Ayers John W, Hofstetter C Richard, Usita Paula, Irvin Veronica L, Kang Sunny, Hovell Melbourne F
Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Nerv Ment Dis. 2009 Oct;197(10):742-7. doi: 10.1097/NMD.0b013e3181b96e9e.
This research identifies stressors that correlate with depression, focusing on acculturation, among female Korean immigrants in California. Telephone interviews were conducted with female adults of Korean descent (N = 592) from a probability sample from 2006 to 2007. Sixty-five percent of attempted interviews were completed, of which over 90% were conducted in Korean. Analyses include descriptive reports, bivariate correlations, and structural equation modeling. Findings suggest that acculturation did not have a direct impact on depression and was not associated with social support. However, acculturation was associated with reduced immigrant stress which, in turn, was related to decreased levels of depression. Immigrant stress and social support were the principal direct influences on depression, mediating the effect for most other predictors. Stressful experiences associated with immigration may induce depressive feelings. Interventions should facilitate acculturation thereby reducing immigrant stress and expand peer networks to increase social support to assuage depression.
本研究确定了与抑郁症相关的压力源，重点关注加利福尼亚州韩裔女性移民的文化适应情况。2006年至2007年，对从概率样本中选取的韩裔成年女性（N = 592）进行了电话访谈。65%的尝试访谈得以完成，其中90%以上是用韩语进行的。分析包括描述性报告、双变量相关性和结构方程建模。研究结果表明，文化适应对抑郁症没有直接影响，且与社会支持无关。然而，文化适应与移民压力的减轻有关，而移民压力的减轻又与抑郁症水平的降低有关。移民压力和社会支持是对抑郁症的主要直接影响因素，在大多数其他预测因素的影响中起中介作用。与移民相关的压力经历可能会引发抑郁情绪。干预措施应促进文化适应，从而减轻移民压力，并扩大同伴网络以增加社会支持，从而缓解抑郁症。
