Kim Eunhye, Yeo Hyesu, Choi Y Joon
Pamplin College of Arts, Humanities, and Social Sciences Department of Social Sciences, Augusta University, Augusta, GA, USA.
School of Social Work, University of Georgia, Athens, GA, USA.
Aging Ment Health. 2025 Mar;29(3):435-443. doi: 10.1080/13607863.2024.2396554. Epub 2024 Aug 27.
This study examined how resilience and coping strategies were associated with depressive symptoms among Korean American older adults during COVID-19. The prevalent depressive symptoms and low use of mental health services in this population have raised significant concerns among healthcare professionals. Therefore, this study aims to understand the relationships between resilience and coping types on depressive symptoms and provide valuable insights into addressing these issues within this ethnic group.
A cross-sectional survey was conducted with 132 Korean American older adults. Hierarchical linear regression analyses were performed to assess the effect of sociodemographic factors (age, gender, marital status, years of living in the U.S., self-rated health, financial security), resilience, and coping strategies (problem-focused coping, emotion-focused coping, avoidant coping) on depressive symptoms. Next, the interactions between resilience and three coping strategies for depressive symptoms were tested.
The findings show that depressive symptoms were associated with financial security and avoidant coping. Also, resilience interacted with avoidant coping and emotion-focused coping. Among the participants with low resilience, depressive symptoms increased rapidly when avoidant and emotion-focused coping strategies increased, respectively.
This study emphasizes the importance of culturally tailored interventions to promote resilience and decrease avoidant and emotion-focused coping among Korean American older adults.
本研究探讨了在新冠疫情期间，韩裔美国老年人的心理韧性和应对策略与抑郁症状之间的关联。该人群中普遍存在的抑郁症状以及心理健康服务利用率低的情况，引发了医疗保健专业人员的重大关切。因此，本研究旨在了解心理韧性和应对方式与抑郁症状之间的关系，并为在该种族群体中解决这些问题提供有价值的见解。
对132名韩裔美国老年人进行了横断面调查。进行分层线性回归分析，以评估社会人口学因素（年龄、性别、婚姻状况、在美国居住年限、自评健康状况、经济保障）、心理韧性和应对策略（问题聚焦应对、情绪聚焦应对、回避应对）对抑郁症状的影响。接下来，测试了心理韧性与三种抑郁症状应对策略之间的相互作用。
研究结果表明，抑郁症状与经济保障和回避应对有关。此外，心理韧性与回避应对和情绪聚焦应对存在相互作用。在心理韧性较低的参与者中，当回避应对和情绪聚焦应对策略分别增加时，抑郁症状迅速增加。
本研究强调了针对韩裔美国老年人进行文化定制干预以提高心理韧性、减少回避应对和情绪聚焦应对的重要性。
