Slaughter Rhona I, Hamilton Ann S, Cederbaum Julie A, Unger Jennifer B, Baezconde-Garbanati Lourdes, Milam Joel E
Department of Preventive Medicine, University of Southern California, Los Angeles, California, USA.
Department of Social Work, University of Southern California, Los Angeles, California, USA.
Psychooncology. 2022 May;31(5):761-769. doi: 10.1002/pon.5860. Epub 2021 Nov 26.
Acculturation discrepancy occurs when the rate of host culture acquisition and/or heritage culture retention between non-native parents and their children diverges. The resulting conflict may exacerbate mental health conditions in already vulnerable populations. The present study examined discrepancies between Hispanic and Anglo-American acculturation, as two separate constructs, and mental health symptomology in Hispanic childhood cancer survivors (HCCS) and their parents.
Participants were 68 matched parent-child dyads (HCCS (M = 19.4 (2.77) years., 50.0% female); and parent (M = 46.3 (6.07) years., 89.7% female)). Study variables were HCCS posttraumatic-growth (PTG) and quality-of-life (PedsQL); parent posttraumatic stress (PTSD); and parent/HCCS depressive symptoms (CESD) and acculturation orientations. Discrepancy was calculated as the dyadic difference between like acculturation measures.
After controlling for covariates, Hispanic acculturation discrepancy and HCCS psychosocial health (a subset of PedsQL) was negatively correlated (r = -0.26, p < 0.5); while Anglo-American acculturation discrepancy was positively associated with HCCS PTG (r = 0.34, p < 0.01) and overall PedsQL (r = 0.24, p < 0.05), and moderated the relationship between parent CESD and HCCS PedsQL.
The findings suggest that the two acculturation discrepancy constructs have opposite effects. HCCS losing their heritage culture while their parents simultaneously retain it appears to be a deleterious process; whereas, HCCS learning the US culture more rapidly than parents may have protective benefits. This study has important implications for mental health interventions among HCCS. Findings should be used to inform the survivorship clinical community of the value of acculturation timing and parent/child discrepancy.
当非本地父母及其子女在接受主流文化和/或保留传统文化的速度上出现差异时，就会发生文化适应差异。由此产生的冲突可能会加剧弱势群体的心理健康问题。本研究考察了西班牙裔和英裔美国人文化适应差异（作为两个独立的概念）与西班牙裔儿童癌症幸存者（HCCS）及其父母心理健康症状之间的关系。
参与者为68对匹配的亲子二元组（HCCS（平均年龄=19.4（2.77）岁，50.0%为女性）；父母（平均年龄=46.3（6.07）岁，89.7%为女性））。研究变量包括HCCS创伤后成长（PTG）和生活质量（儿童生活质量量表）；父母创伤后应激障碍（PTSD）；以及父母/HCCS抑郁症状（流调中心抑郁量表）和文化适应取向。差异被计算为相似文化适应测量之间的二元差异。
在控制协变量后，西班牙裔文化适应差异与HCCS心理社会健康（儿童生活质量量表的一个子集）呈负相关（r=-0.26，p<0.05）；而英裔美国人文化适应差异与HCCS PTG呈正相关（r=0.34，p<0.01）和总体儿童生活质量量表呈正相关（r=0.24，p<0.05），并调节了父母流调中心抑郁量表与HCCS儿童生活质量量表之间的关系。
研究结果表明，这两种文化适应差异结构具有相反的影响。HCCS失去其传统文化而父母同时保留它似乎是一个有害的过程；而HCCS比父母更快地学习美国文化可能具有保护作用。本研究对HCCS的心理健康干预具有重要意义。研究结果应用于告知生存临床社区文化适应时机和亲子差异的价值。
