Skip to main content

Advertisement

Log in

Bidimensional Acculturation and Psychological Distress in Pakistani Immigrant Women in Norway: A Cross-Sectional Study

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

Abstract

Immigrants from South Asia have higher risks of mental health problems . Low levels of acculturation and self-efficacy may be risk factors for depression and psychological distress in immigrants. 355 Pakistani immigrant women in Oslo, filled out a questionnaire concerning demographic variables, self-efficacy, and psychological distress. A bidimensional acculturation variable was constructed. A stepwise logistic regression model was used to investigate the importance of the level of acculturation and self-efficacy on psychological distress. Low levels of acculturation were reported. Integrated participants reported significantly less psychological distress on the depression score and total score than separated and marginalized participants. The model showed that assimilated or marginalized participants had a fourth and three times higher risk of high levels of distress compared with integrated participants. The possibility to be bicultural seems important in order to ensure mental health and national policies should promote an integrative and multiculturalism approach.

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.

Similar content being viewed by others

References

  1. SSB. Levekår blant innvandrere i Norge, Rapporter 2017/13, pp. 191–3. 2016. http://www.ssb.no/sosiale-forhold-og-kriminalitet/artikler-og-publikasjoner/levekar-blant-innvandrere-i-norge-2016. Accessed 19 June 2018.

  2. Gater R, Tomenson B, Percival C, Chaudhry N, Waheed W, Dunn G, Macfarlane G, Creed F. Persistent depressive disorders and social stress in people of Pakistani origin and white Europeans in UK. Soc Psychiatry Psychiatr Epidemiol. 2009;3:198–207.

    Article  Google Scholar 

  3. Hjellset VT, Ihlebæk CM, Bjørge B, Eriksen HR, Høstmark AT. Health-related quality of life, subjective health complaints, psychological distress and coping in Pakistani immigrant women with and without the metabolic syndrome: the InnvaDiab-DEPLAN study on Pakistani immigrant women living in Oslo, Norway. J Immigr Minor Health. 2011;4:732–41.

    Article  Google Scholar 

  4. Thapa SB, Dalgard OS, Claussen B, Sandvik L, Hauff E. Psychological distress among immigrants from high- and low-income countries: findings from the Oslo Health Study. Nord J Psychiatry. 2007;6:459–65.

    Article  Google Scholar 

  5. Abebe DS, Lien L, Hjelde KH. What we know and don’t know about mental health problems among immigrants in Norway. J Immigr Minor Health. 2014;1:60–7.

    Article  Google Scholar 

  6. Tonsing KN, Tse S, Tonsing JC. Acculturation, perceived discrimination, and psychological distress: experiences of South Asians in Hong Kong. Transcult Psychiatry. 2015;1:124–44.

    Google Scholar 

  7. Wiking E, Johansson S-E, Sundquist J. Ethnicity, acculturation, and self reported health: a population based study among immigrants from Poland, Turkey, and Iran in Sweden. J Epidemiol Commun Health. 2004;7:574–82.

    Article  Google Scholar 

  8. Daniel M, Wilbur J, Fogg LF, Miller AM. Correlates of lifestyle: physical activity among South Asian Indian immigrants. J Commun Health Nurs. 2013;4:185–200.

    Article  Google Scholar 

  9. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1997;2:191–215.

    Google Scholar 

  10. Maciejewski PK, Prigerson HG, Mazure CM. Self-efficacy as a mediator between stressful life events and depressive symptoms: differences based on history of prior depression. Br J Psychiatry. 2000;176:373–8.

    Article  CAS  PubMed  Google Scholar 

  11. Ryder AG, Alden LE, Paulhus DL. Is acculturation unidimensional or bidimensional? A head-to-head comparison in the prediction of personality, self-identity, and adjustment. J Pers Soc Psychol. 2000;1:49–65.

    Article  Google Scholar 

  12. Berry JW. Immigration, acculturation, and adaptation. Appl Psychol. 1997;1:5–34.

    Google Scholar 

  13. Berry JW. Acculturation: living successfully in two cultures. Int J Intercult Relat. 2005;6:697–712.

    Article  Google Scholar 

  14. Phinney JS, Horenczyk G, Liebkind K, Vedder P. Ethnic identity, immigration, and well-being: an interaction perspective. J Soc Issues. 2001;3:493–510.

    Article  Google Scholar 

  15. Kumar BN, Meyer HE, Wandel M, Dalen I, Holmboe-Ottesen G. Ethnic differences in obesity among immigrants from developing countries, in Oslo, Norway. Int J Obes. 2006;30:684–90.

    Article  CAS  Google Scholar 

  16. Hussain-Gambles M, Leese B, Atkin K, Brown J, Mason S, Tovey P. Involving South Asian patients in clinical trials. Health Technol Assess. 2004;42:1–109.

    Google Scholar 

  17. Telle-Hjellset V, Råberg Kjøllesdal MK, Bjørge B, Holmboe-Ottesen G, Wandel M, Birkeland KI, Eriksen HR, Høstmark AT. The InnvaDiab-DE-PLAN study: a randomised controlled trial with a culturally adapted education programme improved the risk profile for type 2 diabetes in Pakistani immigrant women. Br J Nutr. 2013;3:529–38.

    Article  CAS  Google Scholar 

  18. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors, Measures in health psychology: a user’s portfolio. Windsor: NFER-Nelson; 1995. pp. 35–7.

    Google Scholar 

  19. Leganger A, Kraft P, Røysamb E. Perceived self-efficacy in health behavior research: conceptualization, measurements and correlates. Psychol Health. 2000;1:51–69.

    Article  Google Scholar 

  20. Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci. 1974;1:1–15.

    Article  Google Scholar 

  21. Sandanger I, Moum T, Ingebrigtsen G, Dalgard OS, Sorensen T, Bruusgaard D. Concordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I. Soc Psychiatry Psychiatr Epidemiol. 1998;7:345–54.

    Article  Google Scholar 

  22. Blomstedt Y, Hylander I, Sundquist J. Self-reported integration as a proxy for acculturation: a qualitative study. Nurs Res. 2007;1:63–9.

    Article  Google Scholar 

  23. Chaudhry N, Husain N, Tomenson B, Creed F. A prospective study of social difficulties, acculturation and persistent depression in Pakistani women living in the UK. Psychol Med. 2012;6:1217–26.

    Article  Google Scholar 

  24. Khuwaja SA, Selwyn BJ, Kapadia A, McCurdy S, Khuwaja A. Pakistani Ismaili Muslim adolescent females living in the United States of America: stresses associated with the process of adaptation to U.S. culture. J Immigr Minor Health. 2007;1:35–42.

    Google Scholar 

  25. Kim E. Multidimensional acculturation attitudes and depressive symptoms in Korean Americans. Issues Mental Health Nurs. 2009;2:98–103.

    Article  Google Scholar 

  26. Lieber E, Chin D, Nihira K, Mink IT. Holding on and letting go: identity and acculturation among Chinese immigrants. Cult Divers Ethnic Minor Psychol. 2001;3:247–61.

    Article  Google Scholar 

  27. Obasi EM, Leong FTL. Psychological distress, acculturation, and mental health-seeking attitudes among people of African descent in the United States: a preliminary investigation. J Couns Psychol. 2009;2:227–38.

    Article  Google Scholar 

  28. Crockett LJ, Iturbide MI, Torres Stone RA, McGinley M, Raffaelli M, Carlo G. Acculturative stress, social support, and coping: relations to psychological adjustment among Mexican American college students. Cult Divers Ethnic Minor Psychol. 2007;4:347–55.

    Article  Google Scholar 

  29. Dalgard OS, Thapa SB. Immigration, social integration and mental health in Norway, with focus on gender differences. Clin Pract Epidemiol Mental Health. 2007;3:24.

    Article  Google Scholar 

  30. Aichbergern MC, Bromandn Z, Rappn MA, Yesiln R, Montesinosn AH, Temur-Ermann S, Heinzn A, Schouler-Ocak M. Perceived ethnic discrimination, acculturation, and psychological distress in women of Turkish origin in Germany. Soc Psychiatry Psychiatr Epidemiol. 2015;11:1691–700.

    Article  Google Scholar 

  31. Dalgard OS, Thapa SB, Hauff E, McCubbin M, Syed HR. Immigration, lack of control and psychological distress: findings from the Oslo Health Study. Scand J Psychol. 2006;6:551–8.

    Article  Google Scholar 

Download references

Acknowledgements

This project was founded by the Norwegian research council (Grant No.: 204590). We want to thank Nina Konglevoll with help with punching the data. We also want to thank all the participants in the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Victoria Telle Hjellset.

Ethics declarations

Ethical Approval

The study was approved by the Regional Committees for Medical and Health Research Ethics (REC), REC South East, and was performed in accordance with the principles of the Helsinki Declaration. The participants received written and oral information in their mother tongue.

Informed Consent

All information from the participants was treated as strictly confidential, and the participants gave their written consent to the project before the intervention started.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hjellset, V.T., Ihlebæk, C. Bidimensional Acculturation and Psychological Distress in Pakistani Immigrant Women in Norway: A Cross-Sectional Study. J Immigrant Minority Health 21, 508–514 (2019). https://doi.org/10.1007/s10903-018-0764-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-018-0764-z

Keywords

Navigation