Abstract
Background: Asian-American young adult women have high rates of depression and suicide. Disempowering parenting style, characterized as abusive, burdening, culturally disjointed, disengaged, gender prescriptive (ABCDG), has been associated with suicidal ideation and suicide attempt among Asian-American women. Objective: This study examines specific socio-contextual factors that may be associated with disempowering parenting styles of Asian immigrant parents. Methods: Thirty-eight 1.5- and 2nd-generation Asian-American women (Chinese, Korean, and Vietnamese) participated in in-depth interviews. Among this, 16 women reported a history of suicidal ideation or suicide attempt. NVivo was used to identify shared socio-contextual factors among these 16 women. Results: Findings revealed seven socio-contextual factors were linked to disempowering parenting: (1) mental and physical health concerns, (2) marital discord, (3) sociocultural linguistic barriers, (4) job-related stress, (5) fragile support networks, (6) trauma from the country of origin, and (7) the vague transmission of personal history. Discussion: The stressors related to pre- and post-immigration among these parents were linked to their characteristics of parenting. These stressors collectively affect immigrant parents as well as their own children. Identification of these factors allows us to design culturally informed psychotherapy to work effectively with Asian-American parents as well as their children. It is essential that researchers, practitioners, and policymakers use culturally informed practice to evaluate and intervene before these stressors lead to suicidality in young Asian-American women.
This study was funded in part by NIMH Grant K01 MH086366-05 to the first author.
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References
Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., Spencer, M. S., … Alegría, M. (2007). Use of mental health-related services among immigrant and US-born Asian Americans: Results from the National Latino and Asian American Study. American Journal of Public Health, 97:91–98.
Alfred, M. V. (2001). Immigrants in America: Who are they, and why do they come? Adult Learning, 13(1), 2–5.
Barkmann, C., Romer, G., Watson, M., & Schulte-Markwort, M. (2007). Parental physical illness as a risk for psychosocial maladjustment in children and adolescents: Epidemiological findings from a National Survey in Germany. Psychosomatics, 48(6), 476–481. https://doi.org/10.1176/appi.psy.48.6.476.
Bhugra, D., & Becker, M. (2005). Migration, cultural bereavement and cultural identity. World Psychiatry, 4(1), 18–24.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa.
Bryant-Davis, T., & Ocampo, C. (2005). Racist incident–based trauma. The Counseling Psychologist, 33(4), 479–500.
Buehler, C., & Gerard, J. M. (2002). Marital conflict, ineffective parenting, and children’s and adolescents’ maladjustment. Journal of Marriage and Family, 64(1), 78–92.
Cheng, J. K. Y., Fancher, T. L., Ratanasen, M., Conner, K. R., Duberstein, P. R., Sue, S., & Takeuchi, D. (2010). Lifetime suicidal ideation and suicide attempts in Asian Americans. Asian American Journal of Psychology, 1(1), 18.
Cohen, L. R., Hien, D. A., & Batchelder, S. (2008). The impact of cumulative maternal trauma and diagnosis on parenting behavior. Child Maltreatment, 13(1), 27–38. https://doi.org/10.1177/1077559507310045.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.
Conners, N. A., Bradley, R. H., Whiteside Mansell, L., Liu, J. Y., Roberts, T. J., Burgdorf, K., & Herrell, J. M. (2004). Children of mothers with serious substance abuse problems: An accumulation of risks. The American Journal of Drug and Alcohol Abuse, 30(1), 85–100.
De Castro, A. B., Gee, G. C., & Takeuchi, D. T. (2008). Job-related stress and chronic health conditions among Filipino immigrants. Journal of Immigrant and Minority Health, 10(6), 551–558.
DuBard, C. A., & Gizice, Z. (2008). Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. American Journal of Public Health, 98, 2021–2028.
Duldulao, A. A., Takeuchi, D. T., & Hong, S. (2009). Correlates of suicidal behaviors among Asian Americans. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 13(3), 277–290. https://doi.org/10.1080/13811110903044567.
Eiden, R. D., Schuetze, P., & Coles, C. D. (2011). Maternal cocaine use and mother–infant interactions: Direct and moderated associations. Neurotoxicology and Teratology, 33(1), 120–128. https://doi.org/10.1016/j.ntt.2010.08.005.
Frisbie, W. P., Cho, Y., & Hummer, R. (2001). Immigration and the health of Asian and Pacific islander adults in the United States. American Journal of Epidemiology, 153(4), 372–380.
Futa, K. T., Hsu, E., & Hansen, D. J. (2001). Child sexual abuse in Asian American families: An examination of cultural factors that influence prevalence, identification, and treatment. Clinical Psychology: Science and Practice, 8(2), 189–209.
Gee, G. C., Ro, A., Shariff-Marco, A., & Chae, D. (2009). Racial discrimination and health among Asian Americans: Evidence, assessment, and directions for future research. Epidemiologic Reviews, 31, 130–151. doi:10.1093/epirev/mxp009.
Gee, G. C., Spencer, M., Chen, J., Yip, T., & Takeuchi, D. T. (2007). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science & Medicine, 64(10), 1984–1996.
Gomez, J., Miranda, R., & Polanco, L. (2011). Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. Journal of Youth and Adolescence, 40(11), 1465.
Hahm, H. C., Augsberger, A., Feranil, M., Jang, J., & Tagerman, M. (2016). The associations between forced sex and severe mental health, substance use, and HIV risk Behaviors among Asian American women. Violence Against Women, 23(6), pii: 1077801216647797. https://doi.org/10.1177/1077801216647797.
Hahm, H. C., Gonyea, J. G., Chiao, C., & Koritsanszky, L. A. (2014). Fractured identity: A framework for understanding young Asian American Women’s self-harm and suicidal behaviors. Race and Social Problems, 6(1), 56–68. https://doi.org/10.1007/s12552-014-9115-4.
Hahm, H. C., Jang, J., Vu, C., Alexander, L. M., Driscoll, K. E., & Lundgren, L. (2013). Drug use and suicidality among Asian American women who are children of immigrants. Substance Use & Misuse, 48(14), 1563–1576. https://doi.org/10.3109/10826084.2013.808219.
Hans, S. (1992). Maternal opioid use and child development. In Maternal substance abuse and the developing nervous system (pp. 177–214). Boston, MA: Academic Press.
Hsu, E., Davies, C. A., & Hansen, D. J. (2004). Understanding mental health needs of southeast Asian refugees: Historical, cultural, and contextual challenges. Clinical Psychology Review, 24(2), 193–213.
Huang, W.-J. (2005). An Asian perspective on relationship and marriage education. Family Process, 44(2), 161–173. https://doi.org/10.1111/j.1545-5300.2005.00051.x.
Hwang, W.-C. (2006). Acculturative family distancing: Theory, research, and clinical practice. Psychotherapy (Chicago, Ill.), 43(4), 397–409. https://doi.org/10.1037/0033-3204.43.4.397.
Hwang, W. C., & Ting, J. Y. (2008). Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cultural Diversity and Ethnic Minority Psychology, 14(2), 147.
Ishii-Kuntz, M. (2004). Racial and ethnic diversity in marriage: Asian American perspective. In P. Amato & N. Gonzalez (Eds.), Vision 2004: What is the future of marriage? (pp. 37–41). Minneapolis, MN: National Council on Family Relations.
John, D. A., De Castro, A. B., Martin, D. P., Duran, B., & Takeuchi, D. T. (2012). Does an immigrant health paradox exist among Asian Americans? Associations of nativity and occupational class with self-rated health and mental disorders. Social Science & Medicine, 75(12), 2085–2098.
Kagitçibasi, Ç. (2007). Family, self, and human development across cultures: Theory and applications (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
Kao, G. (2004). Parental influences on the educational outcomes of immigrant youth. International Migration Review, 38(2), 427–449.
Kaushal, N. (2005). New immigrants’ location choices: Magnets without welfare. Journal of Labor Economics, 23(1), 59–80.
Kim, S. Y., Wang, Y., Orozco-Lapray, D., Shen, Y., & Murtuza, M. (2013). Does “tiger parenting” exist? Parenting profiles of Chinese Americans and adolescent developmental outcomes. Asian American Journal of Psychology, 4(1), 7–18. doi:10.1037/a0030612.
Kinzie, J. D., Boehnlein, J. K., Leung, P. K., Moore, L. J., Riley, C., & Smith, D. (1990). The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees. The American Journal of Psychiatry, 147(7), 913.
Klonsky, E. D. (2011). Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine, 41(9), 1981–1986.
Kroll, J., Habenicht, M., Mackenzie, T., Yang, M., Chan, S., Vang, T., … Cabugao, R. (1989). Depression and posttraumatic stress disorder in southeast Asian refugees. The American Journal of Psychiatry, 146(12), 1592.
Lau, A. S., Jernewall, N. M., Zane, N., & Myers, H. F. (2002). Correlates of suicidal behaviors among Asian American outpatient youths. Cultural Diversity in Ethnic Minority Psychology., 8(3), 199–213.
Lee, Y. S., & Hadeed, L. (2009). Intimate partner violence among Asian immigrant communities: Health/mental health consequences, help-seeking behaviors, and service utilization. Trauma, Violence, & Abuse, 10(2), 143–170.
Lee, J., & Hahm, H. C. (2012). HIV risk, substance use, and suicidal Behaviors among Asian American lesbian and bisexual women. AIDS Education and Prevention: Official Publication of the International Society for AIDS Education, 24(6), 549–563. https://doi.org/10.1521/aeap.2012.24.6.549.
Li, M. (2015). Pre-migration trauma and post-migration stressors for Asian and Latino American immigrants: Transnational stress proliferation. Social Indicators Research, 129, 47.
Lueck, K., & Wilson, M. (2010). Acculturative stress in Asian immigrants: The impact of social and linguistic factors. International Journal of Intercultural Relations, 34(1), 47–57. https://doi.org/10.1016/j.ijintrel.2009.10.004.
Meyer, O. L., Nguyen, K. H., Dao, T. N., Vu, P., Arean, P., & Hinton, L. (2015). The sociocultural context of caregiving experiences for Vietnamese dementia family caregivers. Asian-American Journal Psychology, 6(3), 263–272.
Milkman, R. (2011). Immigrant workers and the future of American labor. ABA Journal of Labor & Employment Law, 26(2), 295–310.
NAMI. (2011, July 1). Asian-American teenage girls have the highest rates of depression. NAMI release report. Retrieved from http://www.nami.org/Press-Media/Press-Releases/2011/Asian-American-Teenage-Girls-Have-Highest-Rates-of
Otsuki, T. A. (2003). Substance use, self-esteem, and depression among Asian American adolescents. Journal of Drug Education, 33(4), 369–390.
Parolin, M., & Simonelli, A. (2016). Attachment theory and maternal drug addiction: The contribution to parenting interventions. Frontiers in Psychiatry, 7, 152. https://doi.org/10.3389/fpsyt.2016.00152.
Pew Social & Demographic Trends. (2013). The rise of Asian Americans. Washington, DC: Pew Social & Demographic Trends.
Pyke, K. D., & Johnson, D. L. (2003). Asian American women and racialized femininities: “Doing” gender across cultural worlds. Gender & Society, 17(1), 33–53.
Rumbaut, R. G. (2004). Ages, life stages, and generational cohorts: Decomposing the immigrant first and second generations in the United States. International Migration Review, 38(3), 1160–1205.
Takaki, R. (1989). Strangers from a different shore: A history of Asian Americans. New York, NY: Penguin Books.
Taylor, Z. E., Conger, R. D., Robins, R. W., & Widaman, K. F. (2015). Parenting practices and perceived social support: Longitudinal relations with the social competence of Mexican-origin children. Journal of Latina/o Psychology, 3(4), 193–208. https://doi.org/10.1037/lat0000038.
U.S. Department of Labor, Bureau of Labor Statistics. (2016). Foreign-born workers: Labor force characteristics—2015 [News release]. Retrieved from https://www.bls.gov/news.release/pdf/forbrn.pdf
US Department of Health and Human Services. (2001). Mental Health Care for Asian Americans and Pacific Islanders. In Mental Health: Culture, Race, and Ethnicity A Supplement to Mental Health: A Report of the Surgeon General (pp. 107–126). Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General, Substance Abuse and Mental Health Services Administration.
Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117(6), 1939–1948.
Whitlock, J., Muehlenkamp, J., & Eckenrode, J. (2008). Variation in nonsuicidal self-injury: Identification and features of latent classes in a college population of emerging adults. Journal of Clinical Child & Adolescent Psychology, 37(4), 725–735.
Whitlock, J., Muehlenkamp, J., Purington, A., Eckenrode, J., Barreira, P., Baral Abrams, G., … Knox, K. (2011). Nonsuicidal self-injury in a college population: General trends and sex differences. Journal of American College Health, 59(8), 691–698.
Wilkinson, R. G., & Marmot, M. (Eds.). (2003). Social determinants of health: The solid facts. World Health Organization.
Wu, C., & Chao, R. K. (2011). Intergenerational cultural dissonance in parent-adolescent relationships among Chinese and European Americans. Developmental Psychology, 47(2), 493–508.
Yoo, G. J., & Kim, B. W. (2010). Remembering sacrifices: Attitude and beliefs among second-generation Korean Americans regarding family support. Journal of Cross-Cultural Gerontology, 25(2), 165–181.
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Hahm, H.C., Kim, Y., Brova, M., Liang, K., Maglalang, D.D., Rivera, A. (2017). Behind the Disempowering Parenting: Expanding the Framework to Understand Asian-American Women’s Self-Harm and Suicidality. In: Choi, Y., Hahm, H. (eds) Asian American Parenting. Springer, Cham. https://doi.org/10.1007/978-3-319-63136-3_8
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