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Journal of Child and Family Studies

, Volume 27, Issue 9, pp 2954–2965 | Cite as

Childhood Shadows: Psychological Distress of Childhood Maltreatment among Asian-American Women

  • Jungup Lee
  • Mi Jin Choi
Original Paper
  • 203 Downloads

Abstract

Childhood maltreatment is a key social determinant that potentially results in long-lasting psychological consequences in adulthood. This study examined the link between childhood maltreatment (i.e., physical abuse, sexual abuse, and exposure to violence) and psychological distress (i.e., depression and anxiety) among Asian-American women. The moderating effect of perceived discrimination on the association was also investigated. This study utilized self-reported data from 1022 Asian-American women aged 18–65 (Mage = 38.51) who participated in the National Latino and Asian American Survey. A series of multivariate logistic regressions were conducted to detect the association between childhood maltreatment, sociodemographics and acculturation, and psychological distress for Asian-American women. Results indicated that Asian women who experienced sexual abuse and were exposed to violence during childhood had a significantly greater likelihood of both depressive and anxiety disorders, while childhood physical abuse was significantly associated with a depressive disorder, but not an anxiety disorder (Model 1). In Model 2, marital status and perceived discrimination were significant determinants of psychological distress. Respondents who were never married had a greater likelihood of depression compared to those who were married or cohabited. Also, women who perceived discrimination were more likely to have both depressive and anxiety disorders. In Model 3, perceived discrimination was a significant moderator on the association between exposure to violence and an anxiety disorder. From a clinical perspective, identifying the effects of social determinants on mental health disorders and providing proper services and intervention can be key to improving an individual’s well-being and social stability.

Keywords

Childhood maltreatment Social determinants of health Depression Anxiety Asian-American women 

Notes

Acknowledgements

Author Contributions

J.L.: designed and executed the study, analyzed the data, wrote the paper, and edited the final manuscript. M.C.: collaborated with the design and writing of the study.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, (DSM-IV). 4th ed. Washington, DC: American Psychiatric Association.Google Scholar
  2. Appeal, H. B., Huang, B., Ai, A. L., & Lin, C. J. (2011). Physical, behavioral, and mental health issues in Asian American Women: Results from the National Latino Asian American Study. Journal of Women’s Health, 20, 1703–1711.  https://doi.org/10.1089/jwh.2010.2726.CrossRefGoogle Scholar
  3. Bauer, A. M., Chen, C. N., & Alegría, M. (2010). English language proficiency and mental health service use among Latino and Asian Americans with mental disorders. Medical Care, 48, 1097–1104.  https://doi.org/10.1097/MLR.0b013e3181f80749.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Behl, L. E., Crouch, J. L., May, P. F., Valente, A. L., & Conyngham, H. A. (2001). Ethnicity in child maltreatment research: A content analysis. Child Maltreatment, 6, 143–147. https://doi.org/10.1177/1077559501006002006.CrossRefPubMedGoogle Scholar
  5. Breslau, J., Kendler, K. S., Su, M., Gaxiola-Aguilar, S., & Kessler, R. C. (2005). Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States. Psychological Medicine, 35, 317–327.  https://doi.org/10.1017/S0033291704003514.CrossRefPubMedPubMedCentralGoogle Scholar
  6. Center for Behavioral Health Statistics and Quality (2016). 2015 National Survey on Drug Use and Health: Detailed Tables, Table 8.2A. Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristic and Table 8.35A. Received Mental Health Treatment/Counseling in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic Characteristics. Substance Abuse and Mental Health Services Administration, Rockville, MD. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf.
  7. Chae, D. H., Lee, S., Lincoln, K. D., & Ihara, E. (2012). Discrimination, family relationships, and major depression among Asian Americans. Journal of Immigrant and Minority Health, 14(3), 361–370.  https://doi.org/10.1007/s10903-011-9548-4.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Chang, E. C., & Kwon, P. (2014). Special issue on psychopathology in Asian and the DSM-5: Culture matters. Journal of Psychiatry, 7, 66–67.  https://doi.org/10.1016/j.ajp.2013.12.001.Google Scholar
  9. Cheung, M., & LaChapelle, A. (2011). Disproportionality from the other side: The underrepresentation of Asian American children. In D. K. Green, K. Belanger, R. G. McRoy & L. Bullard (Eds.), Challenging racial disproportionality in child welfare: Research, policy, and practice (pp. 131–139). Washington, DC: CWLA Press.Google Scholar
  10. Child Welfare Information Gateway. (2013). What is child abuse and neglect? Recognizing the signs and symptoms. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. https://www.childwelfare.gov/pubpdfs/whatiscan.pdf.Google Scholar
  11. Child Welfare Information Gateway. (2016). Racial disproportionality and disparity in child welfare. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.Google Scholar
  12. Choi, J., Miller, A. M., & Wilbur, J. (2009). Acculturation and depression symptoms in Korean immigrant women. Journal of Immigrant Minority Health, 11, 13–19.  https://doi.org/10.1007/s10903-007-9080-8.CrossRefPubMedGoogle Scholar
  13. Chung, G. H., & Tucker, M. B., & Takeuchi, D. (2008). Wives’ relative income production and household male dominance: Examining violence among Asian American enduring couples. Family Relations, 57, 227–238.  https://doi.org/10.1111/j.1741-3729.2008.00496.x.CrossRefGoogle Scholar
  14. Combs, D. R., Penn, D. L., & Fenigstein, A. (2002). Ethnic differences in subclinical paranoia: An expansion of norms of the Paranoia Scale. Cultural Diversity and Ethnic Minority Psychology, 8, 248–256.CrossRefPubMedGoogle Scholar
  15. Commission on Social Determinants of Health (2008). Closing the gap in a generation: High equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. Geneva: World Health Organization. http://apps.who.int/iris/bitstream/10665/43943/1/9789241563703_eng.pdf.
  16. Cook, B., Alegria, M., Lin, J., & Guo, J. (2009). Pathways and correlates connecting Latinos’ mental health with exposure to the United States. American Journal of Public Health, 99, 2247–2254.  https://doi.org/10.2105/AJPH.2008.137091.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48.  https://doi.org/10.1177/002214650905000103.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Dong, M., Giles, W. H., Felitti, V. J., Dube, S. R., Williams, J. E., Chapman, D. P., & Anda, R. F. (2004). Insights into causal pathways for ischemic heart disease adverse childhood experiences study. Circulation, 110, 1761–1766.  https://doi.org/10.1161/01.CIR.0000143074.54995.7F.CrossRefPubMedGoogle Scholar
  19. Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111, 564–572.CrossRefPubMedGoogle Scholar
  20. Fuller-Thomson, E., Baird, S. L., Dhrodia, R., & Brennenstuhl, S. (2016). The association between adverse childhood experiences (ACEs) and suicide attempts in a population-based study. Child: Care, Health and Development, 42, 725–734.  https://doi.org/10.1111/cch.12351.Google Scholar
  21. 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, 189–209.  https://doi.org/10.1093/clipsy.8.2.189.CrossRefGoogle Scholar
  22. Gavin, A. R., Walton, E., Chae, D. H., Alegria, M., Jackson, J. S., & Takeuchi, D. (2010). The associations between socioeconomic status and major depression disorder among Blacks, Latinos, Asians, and non-Hispanic Whites: Findings from the Collaborative Psychiatric Epidemiology Studies. Psychological Medicine, 40(1), 51–61.  https://doi.org/10.1017/S0033291709006023.CrossRefPubMedGoogle Scholar
  23. Gee, G. C., Spencer, M. S., Chen, J., & Takeuchi, D. (2007). A nationwide study of discrimination and chronic health conditions among Asian Americans. American Journal of Public Health, 97, 1275–1282.  https://doi.org/10.2105/AJPH.2006.091827.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Guerrero, E. G., Marsh, J. C., Duan, L., Oh, C., Perron, B., & Lee, B. (2013). Disparities in completion of substance abuse treatment between and within racial and ethnic groups. Health Services Research, 48, 1450–1467.  https://doi.org/10.1111/1475-6773.12031.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Hadland, S. E., Wood, E., Dong, H., Marshall, B. D. L., Kerr, T., Montaner, J. S., & DeBeck, K. (2015). Suicide attempts and childhood maltreatment among street youth: A prospective cohort study. Pediatrics, 136, 440–449.  https://doi.org/10.1542/peds.2015-1108.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Hahm, H. C., Kolaczyk, E., Lee, Y., Jang, J., & Ng, L. (2012). Do Asian-American women who were maltreated as children have a higher likelihood for HIV risk behaviors and adverse mental health outcomes? Women’s Health Issues, 22, e35–e43.  https://doi.org/10.1016/j.whi.2011.07.003.CrossRefPubMedGoogle Scholar
  27. Hatzenbuehler, M. L., Prins, S. J., Flake, M., Philbin, M., Frazer, M. S., Hagen, D., & Hirsch, J. (2017). Immigration policies and mental health morbidity among Latinos: A state-level analysis. Social Science & Medicine, 174, 169–178.  https://doi.org/10.1016/j.socscimed.2016.11.040.CrossRefGoogle Scholar
  28. Heeringa, S. G., Wagner, J., Torres, M., Duan, N., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). International Journal of Methods in Psychiatric Research, 13, 221–240.  https://doi.org/10.1002/mpr.179.CrossRefPubMedGoogle Scholar
  29. Hwang, W. C., & Wood, J. J. (2009). Acculturative family distancing: Links with self-reported symptomatology among Asian Americans and Latinos. Child Psychiatry and Human Development, 40(1), 123–138.  https://doi.org/10.1007/s10578-008-0115-8.CrossRefPubMedGoogle Scholar
  30. Jang, S., Kawachi, I., Chang, J., Boo, K., Shin, H., Lee, H., & Cho, S. (2009). Marital status, gender, and depression: Analysis of the baseline survey of the Korean Longitudinal Study of Ageing (KLoSA). Social Science & Medicine, 69, 1608–1615.  https://doi.org/10.1016/j.socscimed.2009.09.007.CrossRefGoogle Scholar
  31. Jang, Y., Kim, G., & Chiriboga, D. A. (2011). Gender differences in depressive symptoms among older Korean American immigrants. Social Work in Public Health, 26(1), 96–109.  https://doi.org/10.1080/10911350902987003.CrossRefPubMedGoogle Scholar
  32. Kessler, R. C., Berglund, P., Chiu, W. T., Demler, O., Heeringa, S., Hiripi, E., & Zheng, H. (2004). The U.S. National Comorbidity Survey Replication (NCS–R): An overview of designing and field procedures. International Journal of Methods in Psychiatric Research, 13, 69–92.  https://doi.org/10.1002/mpr.167.CrossRefPubMedGoogle Scholar
  33. Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSMIII-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51(1), 8–19.  https://doi.org/10.1001/archpsyc.1994.03950010008002.CrossRefPubMedGoogle Scholar
  34. Kim, I., Chen, J., & Spencer, M. S. (2012). Social determinants of health and mental health among Asian Americans in the United States. Journal of the Society for Social Work and Research, 3, 346–361.CrossRefGoogle Scholar
  35. Lau, A. S., Tsai, W., Shih, J., Liu, L. L., Hwang, W., & Takeuchi, D. T. (2013). The immigrant paradox among Asian American women: Are disparities in the burden of depression and anxiety paradoxical or explicable? Journal of Consulting and Clinical Psychology, 81, 901–911.  https://doi.org/10.1037/a0032105.CrossRefPubMedGoogle Scholar
  36. Lee, M. R., Okazaki, S., & Yoo, H. C. (2006). Frequency and intensity of social anxiety in Asian Americans and European Americans. Cultural Diversity and Ethnic Minority Psychology, 12, 291–305.  https://doi.org/10.1037/1099-9809.12.2.291.CrossRefPubMedGoogle Scholar
  37. Lin, P. C., & Wang, H. (2011). Factors associated with depressive symptoms among older adults living alone: An analysis of sex difference. Aging & Mental Health, 15(8), 1038–1044.  https://doi.org/10.1080/13607863.2011.583623.CrossRefGoogle Scholar
  38. Lindström, M., & Rosvall, M. (2012). Marital status, social capital, economic stress, and mental health: A population-based study. The Social Science Journal, 49, 339–342.  https://doi.org/10.1016/j.soscij.2012.03.004.CrossRefGoogle Scholar
  39. Maguire-Jack, K., Lanier, P., Johnson-Motoyama, M., Welch, H., & Dineen, M. (2015). Geographic variation in racial disparities in child maltreatment: The influence of county poverty and population density. Child Abuse & Neglect, 47, 1–13.  https://doi.org/10.1016/j.chiabu.2015.05.020.CrossRefGoogle Scholar
  40. Masood, N., Okazaki, S., & Takeuchi, D. T. (2009). Gender, family, and community correlates of mental health in South Asian Americans. Cultural Diversity Ethnic Minority Psychology, 15(3), 265–274.  https://doi.org/10.1037/a0014301.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Mereish, E. H., Liu, M. M., & Helms, J. E. (2012). Effects of discrimination on Chinese, Pilipino, and Vietnamese Americans’ mental and physical health. Asian American Journal of Psychology, 3, 91–103. https://doi.org/10.1037/a0025876.CrossRefGoogle Scholar
  42. Miller, A. B., & Cross, T. (2006). Ethnicity in child maltreatment research: A replication of Behl et al. content analysis. Child Maltreatment, 11(1), 16–26.  https://doi.org/10.1177/1077559505278272.CrossRefPubMedGoogle Scholar
  43. Narang, A. S. (2001). World conference against racism: Prospects and challenges. Economic and Political Weekly, 36, 2495–2499.Google Scholar
  44. Pagoto, S. L., Schneider, K. L., Bodenlos, J. S., Appelhans, B. M., Whited, M. C., Ma, Y., & Lemon, S. C. (2012). Association of post-traumatic stress disorder and obesity in a nationally representative sample. Obesity (Silver Spring), 20(1), 200–205.  https://doi.org/10.1038/oby.2011.318.CrossRefGoogle Scholar
  45. Pan, A., Franco, O. H., Wang, Y., Yu, Z., Ye, X., & Lin, X. (2008). Prevalence and geographic disparity of depressive symptoms among middle-aged and elderly in China. Journal of Affective Disorders, 105, 167–175.  https://doi.org/10.1016/j.jad.2007.05.003.CrossRefPubMedGoogle Scholar
  46. Park, J., & Roh, S. (2013). Daily spiritual experiences, social support, and depression among elderly Korean immigrants. Aging & Mental Health, 17(1), 102–108.  https://doi.org/10.1080/13607863.2012.715138.CrossRefGoogle Scholar
  47. Pennell, B. E., Bowers, A., Carr, D., Chardoul, S., Cheung, G., Dinkelmann, K., & Torres, M. (2004). The development and implementation of the National Comorbidity Survey Replication, the National Survey of American Life, and the National Latino and Asian American Surveys. International Journal of Methods in Psychiatric Research, 13, 241–269.  https://doi.org/10.1002/mpr.180.CrossRefPubMedGoogle Scholar
  48. Pew Research Center. (2012). The rise of Asian Americans. Washington, DC: Pew Social & Demographic Trends.Google Scholar
  49. Pfeffer, C. R. (1991). Family characteristics and support systems as risk factors for youth suicidal behavior. In L. Davidson & M. Linnoila (Eds.), Risk factors for youth suicide (pp. 55–71). New York: Hemisphere.Google Scholar
  50. Rhee, S., Chang, J., Weaver, D., & Wong, D. (2008). Child maltreatment among immigrant Chinesefamilies: Characteristics and patterns of placement. Child Maltreatment, 13, 269–279.  https://doi.org/10.1177/1077559507313461.CrossRefPubMedGoogle Scholar
  51. Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf.
  52. Simpson, T. L., & Miller, W. R. (2002). Concomitance between childhood sexual and physical abuse and substance use problems: A review. Clinical Psychology Review, 22(1), 27–77.  https://doi.org/10.1016/S0272-7358(00)00088-X.CrossRefPubMedGoogle Scholar
  53. Sue, S., Sue, D. W., Sue, L., & Takeuchi, D. T. (1995). Psychopathology among Asian Americans: A model minority? Cultural Diversity and Mental Health, 1, 39–51.CrossRefPubMedGoogle Scholar
  54. Takeuchi, D. T., Chung, R. C., Lin, K. M., Shen, H., Kurasaki, K., Chun, C.-A., & Sue, S. (1998). Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. American Journal of Psychiatry, 155, 1407–1441.  https://doi.org/10.1176/ajp.155.10.1407.CrossRefPubMedGoogle Scholar
  55. Takeuchi, D. T., Zane, N., Hong, S., Chae, D. H., Gong, F., Gee, G. C., & Alegria, M. (2007). Immigration-related factors and mental disorders among Asian Americans. American Journal of Public Health, 97(1), 84–90.CrossRefPubMedPubMedCentralGoogle Scholar
  56. Thompson, M. P., Arias, I., Basile, K. C., & Desai, S. (2002). The association between childhood physical and sexual victimization and health problems in adulthood in a nationally representative sample of women. Journal of Interpersonal Violence, 17, 1115–1129.  https://doi.org/10.1177/08862605-0201710-06.CrossRefGoogle Scholar
  57. Uba, L. (1994). Asian American: Personality patterns, identity, and mental health. New York, NY: Guilford Press.Google Scholar
  58. U.S. Census Bureau (2007). The American Community—Asians: 2004. https://www.census.gov/prod/2007pubs/acs-05.pdf.
  59. U.S. Census Bureau (2014). The Asian Alone Population in the United States: 2014. Table 1. Population by Sex and Age, for Asian Alone and White Alone, Not Hispanic: 2014. https://www.census.gov/data/tables/2014/demo/race/ppl-aa14.html.
  60. U.S. Census Bureau (2015a). Annual estimates of the resident population by sex, race, and Hispanic origin for the United States, states, and counties: April 1, 2010 to July 1, 2015. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk.
  61. U.S. Census Bureau (2015b). Sex by age (Asian alone), Universe: People who are Asian alone, American Community Survey 2015. http://www.socialexplorer.com/data/ACS2015/metadata/?ds=ACS15&table=C01001D.
  62. U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2007). Child Maltreatment. Washington, DC: U.S. Government Printing Office. http://www.acf.hhs.gov/programs/cb/research-data-technology/statistics-research/childmaltreatment.Google Scholar
  63. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., Alderete, E., Catalano, R., & Caraveo-Anduaga, J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry, 55, 771–778.  https://doi.org/10.1001/archpsyc.55.9.771.CrossRefPubMedGoogle Scholar
  64. Verhulp, E. E., Stevens, G. W. J. M., Pels, T. V. M., Van Weert, C. M. C., & Vollebergh, W. A. M. (2016). Lay beliefs about emotional problems and attitudes toward mental health care among parents and adolescents: Exploring the impact of immigration. Cultural Diversity and Ethnic Minority Psychology. Advance online publication.  https://doi.org/10.1037/cdp0000092.
  65. Warner, L. A., Alegria, M., & Canino, G. (2012). Childhood maltreatment among Hispanic women in the United States: An examination of subgroup differences and impact on psychiatric disorder. Child Maltreatment, 17, 119–131.  https://doi.org/10.1177/1077559512444593.CrossRefPubMedGoogle Scholar
  66. Weil, J. M., & Lee, H. H. (2004). Cultural considerations in understanding family violence among Asian American Pacific Islander families. Journal of Community Health Nursing, 21, 217–227.  https://doi.org/10.1207/s15327655jchn2104_2.CrossRefPubMedGoogle Scholar
  67. Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2001). Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. The American Journal of Psychiatry, 158, 2027–2032.  https://doi.org/10.1176/appi.ajp.158.12.2027.CrossRefPubMedGoogle Scholar

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Authors and Affiliations

  1. 1.Department of Social WorkNational University of SingaporeSingaporeSingapore
  2. 2.School of Social WorkTexas State UniversitySan MarcosUSA

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