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THE ROLES OF SHAME, GENDER, AND ETHNICITY IN THE RELATIONSHIP BETWEEN ANXIETY AND DEPRESSION
Title
THE ROLES OF SHAME, GENDER, AND ETHNICITY IN THE RELATIONSHIP BETWEEN ANXIETY AND DEPRESSION
Creator
Ogu, Precious Nnedimma
Date
2017, 2017-07
Description
Anxiety is commonly comorbid with depression and negatively influences recovery (van Balkom et al., 2008). The aim of this study was to...
Show moreAnxiety is commonly comorbid with depression and negatively influences recovery (van Balkom et al., 2008). The aim of this study was to examine shame as a possible link between depression and anxiety. Shame has been found associated with means of coping with depression and anxiety (Treeby &Bruno, 2012) and to mediate the relationship between stigma formation and depression severity (Hsu et al., 2008) and is related to anxiety in a variety of clinical and non-clinical populations (Fergus, Valentiner, McGrath, & Jencius, 2010; Li, Qian & Zhong 2005). Recent research has shown crosscultural differences in the meaning and experience of shame and in subsequent shame-related behaviors (Zhong et al., 2008). Shame had a stronger relationship with social anxiety in Chinese culture than in American culture (Zhong et al., 2008). And mediated the relationships between personality traits and social anxiety symptoms in a sample of Chinese adolescents (Li, Qian, & Zhong, 2005). Since shame has been found to be related to depression and to anxiety, it could follow that crosscultural differences also exist in the relationships among depression, anxiety, and shame. The first hypothesis of this study was that shame mediates the relationship between anxiety and depression, with higher levels of depression being related to higher levels of shame which, in turn, are related to higher levels of anxiety. The second hypothesis was that males and ethnic minorities exhibit a stronger relationship between depressive symptoms and shame. 250 adults who self-identified as Asian, Caucasian, or Hispanic were recruited through online postings on Craigslist.com and WeSearchTogether.org for a study of how viii peoples’ perception of their moods affects how they feel about themselves. Participants were provided a link to an online questionnaire, which they could fill out at their convenience. Upon completion, they were entered in a raffle to win one of four $50 gift cards. Participants completed the Beck Anxiety Inventory, the Test of Self-Conscious Affect-Shame Scale-3, and the Center for Epidemiologic Studies Depression Scale. Data were analyzed with the multiple regression based PROCESS program (Hayes, 2013) for studying mediation and moderation. The hypothesis regarding shame as a mediator was confirmed. The mediated effect of depression on anxiety through shame was significant. The direct effect also was significant, meaning that the mediation was partial. The shame-mediated path accounted for 8.3% of the total relationship between depression and anxiety. The hypothesis regarding ethnicity was partially confirmed. Being Asian (vs. Caucasian) significantly moderated the relationship between depression and shame, with the relationship being stronger for Asians. However, neither being Hispanic (vs. Caucasian) nor gender was a significant moderator. These results will hopefully foster more culturally-informed understanding of the place of anxiety symptoms in depression, and potentially motivate clinicians to pay attention to demographic variables and their implications during treatment of depression and anxiety.
M.S. in Psychology, July 2017
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EXAMINING THE ROLES OF PUBLIC STIGMA AND ACCULTURATION ON CARE-SEEKING IN PAKISTANIS
Title
EXAMINING THE ROLES OF PUBLIC STIGMA AND ACCULTURATION ON CARE-SEEKING IN PAKISTANIS
Creator
Laique, Aamir
Date
2021
Description
Pakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The...
Show morePakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The present study examined the impact of culture on the relationship between public stigma and care-seeking attitudes. A sample of 158 Pakistani Americans was collected using MTurk. Hierarchical regression was conducted to examine the moderating effect of heritage acculturation and mainstream acculturation on the relationship between public stigma and care-seeking. Multiple regression analysis predicting care-seeking from public stigma, heritage acculturation, and mainstream acculturation did not yield a statistically significant model. Hierarchical regression analyses examining the moderating effect of heritage acculturation and mainstream acculturation were non-significant. Acculturation had no notable impact on stigma and care-seeking. This study was unable to demonstrate significant results. Future considerations should include inter-generational differences, other forms of stigma that may play a crucial role, and inclusion of different measures to determine if there are other scales better suited for the target population.
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Mental Health Stigma and Care-Seeking in First Generation Indian Immigrants
Title
Mental Health Stigma and Care-Seeking in First Generation Indian Immigrants
Creator
Shah, Binoy
Date
2019
Description
Objective: Immigrants from India face unique obstacles, including migration related factors and cultural pressures, that may contribute to...
Show moreObjective: Immigrants from India face unique obstacles, including migration related factors and cultural pressures, that may contribute to underutilization of mental health treatment services. The present thesis examined paths between mental health stigma and care-seeking in a sample of first-generation Indian immigrants, with a specific emphasis on the influences of acculturation and parental autonomy support. Method: A sample of 201 first-generation immigrants from India was ascertained using MTurk. Path analysis was conducted to examine the relationships between public stigma of mental illness, disclosure, mental health care-seeking, parental autonomy support, and bi-directional acculturation. Results: Final model was supported by good fit indicators. Greater public stigma was associated with reduced care-seeking, but greater disclosure was associated with increased care-seeking. Interestingly, parental autonomy support, mainstream acculturation, and heritage acculturation facilitated disclosure but had no discernible impact on public stigma. Conclusions: In contrast to traditional anti-stigma strategies that focus on reducing public stigma, present results suggest that it may be more beneficial to facilitate care-seeking by targeting disclosure of status. In turn, disclosure may be promoted by facilitating autonomy supportive social networks and bi-directional acculturation.
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CULTURALLY SENSITIVE HELP-SEEKING AMONG ASIAN INTERNATIONAL AND ASIAN AMERICAN COLLEGE STUDENTS
Title
CULTURALLY SENSITIVE HELP-SEEKING AMONG ASIAN INTERNATIONAL AND ASIAN AMERICAN COLLEGE STUDENTS
Creator
Tsen, Jonathan Yee-jon
Date
2020
Description
Asian populations are rapidly rising, representing the fastest growing racial group of immigrants in the U.S. with many seeking higher...
Show moreAsian populations are rapidly rising, representing the fastest growing racial group of immigrants in the U.S. with many seeking higher education. While many face risk for poor mental health outcomes and high suicidal ideation, Asian college students report lower rates seeking mental health services than White Americans. The purpose of this study was to test a culturally sensitive help-seeking model for Asian international and Asian American college students, and to capture relevant psychological and cultural factors that influence help-seeking. This study used an observational design to build on the current research and evaluated the effects of acculturation, enculturation, public stigma of help-seeking, self-stigma of help-seeking, and attitudes on willingness to seek psychological services. Four hundred and fifty-eight students (Age M = 23.93, SD = 4.36) represented by 265 Asian International Students and 193 Asian American Students. Using a path analysis, results demonstrated a poorly fitted model, suggesting that acculturation, enculturation, public stigma, self-stigma, attitudes, and willingness do not relate significantly to each other when viewed altogether in a model. This remained true even when modifications to the model were made, and when observing the model within only Asian American student sample or Asian international student sample. However, significant direct effects were observed between enculturation and public stigma in the total sample, as well as separately in Asian American or Asian international samples. These findings highlight the importance of exploring with different methodological approaches to gain insight on other important psychological and cultural factors that impact help-seeking among Asian international and Asian American college students.
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