Journal of Immigrant and Minority Health

, Volume 16, Issue 6, pp 1103–1110 | Cite as

Ethnic and Gender Variations in the Associations Between Family Cohesion, Family Conflict, and Depression in Older Asian and Latino Adults

Original Paper

Abstract

To examine the associations between family conflict, family cohesion and late-life depression in Latino and Asian populations and test if these associations vary by race/ethnicity and gender. We used a subsample of older adults from the National Latino Asian American Study (N = 395). All analyses were weighted and adjusted for individual and clinical characteristics. Greater family cohesion was associated with decrease in risk for depression in Latino and Asian older adult populations (OR: 0.68, 95 % CI: 0.54, 0.84). These associations varied by gender, with men being more sensitive to family cohesion and family conflict than women. Asian older adults were more sensitive to family conflict, whereas Latino older adults were more sensitive to family cohesion. The quality of family relationships is strongly associated with late-life depression. Further research is needed to better understand the complex interplay between social support, ethnicity, and gender in latelife depression outcomes.

Keywords

Family context Asian and Latino family Late-life depression Family conflict Family cohesion 

References

  1. 1.
    Mutchler J, Prakash A, Burr J. The demography of disability and the effects of immigrant history: older Asians in the United States. Demography. 2007;44(2):251–63.PubMedCrossRefGoogle Scholar
  2. 2.
    Valdez RB, Arce C. A profile of Hispanic elders. Horizons Project Nationwide Demographic Report. McGraw-Hill: Cutting Edge Communications, Inc; 2000.Google Scholar
  3. 3.
    Jimenez DE, et al. Prevalence of psychiatric illnesses in older ethnic minority adults. J Am Geriatr Soc. 2010;58(2):256–64.PubMedCrossRefPubMedCentralGoogle Scholar
  4. 4.
    Bae SW, Kung WW. Family intervention for Asian Americans with a schizophrenic patient in the family. Am J Orthopsychiatr. 2000;70(4):532–41.CrossRefGoogle Scholar
  5. 5.
    Yee BWK, Huang LN, Lew A. Families: Life-span socialization in a cultural context. In: Zane NWS, Lee LC, editors. Handbook of Asian American Psychology. Thousand Oaks: Sage publications; 1998. p. 83–135.Google Scholar
  6. 6.
    Koenigsberg HW, et al. Expressed emotion and glucose control in insulin-dependent diabetes mellitus. Am J Psychiatr. 1993;150(7):1114–5.PubMedGoogle Scholar
  7. 7.
    Kim EY, Miklowitz DJ. Expressed emotion as a predictor of outcome among bipolar patients undergoing family therapy. J Affect Disord. 2004;82(3):343–52.PubMedGoogle Scholar
  8. 8.
    Martire LM, Schulz R. Involving family in psychosocial interventions for chronic illness. Curr Dir Psychol Sci. 2007;16(2):90–4.CrossRefGoogle Scholar
  9. 9.
    Lee MS, Crittenden KS, Yu E. Social support and depression among elderly Korean immigrants in the United States. Int J Aging Hum Dev. 1996;42(4):313–27.PubMedCrossRefGoogle Scholar
  10. 10.
    Rivera FI et al. Family cohesion and its relationship to psychological distress among Latino groups. Hisp J Behav Sci (2008).Google Scholar
  11. 11.
    Lincoln K, Chae D. Emotional support, negative interaction and major depressive disorder among African Americans and Caribbean Blacks: findings from the National Survey of American Life. Soc Psychiatry Psychiatr Epidemiol. 2012;47(3):361–72.PubMedCrossRefGoogle Scholar
  12. 12.
    Areán PA, Reynolds CF III. The impact of psychosocial factors on late-life depression. Biol Psychiatry. 2005;58(4):277–82.PubMedCrossRefGoogle Scholar
  13. 13.
    George LK. Social and economic factors related to psychiatric disorders in late life. In: Blazer DG, Steffens DC, Busse EW, editors. The American psychiatric publishing textbook of geriatric psychiatry. 4th ed. Arlington: American Psychiatric Publishing, Inc; 2004.Google Scholar
  14. 14.
    Alegria M, et al. Cultural relevance and equivalence in the NLAAS instrument: integrating etic and emic in the development of cross-cultural measures for a psychiatric epidemiology and services study of Latinos. Int J Methods Psychiatr Res. 2004;13(4):270–88.PubMedCrossRefPubMedCentralGoogle Scholar
  15. 15.
    Heeringa SG, et al. Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). Int J Methods Psychiatr Res. 2004;13(4):221–40.PubMedCrossRefGoogle Scholar
  16. 16.
    Pennell B-E, et al. The development and implementation of the National Comorbidity Survey Replication, the National Survey of American Life, and the National Latino and Asian American Survey. Int J Methods Psychiatr Res. 2004;13(4):241–69.PubMedCrossRefGoogle Scholar
  17. 17.
    Kessler RC, Üstün TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004;13(2):93–121.PubMedCrossRefGoogle Scholar
  18. 18.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: DSM-IV-TR; 2000.Google Scholar
  19. 19.
    Kessler RC, et al. National comorbidity survey replication adolescent supplement (NCS-A): III. Concordance of <i> DSM-IV </i>/CIDI Diagnoses With Clinical Reassessments. J Am Acad Child Adolesc Psychiatr. 2009;48(4):386–99.CrossRefGoogle Scholar
  20. 20.
    Kessler RC, et al. Clinical calibration of DSM-IV diagnoses in the World Mental Health (WMH) version of the World Health Organization (WHO) Composite International Diagnostic Interview (WMH-CIDI). Int J Methods Psychiatr Res. 2004;13(2):122–39.PubMedCrossRefGoogle Scholar
  21. 21.
    Cervantes RC, Padilla AM, De Snyder NS. Reliability and validity of the Hispanic stress inventory. His J Behav Sci. 1990;12(1):76–82.CrossRefGoogle Scholar
  22. 22.
    Olson DH. Circumplex Model VII: validation studies and FACES III. Fam Process. 1986;25(3):337–51.PubMedCrossRefGoogle Scholar
  23. 23.
    StataCorp. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP; 2009.Google Scholar
  24. 24.
    Tabachnick B, Fidell L. Using multivariatestatistics. 4th ed. NewYork: Harper& Row; 2001.Google Scholar
  25. 25.
    Kim HS, et al. Pursuit of comfort and pursuit of harmony: culture, relationships, and social support seeking. Pers Soc Psychol Bull. 2006;32(12):1595–607.PubMedCrossRefGoogle Scholar
  26. 26.
    Walton E, Takeuchi DT. Family structure, family processes, and well-being among Asian Americans: considering gender and nativity. J Fam Issues. 2010;31(3):301–32.CrossRefGoogle Scholar
  27. 27.
    Guarnaccia PJ, et al. Assessing diversity among Latinos: results from the NLAAS. Hisp J Behav Sci. 2007;29(4):510–34.PubMedCrossRefPubMedCentralGoogle Scholar
  28. 28.
    Kim J, Choi NG. Twelve-month prevalence of DSM-IV mental disorders among older Asian Americans: comparison with younger groups. Aging Mental Health. 2010;14(1):90–9.PubMedCrossRefGoogle Scholar
  29. 29.
    Chae D, et al. Discrimination, family relationships, and major depression among Asian Americans. J Immigr Minor Health. 2012;14(3):361–70.PubMedCrossRefPubMedCentralGoogle Scholar
  30. 30.
    Sangalang CC, Gee GC. Depression and anxiety among Asian Americans: the effects of social support and strain. Soc Work. 2012;57(1):49–60.PubMedCrossRefGoogle Scholar
  31. 31.
    Mulvaney-Day NE, Alegria M, Sribney W. Social cohesion, social support, and health among Latinos in the United States. Soc Sci Med. 2007;64(2):477–95.PubMedCrossRefPubMedCentralGoogle Scholar
  32. 32.
    Barnett PA, Gotlib IH. Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. Psychol Bull. 1988;104(1):97–126.PubMedCrossRefGoogle Scholar
  33. 33.
    Lowenstein A. Solidarity–conflict and ambivalence: testing two conceptual frameworks and their impact on quality of life for older family members. J Gerontol Ser B Psychol Sci Soc Sci. 2007;62(2):S100–7.CrossRefGoogle Scholar
  34. 34.
    Spitze G, Gallant MP. “The Bitter With the Sweet” Older Adults’ strategies for handling ambivalence in relations with their adult children. Res Aging. 2004;26(4):387–412.CrossRefGoogle Scholar
  35. 35.
    Pillemer K, et al. Capturing the complexity of intergenerational relations: exploring ambivalence within later-life families. J Social Issues. 2007;63(4):775–91.CrossRefGoogle Scholar
  36. 36.
    Ying YW, Han M. Familism and mental health: variation between Asian American children of refugees and immigrants. Int J Appl Psychoanal Stud. 2007;4(4):333–48.CrossRefGoogle Scholar
  37. 37.
    Hinton L, et al. Gender disparities in the treatment of late-life depression: qualitative and quantitative findings from the IMPACT trial. Am J Geriatr Psychiatr. 2006;14(10):884–92.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Mijung Park
    • 1
  • Jürgen Unützer
    • 2
  • David Grembowski
    • 3
  1. 1.Department of Health and Community SystemsUniversity of Pittsburgh School of NursingPittsburghUSA
  2. 2.Department of Psychiatry and Behavioral SciencesUniversity of Washington School of MedicineSeattleUSA
  3. 3.Department of Health ServicesUniversity of Washington School of Public HealthSeattleUSA

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