Psychology of Asian American Older Adults: Status, Challenges, and Strengths

Chapter

Abstract

This chapter discusses the major challenges to the maintenance of mental health in the Asian American older adult population. Major points of discussion focus on the stigmatization of and lack of knowledge about mental health disorders and the underutilization of mental health services. Familial support, religion/spirituality, and peer support and social networks are also presented as major strengths, which contribute to the resilience exhibited by older Asian Americans. It begins with an overview of the demographic characteristics of the population and followed by the prevalence rates of mental disorders most commonly found in several older Asian American groups.

References

  1. Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., & Spencer, M. S. (2007). Use of mental health-related services among immigrant and US-born Asian Americans: Results from the National Latino and Asian American study. American Journal of Public Health, 97(1), 91–98.PubMedCrossRefGoogle Scholar
  2. Abueg, R. R., & Chun, K. M. (1996). Traumatization stress among Asian and Asian Americans. In A. J. Marsella, M. J. Friedman, E. T. Gerrity, & R. M. Scurfield (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research, and clinical applications (pp. 285–299). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  3. Barron, S. L. (2000). Suicide in context: Elderly Chinese female suicide in San Francisco from 1987 through 1996 (Doctoral dissertation, Pacific Graduate School of Psychology, 2000). Dissertation Abstract International, 61(03B), 1624.Google Scholar
  4. Braun, K. L., Takamura, J. C., Forman, S. M., & Sasaki, P. A. (1995). Developing and testing outreach materials on Alzheimer’s disease for Asian and Pacific Islander Americans. Gerontologist, 35, 122–126.PubMedCrossRefGoogle Scholar
  5. Browne, C., Fong, R., & Mokuau, N. (1994). The mental health of Asian and Pacific Islander elders: Implications for mental health administrators. Journal of Mental Health Administration, 21(1), 52–59.PubMedCrossRefGoogle Scholar
  6. Casado, B. L., & Leung, P. (2001). Migratory grief and depression among elderly Chinese American immigrants. Journal of Gerontological Social Work, 36(1/2), 5–26.Google Scholar
  7. Cheung, F. K., & Snowden, L. R. (1990). Community mental health and ethnic minority populations. Community Mental Health Journal, 20, 277–291.CrossRefGoogle Scholar
  8. Chung, R. C.-Y., Bemak, F., & Wong, S. (2000). Vietnamese refugees’ levels of distress, social support and acculturation: Implications for mental health counseling. [Peer Reviewed]. Journal of Mental Health Counseling, 22(2), 150–161.Google Scholar
  9. Diwan, S., Jonnalagadda, S. S., & Balaswamy, S. (2004). Resources predicting positive and negative affect during the experience of stress: A study of older Asian Indian immigrants in the United States. The Gerontologist, 44(5), 605–614.PubMedCrossRefGoogle Scholar
  10. Douglas, K. C., & Fujimoto, D. (1995). Asian Pacific Islanders: Implications for health care providers. Clinics in Geriatric Medicine, 11(1), 69–82.PubMedGoogle Scholar
  11. Han, H. R., Kim, M., Lee, H. B., Pistulka, G., & Kim, K. B. (2007). Correlates of depression in the Korean American elderly: Focusing on personal resources of social support. Journal of Cultural Gerontology, 22(1), 115–27.CrossRefGoogle Scholar
  12. Harada, N. D., & Kim, L. S. (1995). Use of mental health services by older Asian and Pacific Islander Americans. In D. K. Padgett (Ed.), Handbook on ethnicity aging and mental health (pp. 185–202). Westport: Greenwood.Google Scholar
  13. Hong, G. K., Lee, B. S., & Lorenzo, M. K. (1995). Somatization in Chinese American clients: Implications for psychotherapeutic services. Journal of Contemporary Psychotherapy, 25(2), 105–118.CrossRefGoogle Scholar
  14. Inman, A. G., & Yeh, C. J. (2007). Asian American stress and coping. In F. T. Leong, A. Ebreo, L. Kinoshita, A. G. Inman, L. H. Yang, & M. Fu (Eds.), Handbook of Asian American psychology (2nd ed., pp. 323–338). London: Sage.Google Scholar
  15. Iwamasa, G. Y., & Hilliard, K. M. (1999). Depression and anxiety among Asian American elders: A review of literature. Clinical Psychology Review, 19(3), 343–357.PubMedCrossRefGoogle Scholar
  16. Iwamasa, G. Y., & Sorocco, K. H. (2007). The psychology of Asian American older adults. In F. T. L. Leong, A. G. Inman, A. Ebreo, L. H. Yang, L. Kinoshita, & M. Fu (Eds.), Handbook of Asian American psychology (2nd ed., pp. 213–226). London: Sage.Google Scholar
  17. Iwamasa, G. Y., Hilliard, K. M., & Osato, S. S. (1998). Conceptualizing anxiety and depression: The Japanese American older adults perspectives. Clinical Gerontologist, 19, 77–93.CrossRefGoogle Scholar
  18. Jang, Y., Kim, G., & Chiriboga, D. A. (2006). Health perception and depressive symptoms among older Korean Americans. Journal of Cross-Cultural Gerontology, 21(3/4), 91–102.PubMedGoogle Scholar
  19. Kang, T. S., & Kang, G. E. (1995). Mental health status and needs of the Asian American elderly. In D. K. Padgett (Ed.), Handbook on ethnicity, aging, and mental health (pp. 113–131). Westport: Greenwood.Google Scholar
  20. Kung, W. (2003). Chinese Americans’ help seeking for emotional distress. The Social Service Review, 77(1), 110–134.CrossRefGoogle Scholar
  21. Kuo, W. H. (1984). Prevalence of depression among Asian Americans. Journal of Nervous and Mental Disease, 172, 449–457.PubMedCrossRefGoogle Scholar
  22. Lee, E. O. (2007). Religion and spirituality as predictors of well-being among Chinese American and Korean Americano older adults. Journal of Religion, Spirituality & Aging, 19(3), 77–100.CrossRefGoogle Scholar
  23. Lee, M. S., Crittenden, K. S., & Yu, E. (1996). Social support and depression among elderly Korean immigrants in the United States. International Journal of Aging and Human Development, 42(4), 313–327.PubMedCrossRefGoogle Scholar
  24. Lee, H. Y., Moon, A., & Knight., B. (2004). Depression among Elderly Korean immigrants: Exploring socio-cultural factors. Journal of Ethnic and Cultural Diversity in Social Work, 13(4), 1–26.CrossRefGoogle Scholar
  25. Leong, F. T. L., & Lau, A. S. L. (2001). Barriers to providing effective mental health services to Asian Americans. Mental Health Services Research. Special Issue: Barriers to providing effective mental health services to racial and ethnic minorities in the United States, 3(4), 201–214.Google Scholar
  26. Lin, K., Lau, J. K., Yamamoto, J., Zheng, Y., Kim, H., Cho, K., & Nakasaki, G. (1992). Hwa-byung: A community study of Korean Americans. Journal of Nervous and Mental Illness, 180, 386–391.CrossRefGoogle Scholar
  27. Matsuoka, J. K., Breaus, C., & Ryujin, D. H. (1997). National utilization of mental health services by Asian Americans/Pacific Islanders. Journal of Community Psychology, 25(2), 141–145.CrossRefGoogle Scholar
  28. Min, P. G., & Kim, J. H. (Eds.). (2002). Religion in Asian America: Building faith communities. Lanham: AltaMira.Google Scholar
  29. Min, J. W., & Moon, A. (2006). Social work practice with Asian American elders. In B. Berkman (Ed.), Handbook on aging (pp. 257–271). Oxford: Oxford University Press.Google Scholar
  30. Min, J. W., Moon, A., & Lubben. J. E. (2005). Determinants of psychological distress over time among older Korean Americans and non-Hispanic White elders: evidence from a two-wave panel study. Journal of Aging and Mental Health, 9(3), 210–222.CrossRefGoogle Scholar
  31. Moon, A. (1996). Predictors of morale among Korean immigrant elderly in the USA. Journal of Cross-Cultural Gerontology, 11, 351–367.CrossRefGoogle Scholar
  32. Moon, A. (2005). Perception and knowledge about dementia and related services: A survey of Korean Americans. Unpublished data.Google Scholar
  33. Moon, A. (2006). Working with Korean American families. In G. Yeo & D. Gallagher-Thompson (Eds.), Ethnicity and the dementias (2nd ed., pp. 245–261). New York: Routledge.Google Scholar
  34. Moon, J. H., & Pearl, J. H. (1991). Alienation of elderly Korean American immigrants as related to place of residence, gender, age, years of education, time in the U.S., living with or without a spouse. International Journal of Aging and Human Development, 32, 115–124.PubMedCrossRefGoogle Scholar
  35. Moon, A., & Rhee, S. (2006). Social work practice with immigrant and refugee elders. In B. Berkman (Ed.), Handbook on aging (pp. 205–217). Oxford: Oxford University Press.Google Scholar
  36. Moon, A., Lubben, J. E., & Villa, V. (1998). Awareness and utilization of community long-term care services by elderly Koreans and non-Hispanic White Americans. The Gerontologist, 38(3), 309–316.PubMedCrossRefGoogle Scholar
  37. Mui, A. C. (1998). Living along and depression among older Chinese immigrants. Journal of Gerontological Social Work, 30(3/4), 147–166.Google Scholar
  38. Mui, A.C. (2001). Stress, coping and depression among elderly Korean immigrant. Journal of Human Behavior in the Social Environment, 3(3/4), 281–299.Google Scholar
  39. Mui, A. C., & Kang, S. (2006). Acculturation stress and depression among Asian immigrant elders. Social Work, 51(3), 243–255.PubMedCrossRefGoogle Scholar
  40. Mui, A. C., Kang, D., Nguyen, D. D., & Domanski, M. D. (2006). Demographic profiles of Asian immigrant elderly residing in metropolitan ethnic enclave communities. Journal of Ethnic and Cultural Diversity in Social Work, 15(1/2), 193–214.CrossRefGoogle Scholar
  41. National Alliance for Caregiving and American Association for Retired People. (2004). Caregiving in the U.S. http://research.aarp.org/il/us_caregiving.html. Accessed 23 Aug 2004.
  42. Ngo, D., Tran, T. V., Gibbons, J. L., & Oliver, J. M. (2001). Acculturation, premigration traumatic experiences, and depression among Vietnamese Americans. Journal of Human Behavior in the Social Environment, 3(3/4), 225–242.Google Scholar
  43. Nguyen, Q. C. X., & Anderson, L. P. (2005). Vietnamese Americans’ attitudes toward seeking mental health services: Relation to cultural variables. Journal of Community Psychology, 33(2), 213–231.CrossRefGoogle Scholar
  44. Okazaki, S. (2000). Treatment delay among Asian-American patients with severe mental illness. American Journal of Orthopsychiatry, 70(1), 58–64.PubMedCrossRefGoogle Scholar
  45. Pang, K. Y. (1990). Hwabyung: The construction of a Korean popular illness among Korean elderly immigrant women in the United States. Culture, Medicine, and Psychiatry, 14, 495–512.CrossRefGoogle Scholar
  46. Pang, N. Y. C. (1995). A cross-cultural understanding of depression among elderly Korean immigrants: Prevalence, symptoms and diagnosis. Clinical Gerontologist, 15(4), 3–20.CrossRefGoogle Scholar
  47. Pang, N. Y. C. (2000). Symptom expression and somatization among elderly Korean immigrants. Journal of Clinical Geropsychology, 6(3), 199–212.CrossRefGoogle Scholar
  48. Periyakoil, V. S. (2006). Working with Asian Indian American families. In G. Yeo & D. Gallagher-Thompson (Eds.), Ethnicity and the Dementias (2nd ed., pp. 165–172). New York: Routledge.Google Scholar
  49. Pourat, N., Lubben, J., Wallace, S., & Moon, A. (1999). Predictors of use of traditional Korean healers among elderly Koreans in Los Angeles. The Gerontologist, 39(6), 711–719.PubMedCrossRefGoogle Scholar
  50. Shapiro, J., Douglas, K., de la Rocha, O., Radecki, S., Vu, C., & Dinh, T. (1999). Generational differences in psychosocial adaptation and predictors of psychological distress in a population of recent Vietnamese immigrants. Journal of Community Health, 24(2), 95–113.PubMedCrossRefGoogle Scholar
  51. Shiang, J., Blinn, R., Bongar, B., Stephens, B., Allison, D., & Schatzberg, A. (1997). A comparison of Caucasian and Asian groups 1987–1994. In A. Leenaars, R. Moris, & Y. Takahashi (Eds.), Suicide: Individual, culture, international perspectives (pp. 80–91). New York: Guilford Press.Google Scholar
  52. Shibusawa, T., & Mui, A. C. (2001). Stress, coping, depression among Japanese American elders—sample of 131 Japanese American elders aged 60 years or older. Journal of Gerontological Social Work, 36(1/2), 63–81.Google Scholar
  53. Snowden, L. R. (1998). Racial differences in informal help seeking for mental health problems. Journal of Community Psychology, 26(5), 429–438.CrossRefGoogle Scholar
  54. Snowden, L., Masland, M., Ma, Y., & Ciemens, E. (2006). Strategies to improve minority access to public mental health services in California: Description and preliminary evaluation. Journal of Community Psychology. Special Issue: Addressing mental health disparities through culturally competent research and community-based practice, 34(2), 225–235.Google Scholar
  55. Soonthornchaiya, R., & Dancy, B. L. (2006). Perceptions of depression among elderly Thai immigrants. Issues in Mental Health Nursing, 27(6), 681–698.PubMedCrossRefGoogle Scholar
  56. Stokes, S. C., Thompson, L. W., Murphy, S., & Gallagher-Thompson, D. (2001). Screening for depression in immigrant Chinese-American elders: Results of a pilot study. Journal of Gerontological Social Work, 36, 27–44.CrossRefGoogle Scholar
  57. Uba, L. (1994). Asian Americans: Personality patterns, identity, and mental health. New York: Guilford Press.Google Scholar
  58. U.S. Census Bureau. (2002). The Asian population: 2000 [Census 2000 brief]. http://www.census.gov/prod/2002pubs/c2kbr01-16.pdf. Accessed 2 May 2004.
  59. Wang, P., Tong, H., Liu, W., Long, S., Leung, L. Y. L., Yau, E., & Gallagher-Thompson, D. (2006). Working with Chinese American families. In G. Yeo & D. Gallagher-Thompson (Eds.), Ethnicity and the dementias (2nd ed., p. 176). New York: Routledge.Google Scholar
  60. Watari, K., & Gatz, M. (2004). Pathways to care for Alzheimer’s disease among Korean Americans. Cultural Diversity and Ethnic minority Psychology, 10(1), 23–38.PubMedCrossRefGoogle Scholar
  61. Wong, P., & Reker, G. (1985). Stress, coping, and well-being in Anglo and Chinese elderly. Canadian Journal of Aging, 4, 29–37.CrossRefGoogle Scholar
  62. Wong, S. T., Yoo, G. J., & Stewart, A. L. (2007). An empirical evaluation of social support and psychological well-being in older Chinese and Korean immigrants: Sample of 200 Chinese and Koreans aged 65 years and older. Ethnic Health, 12(1), 43–67.CrossRefGoogle Scholar
  63. Wynaden, D., Chapman, R., Orb, A., McGowan, S., Zeeman, Z., & Yeak, S. (2005). Factors that influence Asian communities’ access to mental health care. International Journal of Mental Health Nursing, 14(2), 88–95.PubMedCrossRefGoogle Scholar
  64. Yamamoto, J., Machizawa, S., Araki, F., Reece, S., Steinberg, A., Leung, J., & Cater, C. (1985). Mental health of elderly Asian Americans in Los Angeles. The American Journal of Social Psychiatric Research, 17 , 37–49.Google Scholar
  65. Yu, E. S. (1986). Health of the Chinese elderly in America. Research on Aging, 8(1), 84–109.PubMedCrossRefGoogle Scholar
  66. Zhan, L. (2004). Caring for family members with Alzheimer’s disease: Perspectives from Chinese American caregivers. Journal of Gerontological Nursing, 30(8), 19–29.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Social WelfareUniversity of California Los Angeles School of Public AffairsLos AngelesUSA
  2. 2.Division of Social Welfare and Public Health Administration, College of Social ScienceWonkwang UniversityIksan, JeonbukSouth Korea

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