Abstract
Mexican American adolescents have a higher risk for experiencing a mental health disorder, specifically generalized anxiety disorder (GAD), compared to their non-Mexican American peers. This comprehensive narrative review examined the unique factors contributing to the manifestation of GAD among Mexican American adolescents living in the United States. The socio-ecological model (SEM) was utilized to explore bibliographic material pertaining to the various factors that influence GAD in Mexican American adolescents. Factors contributing to the manifestation of GAD were present at all multifaceted levels of the SEM. This research adds to the limited, yet growing, knowledge of GAD among Mexican American adolescents and the importance of culture, family cohesion and involvement, and the educational setting in fostering healthy development for this population.
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References
Alfaro, E. C., Umaña-Taylor, A. J., Gonzales-Backen, M. A., Bámaca, M. Y., & Zeiders, K. H. (2009). Latino adolescents’ academic success: The role of discrimination, academic motivation, and gender. Journal of Adolescence, 32(4), 941–962. https://doi.org/10.1016/j.adolescence.2008.08.007
Allen, B., & Waterman, H. (2019). Stages of adolescence. American Academy of Pediatrics. Retrieved January 25, 2022, from https://www.healthychildren.org/English/ages-stages/teen/Pages/Stages-of-Adolescence.aspx
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Assari, S., Gibbons, F. X., & Simons, R. L. (2018). Perceived discrimination among black youth: An 18-year longitudinal study. Behavioral Sciences, 8(5), 44. https://doi.org/10.3390/bs8050044
Bámaca-Colbert, M. Y., Gayles, J. G., & Lara, R. (2011). Family correlates of adjustment profiles in Mexican-origin female adolescents. Hispanic Journal of Behavioral Sciences, 33(2), 123–151. https://doi.org/10.1177/0739986311403724
Bañales, J., Hoffman, A. J., Rivas-Drake, D., & Jagers, R. J. (2020). The development of ethnic-racial identity process and its relation to civic beliefs among Latinx and Black American adolescents. Journal of Youth and Adolescence, 49(12), 2495–2508. https://doi.org/10.1007/s10964-020-01254-6
Beesdo, K., Knappe, S., & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32(3), 483–524. https://doi.org/10.1016/j.psc.2009.06.002
Biddle, S. J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: A review of reviews. British Journal of Sports Medicine, 45(11), 886–895. https://doi.org/10.1136/bjsports-2011-090185
Bluth, K., Campo, R., Futch, W., & Gaylord, S. (2017). Age and gender differences in the associations of self-compassion and emotional well-being in a large adolescent sample. Journal of Youth & Adolescence, 46(4), 840–853. https://doi.org/10.1007/s10964-016-0567-2
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Calancie, O., Ewing, L., Narducci, L. D., Horgan, S., & Khalid-Khan, S. (2017). Exploring how social networking sites impact youth with anxiety: A qualitative study of facebook stressors among adolescents with an anxiety disorder diagnosis. Cyberpsychology, 11(4). https://doi.org/10.5817/CP2017-4-2
Calzada, E., Tamis-LeMonda, C., & Yoshikawa, H. (2013). Familismo in Mexican and Dominican families from low-income, urban communities. Journal of Family Issues, 34(12), 1696–1724. https://doi.org/10.1177/0192513X12460218
Carter, R., Silverman, W. K., & Jaccard, J. (2011). Sex variations in youth anxiety symptoms: Effects of pubertal development and gender role orientation. Journal of Clinical Child and Adolescent Psychology, 40(5), 730–741. https://doi.org/10.1080/15374416.2011.597082
Castillo, L., Perez, F., Castillo, R., & Ghosheh, M. (2010). Construction and initial validation of the marianismo beliefs scale. Counselling Psychology Quarterly, 23(2), 163–175. https://doi.org/10.1080/09515071003776036
Corona, R., Rodríguez, V., McDonald, S., Velazquez, E., Rodríguez, A., & Fuentes, V. (2017). Associations between cultural stressors, cultural values, and Latina/o college students’ mental health. Journal of Youth & Adolescence, 46(1), 63–77. https://doi.org/10.1007/s10964-016-0600-5
Cruz, R. A., Navarro, C., Carrera, K., Lara, J., Mechammil, M., & Robins, R. W. (2021). Mexican-origin youths’ trajectories of internalizing symptoms from childhood into adolescence and associations with acculturation processes. Journal of Clinical Child & Adolescent Psychology, 50(1), 118–130. https://doi.org/10.1080/15374416.2019.1622120
Demma Cabral, M., & Patel, D. R. (2020). Risk factors and prevention strategies for anxiety disorders in childhood and adolescence. Advances in Experimental Medicine and Biology, 1191, 543–559. https://doi.org/10.1007/978-981-32-9705-0_27
DiPierro, M., Fite, P. J., & Johnson-Motoyama, M. (2018). The role of religion and spirituality in the association between hope and anxiety in a sample of Latino youth. Child and Youth Care Forum, 47(1), 101–114. https://doi.org/10.1007/s10566-017-9421-2
Douglass, S., Yip, T., & Shelton, J. N. (2014). Intragroup contact and anxiety among ethnic minority adolescents: Considering ethnic identity and school diversity transitions. Journal of Youth and Adolescence, 43(10), 1628–1641. https://doi.org/10.1007/s10964-014-0144-5
Drake, K. L., & Ginsburg, G. S. (2012). Family factors in the development, treatment, and prevention of childhood anxiety disorders. Clinical Child and Family Psychology Review, 15, 144–162. https://doi.org/10.1007/s10567-011-0109-0
Edwards, L., & Lopez, S. (2006). Perceived family support, acculturation, and life satisfaction in Mexican American youth: A mixed-methods exploration. Journal of Counseling Psychology, 53(3), 279–287. https://doi.org/10.1037/0022-0167.53.3.279
Garcia, C., Pintor, J., Vazquez, G., & Alvarez-Zumarraga, E. (2011). Project Wings, a coping intervention for Latina Adolescents: A pilot study. Western Journal of Nursing Research, 35(4), 434–458. https://doi.org/10.1177/0193945911407524
Glover, S. H., Pumariega, A. J., Holzer, C. E., Wise, B. K., & Rodriguez, M. (1999). Anxiety symptomatology in Mexican-American adolescents. Journal of Child and Family Studies, 8(1), 47–57. https://doi.org/10.1023/A:1022994510944
Gonzales, N. A., Germán, M., & Fabrett, F. C. (2012). U.S. Latino Youth. In E. C. Chang & C. A. Downey (Eds.), Handbook of race and development in mental health (pp. 259–278). Springer. https://doi.org/10.1007/978-1-4614-0424-8
Gonzalez, A., & Weersing, V. R. (2014). Parenting behaviors of anxious mothers and youth internalizing symptoms: A preliminary cross-ethnic investigation. Journal of Latinx Psychology, 2(4), 251–263. https://doi.org/10.1037/lat0000027
Graczyk, P., & Connolly, S. (2015). Anxiety disorders. In T. Gullotta, R. Plant, & M. Evans (Eds.), Handbook of adolescent behavioral problems: Evidence-based approaches to prevention and treatment (2nd ed., pp. 107–130). Springer. https://doi.org/10.1007/978-1-4899-7497-6_10
Grant, D. M. (2013). Anxiety in adolescence. In W. T. O’Donohue, L. T. Benuto, & L. Woodward Tolle (Eds.), Handbook of adolescent health psychology (pp. 507–519). UK: Springer. https://doi.org/10.1007/978-1-4614-6633-8_32
Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: Secrets of the trade. Journal of Chiropractic Medicine, 5(3), 101–117. Retrieved January 4, 2022, from https://familymedicine.med.wayne.edu/mph/project/green_2006_narrative_literature_reviews.pdf
Gupta, T., Rogers-Sirin, L., Okazaki, S., Ryce, P., & Sirin, S. R. (2014). The role of collective self-esteem on anxious-depressed symptoms for Asian and Latino children of immigrants. Cultural Diversity & Ethnic Minority Psychology, 20(2), 220–230. https://doi.org/10.1037/a0035022
Guy-Evans, O. (2020). Bronfenbrenner’s ecological systems theory. Simply Psychology. Retrieved February 10, 2022, from https://www.simplypsychology.org/Bronfenbrenner.html
Herrera, N., Gloria, A. M., & Castellanos, J. (2019). The role of perceived school responsiveness within a psychosociocultural understanding of Latinx high school students’ academic persistence decisions. Journal of Latinos and Education. https://doi.org/10.1080/15348431.2019.1670660
Higa-McMillan, C. K., Francis, S. E., Rith-Najarian, L., & Chorpita, B. F. (2016). Evidence base update: 50 years of research on treatment for child and adolescent anxiety. Journal of Clinical Child and Adolescent Psychology, 45(2), 91–113. https://doi.org/10.1080/15374416.2015.1046177
Kapke, T. L., & Gerdes, A. C. (2016). Latino family participation in youth mental health services: Treatment retention, engagement, and response. Clinical Child & Family Psychology Review, 19(4), 329–351. https://doi.org/10.1007/s10567-016-0213-2
Kilanowski, J. F. (2017). Breadth of the socio-ecological model. Journal of Agromedicine, 22(4), 295–297. https://doi.org/10.1080/1059924X.2017.1358971
Knapp, A. A., Blumenthal, H., Mischel, E. R., Badour, C. L., & Leen-Feldner, E. W. (2016). Anxiety sensitivity and its factors in relation to generalized anxiety disorder among adolescents. Journal of Abnormal Child Psychology, 44(2), 233–244. https://doi.org/10.1007/s10802-015-9991-0
Luis, T. M., Varela, R. E., & Moore, K. W. (2008). Parenting practices and childhood anxiety reporting in Mexican, Mexican American, and European American families. Journal of Anxiety Disorders, 22(6), 1011–1020. https://doi.org/10.1016/j.janxdis.2007.11.001
Martinelli, K., Cohen, Y., Kimball, H., & Miller, C. (2018). Understanding anxiety in children and teens: 2018 children’s mental health report. Child Mind Institute. Retrieved October 25, 2021, from https://childmind.org/awareness-campaigns/childrens-mental-health-report/2021-childrens-mental-health-report/
Martinez, W., Polo, A. J., & Smith Carter, J. (2012). Family orientation, language, and anxiety among low-income Latino youth. Journal of Anxiety Disorders, 26, 517–525. https://doi.org/10.1016/j.janxdis.2012.02.005
Martinez, P., Cummings, C., Candidate, D., Karriker-Jaffe, K. J., & Chartier, K. G. (2018). Learning from Latino voices: Focus groups’ insights on participation in genetic research. American Journal of Addictions, 26(5), 477–485. https://doi.org/10.1111/ajad.12531
Montoro, J. P., & Ceballo, R. (2021). Latinx adolescents facing multiple stressors and the protective role of familismo. Cultural Diversity and Ethnic Minority Psychology, 27(4), 705–716. https://doi.org/10.1037/cdp0000461
Nair, R., White, R., Roosa, M., & Zeiders, K. (2013). Cultural stressors and mental health symptoms among Mexican Americans: A prospective study examining the impact of the family and neighborhood context. Journal of Youth & Adolescence, 42(10), 1611–1623. https://doi.org/10.1007/s10964-012-9834-z
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffman, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hrobhartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., …, Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLOS Medicine, 18(3), 1–15.https://doi.org/10.1371/journal.pmed.1003583
Paré, G., & Kitsiou, S. (2017). Methods for literature reviews. In F. Lau, & C. Kuziemsky (Eds.), Handbook of ehealth evaluation: An evidence-based approach (pp. 157–180). University of Victoria. Retrieved November 10, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK481583/
Perez-Brena, N., Updegraff, K., & Umaña-Taylor, A. (2015). Transmission of cultural values among Mexican American parents and their adolescent and emerging adult offspring. Family Process, 54(2), 232–246. https://doi.org/10.1111/famp.12114
Perreira, K. M., Marchante, A. N., Schwartz, S. J., Isasi, C. R., Carnethon, M. R., Corliss, H. L., Kaplan, R. C., Santisteban, D. A., Vidot, D. C., Van Horn, L., & Delamater, A. M. (2019). Stress and resilience: Key correlates of mental health and substance use in the Hispanic community health study of Latino youth. Journal of Immigrant and Minority Health, 21(1), 4–13. https://doi.org/10.1007/s10903-018-0724-7
Pina, A. A., & Silverman, W. K. (2004). Clinical phenomenology, somatic symptoms, and distress in Hispanic/Latino and European American youths with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33(2), 227–236. https://doi.org/10.1207/s15374424jccp3302_3
Piña-Watson, B., Ojeda, L., Castellon, N. E., & Dornhecker, M. (2013). Familismo, ethnic identity, and bicultural stress as predictors of Mexican American adolescents’ positive psychological functioning. Journal of latino/a Psychology, 1(4), 204–217. https://doi.org/10.1037/lat0000006
Polo, A. J., & López, S. R. (2009). Culture, context, and the internalizing distress of Mexican American youth. Journal of Clinical Child and Adolescent Psychology, 38(2), 273–285. https://doi.org/10.1080/15374410802698370
Porta, C., Allen, M. L., Hurtado, G. A., Padilla, M., Arboleda, M., Svetaz, M. V., Balch, R., & Sieving, R. E. (2016). Honoring roots in multiple worlds: Professionals’ perspectives on healthy development of Latino youth. Health Promotion Practice, 17(2), 186–198. https://doi.org/10.1177/1524839915606647
Potochnick, S. R., & Perreira, K. M. (2010). Depression and anxiety among first-generation immigrant Latino youth: Key correlates and implications for future research. Journal of Nervous & Mental Disease, 198(7), 470–477. https://doi.org/10.1097/NMD.0b013e3181e4ce24
Priest, J. B., & Denton, W. (2012). Anxiety disorders and Latinos: The role of family cohesion and family discord. Hispanic Journal of Behavioral Sciences, 34(4), 557–575. https://doi.org/10.1177/0739986312459258
Ramirez, A., Gallion, K., & Aguilar, R. (2017). Mental health and Latino kids: A research review. Salud America! and Robert Wood Johnson Foundation. Retreived February 03, 2021, from https://salud-america.org/wp-content/uploads/2017/09/FINAL-mental-health-research-review-9-12-17.pdf
Romero, A., Piña-Watson, B., Stevens, A. K., Schwartz, S. J., Unger, J. B., Zamboanga, B. L., Szapocznik, J., Lorenzo-Blanco, E., Cano, M. Á., Meca, A., Baezconde-Garbanati, L., Córdova, D., Villamar, J. A., Soto, D. W., Lizzi, K. M., Des Rosiers, S. E., Pattarroyo, M., & Oshri, A. (2020). Disentangling relationships between bicultural stress and mental well-being among Latinx immigrant adolescents. Journal of Consulting and Clinical Psychology, 88(2), 149–159. https://doi.org/10.1037/ccp0000466
Rubens, S. L., Fite, P. J., Gabrielli, J., Evans, S. C., Hendrickson, M. L., & Pederson, C. A. (2013). Examining relations between negative life events, time spent in the United States, language use, and mental health outcomes in Latino adolescents. Child & Youth Care Forum, 42, 389–402. https://doi.org/10.1007/s10566-013-9205-2
Rubens, S. L., Gudiño, O. G., Fite, P. J., & Grande, J. M. (2018). Individual and neighborhood stressors, sleep problems, and symptoms of anxiety and depression among Latino youth. American Journal of Orthopsychiatry, 88(2), 161–168. https://doi.org/10.1037/ort0000234
Ruiz, E. (2006). Hispanic culture and relational cultural theory. Journal of Creativity in Mental Health, 1(1), 33–55. https://doi.org/10.1300/J456v01n01_05
Schlaudt, V. A., Suarez-Morales, L., & Black, R. A. (2021). Exploring the relationship of acculturative stress and anxiety symptoms in Latino youth. Child & Youth Care Forum, 50, 261–276. https://doi.org/10.1007/s10566-020-09575-0
Seligman, L. D., Hovey, J. D., Ibarra, M., Hurtado, G., Marin, C. E., & Silverman, W. K. (2020). Latino and non-Latino parental treatment preferences for child and adolescent anxiety disorders. Child Psychiatry & Human Development, 51, 617–624. https://doi.org/10.1007/s10578-019-00945-x
Slowey, M. (2017). Well-being of U.S. Latino youth differs by ethnic background. Population Reference Bureau. Retrieved September 5, 2020, from https://www.prb.org/us-latino-youth-well-being-differs/
Smokowski, P. R., Rose, R. A., & Bacallao, M. (2010). Influence of risk factors and cultural assets on Latino adolescents’ trajectories of self-esteem and internalizing symptoms. Child Psychiatry & Human Development, 41, 133–155. https://doi.org/10.1007/s10578-009-0157-6
Smokowski, P. R., Rose, R. A., Evans, C. B. R., Cotter, K. L., Bower, M., & Bacallao, M. (2014). Familial influences on internalizing symptomatology in Latino adolescents: An ecological analysis of parent mental health and acculturation dynamics. Development and Psychopathology, 26, 1191–1207. https://doi.org/10.1017/S0954579414000960
Stacciarini, J. M., Smith, R., Garvan, C., Wiens, B., & Cottler, L. (2015). Rural Latinos’ mental wellbeing: A mixed-methods pilot study of family, environment and social isolation factors. Community Mental Health Journal, 51(4), 404–413. https://doi.org/10.1007/s10597-014-9774-z
Taylor, Z., Kittrell, N., Nair, N., Evich, C., & Jones, B. (2020). Developmental antecedents of adolescent optimism in rural midwestern U.S. Latinx youth. Journal of Community Psychology, 48(2), 448–463. https://doi.org/10.1002/jcop.22267
Telzer, E. H., Gonzales, N., Tsai, K. M., & Fuligni, A. J. (2015). Mexican American adolescents’ family obligation values and behaviors: Links to internalizing symptoms across time and context. Developmental Psychology, 51(1), 75–86. https://doi.org/10.1037/a0038434
Torres, S. A., Sosa, S. S., Flores Toussaint, R. J., Jolie, S., & Bustos, Y. (2022). Systems of oppression: The impact of discrimination on Latinx immigrant adolescents’ well-being and development. Journal of Research on Adolescence, 32(2), 501–517. https://doi.org/10.1111/jora.12751
U.S. Census Bureau. (2018). Hispanic or Latino origin by specific origin: United States –2018 American community survey 1-year estimates. https://data.census.gov/cedsci/table?q=B03001%3A+HISPANIC+OR+LATINO+ORIGIN+BY+SPECIFIC+ORIGIN&tid=ACSDT1Y2018.B03001&hidePreview=true
Varela, R. E., & Hensley-Maloney, L. (2009). The influence of culture on anxiety in Latino youth: A review. Clinical Child & Family Psychology Review, 12, 217–233. https://doi.org/10.1007/s10567-009-0044-5
Varela, R. E., Sanchez-Sosa, J. J., Biggs, B. K., & Luis, T. M. (2009). Parenting strategies and socio-cultural influences in childhood anxiety : Mexican, Latin American descent, and European American families. Journal of Anxiety Disorders, 23, 609–616. https://doi.org/10.1016/j.janxdis.2009.01.012
Varela, R. E., Niditch, L. A., Hensley-Maloney, L., Moore, K. W., Creveling, C. C., & Jones, K. M. (2019). Culture specific influences on anxiety in Latino youth. Child and Youth Care Forum, 48(1), 1–17. https://doi.org/10.1007/s10566-018-9476-8
Vázquez García, H., García Coll, C., Erkut, S., Alarcón, O., & Tropp, L. (2000). Family values of Latino adolescents. In M. Montero-Sieburth & F. Villarruel (Eds.), Making invisible Latino adolescents visible (pp. 239–264). Falmer Press.
Viejo, C., Gómez-López, M., & Ortega-Ruiz, R. (2018). Adolescents’ psychological well-being: A multidimensional measure. International Journal of Environmental Research and Public Health, 15(10). https://doi.org/10.3390/ijerph15102325
Wakefield, W. D. & Hudley, C. (2007). Ethnic and racial identity and adolescent well-being. Theory into Practice, 46(2), 147–154. Retrieved September 7, 2020, from https://www.jstor.com/stable/40071481
Wang, M. T., & Sheikh-Khalil, S. (2014). Does parental involvement matter for student achievement and mental health in high school? Child Development, 85(2), 610–625. https://doi.org/10.1111/cdev.12153
Wantchekon, K. A., & Umaña-Taylor, A. J. (2021). Relating profiles of ethnic-racial identity process and content to the academic and psychological adjustment of Black and Latinx adolescents. Journal of Youth and Adolescence, 50(7), 1333–1352. https://doi.org/10.1007/s10964-021-01451-x
Wasserman, A. M., Crockett, L. J., Temmen, C. D., & Carlo, G. (2021). Bicultur5al stress and internalizing symptoms among U.S. Latinx youth: The moderating role of peer and parent support. Cultural Diversity and Ethnic Minority Psychology, 27(4), 769–678. https://doi.org/10.1037/cdp0000474
Yockey, R. A., King, K. A., & Vidourek, R. A. (2019). School factors and anxiety disorder among Hispanic youth: Results from the 2016 US national survey on children’s health. School Psychology International, 40(4), 403–415. https://doi.org/10.1177/0143034319849621
Zeiders, K. H., Roosa, M. W., Knight, G. P., & Gonzales, N. A. (2013). Mexican American adolescents’ profiles of risk and mental health: A person-centered longitudinal approach. Journal of Adolescence, 36(3), 603–612. https://doi.org/10.1016/j.adolescence.2013.03.014
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The authors would like to thank Anne Medill and Luis Fernandez for thoughtful contributions to the data entry and interpretation. The authors would also like to thank Amy Hughes, research librarian, for her assistance with conducting the literature search.
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Mommaerts, K., Camplain, R., Sabo, S. et al. Mexican American adolescents and generalized anxiety disorder: a narrative review. Curr Psychol 43, 15091–15101 (2024). https://doi.org/10.1007/s12144-023-05485-1
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DOI: https://doi.org/10.1007/s12144-023-05485-1