Skip to main content

Advertisement

Log in

Acculturation, Acculturative Stress, and Depressive Symptoms in International Migrants: A Study with Vietnamese Women in South Korea

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Globally, there have been increasing numbers of migrant women; these women are at an increased risk for depressive symptoms. The purpose of this study was to examine the associations among acculturation, acculturative stress and depressive symptoms in Vietnamese women who migrated to South Korea through marriages. We hypothesized that acculturative stress would serve as a mediator in the relationship between acculturation and depressive symptoms. Our findings from surveys with 217 Vietnamese immigrant women showed that the indirect effect of acculturation on depressive symptoms, mediated through acculturative stress [− .15 (.04)], was significant (bias corrected 95% confidence interval for the indirect effect = − .25, − .08). Low levels of acculturation increased acculturative stress, which in turn led to the elevated symptoms of depression. Our findings not only illuminate the adaptation processes of international, female migrants but also suggest avenues to protect and promote their mental well-being.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Yang YM, Wang HH. Acculturation and health-related quality of life among Vietnamese immigrant women in transnational marriages in Taiwan. J Transcult Nurs. 2011;22(4):405–13.

    Article  PubMed  CAS  Google Scholar 

  2. Statistics Korea. Marriages of immigrants status; 2017. Availiable from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2430.

  3. Chae SM, Park JW, Kang HS. Relationships of acculturative stress, depression, and social support to health-related quality of life in Vietnamese immigrant women in South Korea. J Transcult Nurs. 2014;25(2):137–44.

    Article  PubMed  Google Scholar 

  4. Im H, Lee KY, Lee HY. Acculturation stress and mental health among the marriage migrant women in Busan, South Korea. Community Ment Health J. 2014;50(4):497–503.

    Article  PubMed  Google Scholar 

  5. Moon S, Jang Y, Ko JE, Lee S. Factors associated life satisfaction in Vietnamese women living in South Korea. Fam Cult. 2015;27(3):250–71.

    Article  Google Scholar 

  6. Berry JW. Immigration, acculturation, and adaptation. Applied Psychology. 1997;46:5–34.

    Google Scholar 

  7. Sam DL, Berry JW, editors. The Cambridge Handbook of Acculturation Psychology. Cambridge: Cambridge University Press; 2006.

    Google Scholar 

  8. Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65:237–51.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Chiriboga DA, Black SA, Aranda M, Markides K. Stress and depressive symptoms among Mexican American elders. J Gerontol B. 2002;57(6):P559-568.

    Article  Google Scholar 

  10. Gupta A, Leong F, Valentine JC, Canada DD. A meta analytic study: the relationship between acculturation and depression among Asian Americans. Am J Orthopsychiatry. 2013;83(2pt3):372–85.

    Article  PubMed  Google Scholar 

  11. Hwang WC, Ting JY. Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cult Divers Ethn Minor Psychol. 2008;14(2):147–54.

    Article  Google Scholar 

  12. Jang Y, Chiriboga DA. Living in a different world: acculturative stress among Korean American elders. J Gerontol B. 2010;65B:14–21.

    Article  Google Scholar 

  13. Oh Y, Koeske GF, Sales E. Acculturation, stress, and depressive symptoms among Korean immigrants in the United States. J Soc Psychol. 2002;142(4):511–26.

    Article  PubMed  Google Scholar 

  14. Ayers JW, Hofstetter CR, Usita P, Irvin VL, Kang S, Hovell MF. Sorting out the competing effects of acculturation, immigrant stress & social support on depression: a report on Korean women in California. J Nerv Ment Dis. 2009;197(10):742–47.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lazarus R, Folkman S. Stress, Appraisal, and Coping. New York: Springer; 1984.

    Google Scholar 

  16. Jang Y, Kim G, Chiriboga D, King-Kallimanis B. A bidimensional model of acculturation for Korean American older adults. J Aging Stud. 2007;21(3):267–75.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lin S, Liu J, Jang Y. The role of psychosocial and cultural factors as correlates of depressive symptoms in Chinese-American older adults. Clin Gerontol. 2014;37(2):108–19.

    Article  Google Scholar 

  18. Sandhu DS, Asrabadi BR. Development of an acculturative stress scale for international students: preliminary findings. Psychol Rep. 1994;75(1):435–48.

    Article  PubMed  CAS  Google Scholar 

  19. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adult: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Prev Med. 1994;10:77–84.

    Article  CAS  Google Scholar 

  20. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.

    Article  Google Scholar 

  21. Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res. 1998;81:341–52.

    Article  PubMed  CAS  Google Scholar 

  22. Thai TT, Jones MK, Harris LM, Heard RC. Screening value of the Center for epidemiologic studies-depression scale among people living with HIV/AIDS in Ho Chi Minh City, Vietnam: a validation study. BMC Psychiatry. 2016;16(1):145–55.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Tabachnick B, Fidell L. Using Multivariate Statistics. New York: Harper Collins; 1996.

    Google Scholar 

  24. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. CITY: Guilford Press; 2013.

    Google Scholar 

  25. Hayes AF. Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76:408–20.

    Article  Google Scholar 

  26. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40:879–91.

    Article  PubMed  Google Scholar 

  27. Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res. 2007;42:185–227.

    Article  Google Scholar 

  28. Kim JA, Yang SJ, Kwon KJ, Kim JH. Predictive factors of depression among Asian female marriage immigrants in Korea. Nurs Health Sci. 2011;13(3):275–81.

    PubMed  Google Scholar 

Download references

Acknowledgements

This study was in part supported by the Korea Health Technology R&D Project (HI15C0401) through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jung Eun Ko.

Ethics declarations

Conflict of interest

The authors claim that there are no conflicts of interest to disclose.

Ethical Approval

The study has been approved by Chung-Ang University’s Institutional Review Board.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cho, Y.J., Jang, Y., Ko, J.E. et al. Acculturation, Acculturative Stress, and Depressive Symptoms in International Migrants: A Study with Vietnamese Women in South Korea. J Immigrant Minority Health 20, 1103–1108 (2018). https://doi.org/10.1007/s10903-017-0661-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-017-0661-x

Keywords

Navigation