Choi Yoonsun, Park Michael, Noh Samuel, Lee Jeanette Park, Takeuchi David
School of Social Service Administration, University of Chicago, Chicago, IL, USA.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
SSM Popul Health. 2020 Jan 11;10:100542. doi: 10.1016/j.ssmph.2020.100542. eCollection 2020 Apr.
This study examined a longitudinal trend of mental health among young Asian Americans during the transition from adolescence to emerging adulthood and investigated explanatory factors of the trend.
We longitudinally followed a cohort of Filipino American and Korean American youth and their families in Midwest since 2014 ( = 1,574 in Wave 1). This study used three waves of youth data ( = 781, = 15 in W1).
Depressive symptoms and suicidal ideation significantly increased among the samples between 2014 and 2018, which also became more serious in severity. Intergenerational cultural conflict in the family and the experience of racial discrimination significantly contributed to the upsurge of mental health distress. Conversely, a strong peer relationship and ethnic identity were critical resources suppressing both depressive symptoms and suicidal ideation.
This study substantiated a troubling upward trend in mental health struggles among young Asian Americans and demonstrated a significant additive influence of culture and race/ethnicity on mental health beyond the normative influences of family process and peers. These key factors should be targeted in intervention to better serve Asian American young people who may mask their internal struggles.
本研究考察了亚裔美国年轻人从青春期到成年早期过渡期间心理健康的纵向趋势，并调查了该趋势的解释因素。
自2014年以来，我们对美国中西部的一群菲律宾裔美国人和韩裔美国青年及其家庭进行了纵向跟踪研究（第一波研究对象为1574人）。本研究使用了三波青年数据（第一波为781人，第二波为15人）。
2014年至2018年期间，样本中的抑郁症状和自杀意念显著增加，严重程度也有所加重。家庭中的代际文化冲突和种族歧视经历显著导致了心理健康困扰的激增。相反，强大的同伴关系和族群认同是抑制抑郁症状和自杀意念的关键因素。
本研究证实了亚裔美国年轻人心理健康问题呈令人担忧的上升趋势，并表明文化和种族/族裔对心理健康的影响显著超过了家庭过程和同伴的常规影响。在干预中应针对这些关键因素，以便更好地服务于可能掩盖内心挣扎的亚裔美国年轻人。
