

    Article  Google Scholar 

  33. Ponterotto JG, Baluch S, Carielli D. Measurement & Evaluation in Counseling & Development. Am Counsel Assoc. 1998;32(2):p109.

    Google Scholar 

  34. Reeves TJ, Bennett CE. We the people: Asians in the United States, Census 2000 Special Reports. Washington, DC: U.S. Census Bureau; 2004.

    Google Scholar 

  35. Root MP. Guidelines for facilitating therapy with Asian American clients. Psychotherapy. 1985;22:349–56.

  36. Sato M. The shame factor: counseling Asian Americans. J Asian Am Psychol Assoc. 1975;5(1):20–4.

    Google Scholar 

  37. Sue S, McKinney H. Asian-Americans in the community mental health care system. Am J Orthopsychiatry. 1975;45:111–8.

    Article  CAS  PubMed  Google Scholar 

  38. Suinn RM, Richard-Figueroa K, Lew S, Vigil P. The Suinn-Lew Asian Self Identity Acculturation Scale: an initial report. Educ Psychol Measur. 1987;47:401–7.

    Article  Google Scholar 

  39. Uba L. Asian Americans: personality patterns, identity and mental health. New York: Guilford Press; 1994.

    Google Scholar 

  40. U.S Bureau of Census (2010). Current population survey. http://www.census.gov/prod/2002pubs/c2kbr01-16. pdf.

  41. Westermeyer J. Motivations for uprooting and migration. In: Holtzman WH, Bornemann WH, editors. Mental health of immigrants and refugees. Austin, TX: Hogg Foundation for Mental Health; 1990. p. 78–89.

    Google Scholar 

  42. Wong HZ. Mental health services in Asian and Pacific American communities. In L. R. Snowden (Ed.), Reaching the underserved: Mental health needs of neglected populations. Annual review of community mental health. Newbury Park, CA: Sage;1982

  43. Yamamoto J. Therapy for Asian Americans. J Natl Med Assoc. 1978;70:267–70.

    PubMed Central  CAS  PubMed  Google Scholar 

  44. Zhang AY, Snowden LR, Sue S. Differences between Asian and white Americans’ help-seeking and utilization patterns in the Los Angeles area. J Community Psychol. 1998;26:317–26.

    Article  Google Scholar 

  45. Zhang N, Dixon DN. Acculturation and attitude of Asian international student toward seeking professional psychological help. J Multicult Counsel Dev. 2003;31(3):205–22.

    Article  Google Scholar 

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Correspondence to Manivone Thikeo or Paul Florin.

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Thikeo, M., Florin, P. & Ng, C. Help Seeking Attitudes Among Cambodian and Laotian Refugees: Implications for Public Mental Health Approaches. J Immigrant Minority Health 17, 1679–1686 (2015). https://doi.org/10.1007/s10903-015-0171-7

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