Abstract
This study explored whether, and how, ethnicity and individualism-collectivism are related to depression symptomatology and attitudes toward seeking professional help using a comparison of university students in the United States and South Korea. Eighty eight American college students and 95 South Korean college students participated in the study. Canonical correlation analyses revealed that low ratings on vertical individualism in American culture are related to more positive attitudes toward seeking professional help. On the basis of these findings some tentative counseling implications are considered and directions for future research are proposed.
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Atkinson, D. R. (1985). A meta-review of research on cross-cultural counseling and psychotherapy.Journal of Multicultural Counseling and Development, 13, 138–153.
Atkinson, D. R., & Gim, R. (1989). Asian-American cultural identity and attitudes toward mental health services.Journal of Counseling Psychology, 36, 209–212.
Chang, W. (1985). A cross-cultural study of depressive symptomatology.Culture, Medicine and Psychiatry, 9, 295–317.
Edman, J. L., & Kameoka, V. (1991).Cultural variation in illness explanation and help-seeking. Unpublished manuscript.
Fischer, E. H., & Turner, J. (1970). Orientation to seeking professional help: Development and research utility of an attitude scale.Journal of Counseling and Clinical Psychology, 35, 79–90.
Iwata, N., Saito, K., & Roberts, R. E. (1993). Responses of a self-administered depression scale among young adolescent in Japan.Psychiatry Research, 53, 275–287.
Kawanishi, Y. (1992). Somatization of Asians: An artifact of western medicalization?Transcultural Psychiatric Research Review, 29, 5–36.
Kuo, C., & Kavanagh, K (1994). Chinese perspective on culture and mental health.Issues in Mental Health Nursing, 15, 551–567.
Kuo, W. H. (1984). Prevalence of depression among Asian-Americans.Journal of Nervous and Mental Disease, 172, 449–457.
Lin, K (1981). Traditional Chinese medical beliefs and their relevance for mental illness and psychiatry. In A Kleinman & K Lin (Eds.),Normal and Abnormal Behaviors in Chinese Culture (pp. 95–111). Dordrecht: The Netherlands: D. Reidel.
Lin, N. (1989). Measuring depressive symptomatology in China.Journal of Nervous and Mental Disease, 177, 121–131.
Lin, T. (1982). Discussion: Cultural aspects of mental health care for Asian Americans. In A. Gaw (Eds.),Cross-Cultural Psychiatry (pp. 69–73). Boston: John Wright, PSG Inc.
Narikiyo, T. A., & Kameoka, V. A (1992). Attributions of mental illness and judgments about help seeking among Japanese-American and White American students.Journal of Counseling Psychology, 39, 363–369.
Noh, S., Kasper, V., & Chen, X. (1998). Measuring depression in Korean immigrants: Assessing validity of the translated Korean version of the CES-D scale.Cross-Cultural Research, 12, 358–377
Noh, S., Avison, W. R., & Kaspar, V. (1992). Depressive symptoms among Korean immigrants: Assessment of a translation of the Center for Epidemiologic Studies-Depression Scale.Psychological Assessment, 4, 84–91.
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale of research in the general population.Applied Psychological Measurement, 1, 385–401.
Sandhu, D. S. (1997). Psychocultural profiles of Asian and Pacific Islanders Americans: Implications for counseling and psychotherapy.Journal of Multicultural Counseling and Development, 25, 7–22.
Sandhu, D. S., Porters, P. R., & McPhee, S. A. (1996). Assessing cultural adaptation: Psychometric properties of the Cultural Adaptation Pain Scale.Journal of Multicultural Counseling and Development, 24, 15–25.
Singelis, T. M., Triandis, H. C., Bhawuk, D. P. S., & Gelfand, M J. (1995). Horizontal and vertical dimensions of individualism and collectivism: A theoretical and measurement refinement.Cross-Cultural Research, 29, 240–275.
Sue, D. W., & Kirk, B. A. (1975). Asian-Americans: Use of counseling and psychiatric services on a college campus.Journal of Counseling Psychology, 22, 84–86.
Tabachnick, B. G., & Fidell, L. S. (1989).Using multivariate statistics. New York: Harper & Row.
Tabora, B., & Flaskerud, J. H. (1994). Depression among Chinese Americans: A review of the literature.Issues in Mental Health Nursing, 15, 569–584.
Tanaka-Matsumi, J., & Marsella, A. J. (1976). Cross-cultural variations in the phenomenological experience of depression: Word association studies.Journal of Cross-Cultural Psychology, 7, 379–397.
Tata, S. P., & Leong, F. (1994). Individualism-collectivism, social-network orientation, and acculturation as predictors of attitudes toward seeking professional psychological help.Journal of Counseling Psychology, 41, 280–287.
Triandis, H. C. (1995).Individualism and collectivism. Boulder: Wetview Press.
Weng, B. K. (1999). Help-seeking preference of college students in urban China after the implementation of the “open-door” policy.International Journal of Social Psychiatry, 45, 104–116.
White, G. (1982). The role of cultural explanations in ‘somatization’ and ‘psychologization’.Social Science and Medicine, 16, 1519–1530.
Ying, Y. (1988). Depressive symptomatology among Chinese-Americans as measured by the CES-D.Journal of Clinical Psychology, 44, 739–747.
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Yoo, SK. The cultural impact on depression expression and attitudes toward seeking professional help: A comparative study of Americans and South Koreans. Asia Pacific Educ. Rev. 2, 94–100 (2001). https://doi.org/10.1007/BF03024936
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DOI: https://doi.org/10.1007/BF03024936