Journal of Immigrant and Minority Health

, Volume 21, Issue 6, pp 1208–1216 | Cite as

Acculturation and Postpartum Depression Among Immigrant Women of Arabic Descent

  • Dalia Alhasanat-KhalilEmail author
  • Carmen Giurgescu
  • Ramona Benkert
  • Judith Fry-McComish
  • Dawn P. Misra
  • Hossein Yarandi
Original Paper


Acculturation has been related to risk of postpartum depression (PPD) among immigrant women globally. The purpose of this study was to examine the relationship between acculturation and PPD symptoms among U.S. immigrant women of Arabic descent. A cross-sectional study was conducted with 115 postpartum immigrant women of Arabic descent. Women completed questionnaires including measures of acculturation [attraction to Arabic culture (AArC), attraction to American culture (AAmC), marginalization] and PPD symptoms (Edinburgh Postnatal Depression Scale—EPDS) between 1 and 12 months postpartum. Twenty-five percent of women (n = 29) had EPDS scores ≥ 10 that represent PPD symptoms. Women with higher marginalization reported more PPD symptoms (r = .25, p = .008). None of the acculturation factors correlated with PPD symptoms after adjustment for maternal sociodemographic and health characteristics. Higher education (p = .001), lower gestational age at birth (p < .05), and antenatal anxiety (p < .05) were correlated with PPD symptoms in multivariate analyses. Health care providers should identify and assess immigrant women of Arabic descent for antenatal anxiety as this may identify women at risk for development of PPD symptoms. Future studies need to examine acculturation in relation to mental health among immigrant women of Arabic descent.


Postpartum depressive symptoms Acculturation Immigrant women Arabic descent 



I would like to express my deep appreciation for Alesia Grinstead, WIC manager in ACCESS, and Dr. Jouhaina Maleh, MD for providing the space and the setting to make this study possible.


This work was supported by Wayne State University Graduate School; Blue Cross Blue Shield of Michigan Foundation (BCBSM) [Grant Number 2375.SAP]; and Sigma Theta Tau Foundation- Lambda Chapter.

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.College of NursingWayne State UniversityDetroitUSA
  2. 2.College of Nursing, Center for Women, Children, and YouthThe Ohio State UniversityColumbusUSA
  3. 3.Department of Family Medicine and Public Health Sciences, School of MedicineWayne State UniversityDetroitUSA

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