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Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

The “graying” of the United States and its increasing ethnic and racial diversification make understanding the particular acculturation issues facing the Asian American elderly important for the mental health clinician. This population faces multiple acculturation stressors making it vulnerable to depression, anxiety, and suicide. In addition, for Asian American elderly suffering from dementia, acculturation can influence the diagnosis, treatment, and attitudes toward caregiving. Understanding these factors is critical for clinicians taking care of the Asian American elderly.

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References

  1. Hetzel L and Smith A. The 65 years and over population: 2000. Census 2000 Brief, Washington DC, 2001. Accessed on March 17, 2007 at http://www.census.gov/prod/2001pubs/c2kbr01-10.pdf.

  2. Census of Population: Asian and Pacific Islanders in the United States. US Census Bureau, Washington DC, 1990. Accessed on March 17, 2007 at http://www.census.gov/prod/cen1990/cp3/cp-3-5.pdf

  3. Manton KG. Longevity and long-lived populations. In: Birren JE, ed. Encyclopedia of gerontology: Age, aging, and the aged. San Diego, Academic Press, 1996: 83–95.

    Google Scholar 

  4. Health, United States 2006. Center for Disease Control, Atlanta, 2006. Accessed on March 17, 2007 at http://www.cdc.gov/nchs/data/hus/hus06.pdf#summary

  5. Singh GK and Miller BA. Health, life expectancy, and mortality patterns among immigrant populations in the United States. Canadian Journal of Public Health 2004; 95(3): 14–21.

    Google Scholar 

  6. Kalavar JM and Willigen JV. Older Asian Indians resettled in America: Narratives about households, culture and generation. Journal of Cross-Cultural Gerontology 2005; 20: 213–230.

    Article  PubMed  Google Scholar 

  7. Mui AC and Kang SY. Acculturation stress and depression among Asian immigrant elders. Social Work 2006; 51(3): 243–255.

    PubMed  Google Scholar 

  8. Zhang AY and Snowden LR. Ethnic characteristics of mental disorders in five US communities. Cultural Diversity and Ethnic Minority Psychology 1999; 5(2): 134–146.

    Article  CAS  PubMed  Google Scholar 

  9. Blazer DG, Kessler RC, McGonagle KA and Swartz MS. The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. The American Journal of Psychiatry 1994; 151(7): 979–986.

    CAS  PubMed  Google Scholar 

  10. Takeuchi DT, Chung RC, Lin KM et al. Lifetime and twelve-month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles. The American Journal of Psychiatry 1998; 155(10): 1407–1414.

    CAS  PubMed  Google Scholar 

  11. Mui AC, Burnette D and Chen LM. Cross-cultural assessment of geriatric depression: A review of the CES-D and the GDS. Journal of Mental Health and Aging 2001; 7(1): 137–164.

    Google Scholar 

  12. Gallo JJ and Lebowitz BF. The epidemiology of common late-life mental disorders in the community: Themes for a new century. Psychiatric Services 1999; 50: 1158–1166.

    CAS  PubMed  Google Scholar 

  13. Yamamoto J, Machiaawa S, Araki F et al. Mental health of elderly Asian Americans in Los Angeles. The American Journal of Social Psychiatry 1985; 5: 37–46.

    Google Scholar 

  14. Iwamasa GY, Hilliard KM and Osata SM. Conceptualizing anxiety and depression: The older Japanese American adults perspective. Clinical Gerontologist 1998; 19: 13–26.

    Article  Google Scholar 

  15. Mui AC. Depression among elderly Chinese immigrants: An exploratory study. Social Work 1996; 41: 633–645.

    CAS  PubMed  Google Scholar 

  16. Pang KYC . Symptoms of depression in elderly Korean immigrants: Narration and the healing process. Culture, Medicine and Psychiatry 1998; 22: 93–122.

    Article  CAS  PubMed  Google Scholar 

  17. Stokes SC, Thompson LW, Murphy S, and Gallagher-Thompson D. Screening for depression in immigrant Chinese-American elders: Results of a pilot study. Journal of Gerontological Social Work 2001; 36(1/2): 27–44.

    Google Scholar 

  18. Jang Y, Kim G and Chiriboga D. Acculturation and manifestation of depressive symptoms among Korean American older adults. Aging and Mental Health 2005; 9(6): 500–507.

    Article  CAS  PubMed  Google Scholar 

  19. Mui AC and Kang SY. Acculturation stress and depression among Asian immigrant elders. Social Work 2006; 51(3): 243–255.

    PubMed  Google Scholar 

  20. Mui AC. Stress, coping and depression among elderly Korean immigrants. Journal of Human Behavior in the Social Environment 2001; 3(3/4), 281–299.

    Google Scholar 

  21. Shibusawa T and Mui AC. Stress, coping, and depression among Japanese American elders. Journal of Gerontological Social Work 2001; 36(1/2): 63–81.

    Google Scholar 

  22. Lee MS, Crittenden KS and Yu E. Social support and depression among elderly Korean immigrants in the United States. International Journal of Aging and Human Development 1996; 42: 313–327.

    Article  CAS  PubMed  Google Scholar 

  23. American Association of Retired Persons (AARP). Depression in later life. Washington DC: American Association of Retired Persons, 1997.

    Google Scholar 

  24. Leong FTL, Leach MM, Yeh C and Chou E. Suicide among Asian Americans: What do we know? What do we need to know? Death Studies, 2007; 31(5): 417–434.

    Article  PubMed  Google Scholar 

  25. Baker FM. Suicide among ethnic minority elderly: A statistical and psychosocial perspective. Journal of Geriatric Psychiatry 1994; 27: 241–264.

    Google Scholar 

  26. McKenzie K, Serfaty M, and Crawford M. Suicide in ethnic minority groups. British Journal of Psychiatry 2003; 183: 100–101.

    Article  PubMed  Google Scholar 

  27. Shiang, J., Blinn, R., Bongar, B., Stephens, B., Allison, D., and Schatzberg, A. Suicide in San Francisco, CA: A comparison of Caucasian and Asian groups: 1987–1994. Suicide and Life-Threatening Behavior 1997; 27(1): 80–91.

    CAS  PubMed  Google Scholar 

  28. Bartels SJ, Coakley E, Oxman TE et al. Suicide and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. American Journal of Geriatric Psychiatry 2002; 10(4): 417–427.

    PubMed  Google Scholar 

  29. Mills TL and Henretta JC . Racial, ethnic and sociodemographic differences in the level of psychosocial distress among older Americans. Research on Aging, 2007; 23(2): 131–152.

    Article  Google Scholar 

  30. Diego AT, Yamamoto J, Nguyen LH, and Hifumi SS. Suicide in the elderly: Profiles of Asians and Whites. Asian American and Pacific Islander Journal of Health 1994; 2:49–57.

    PubMed  Google Scholar 

  31. Watari K and Gatz M. Dementia: A cross-cultural perspective on risk Factors. Generations 2002; Spring: 32–38.

    Google Scholar 

  32. Graves AB, Larson EB, White LR, Teng EL and Homma A. Opportunities and challenges in international collaborative epidemiologic research of dementia and its subtypes: Studies between Japan and the U.S. International Psychogeriatrics 1994; 6: 209–223.

    Article  CAS  PubMed  Google Scholar 

  33. Gilman SC, Justice J and Saepharn K et al. Use of traditional and modern health services by Laotian refugees. Western Journal of Medicine 1992; 157: 310–315.

    CAS  PubMed  Google Scholar 

  34. Espino DV and Lewis R. Dementia in older minority populations: Issues of prevalence, diagnosis, and treatment. American Journal of Geriatric Psychiatry 1998; 6: S19–S25.

    Article  CAS  PubMed  Google Scholar 

  35. Hinton L, Franz C, Yeo G and Levkoff S. Conceptions of dementia in a multiethnic sample of family caregivers. JAGS 2005; 53: 1405–1410.

    Article  Google Scholar 

  36. Ross GW, Abbott RD, Petrovitch H et al. Frequency and characteristics of silent dementia among elderly Japanese-American men. The Honolulu-Asia Aging Study. JAMA 1997; 277(10): 800–805.

    Article  CAS  PubMed  Google Scholar 

  37. Dilworth-Anderson P and Gibson BE. The cultural influence of values, norms, meanings, and perceptions in understanding dementia in ethnic minorities. Alzheimer Disease and Associated Disorders 2002; 16(2): S56–S63.

    Article  PubMed  Google Scholar 

  38. National Alliance for Caregiving (NAC) and the American Association of Retired Persons (AARP). Family caregiving in the US: Findings from a national survey. Washington DC: NAC, AARP, 1997.

    Google Scholar 

  39. Youn G, Knight BG, Jeong HS and Benton D. Difference in familism values and caregiving outcomes among Korean, Korean American and White American dementia caregivers. Psychology and Aging 1999; 14(3): 355–364.

    Article  CAS  PubMed  Google Scholar 

  40. Segall MH, Lonner WJ, and Berry JW. Cross-cultural psychology as a scholarly discipline: On the flowering of culture in behavior research. American Psychologist 1998; 53: 1101–1110.

    Article  Google Scholar 

  41. Sung K. Motivations for parent care: The case of filial children in Korea. International Journal of Aging and Human Development 1992; 34: 109–124.

    Article  CAS  PubMed  Google Scholar 

  42. Young HM, McCormick WM and Vitaliano PP. Attitudes toward community-based services among Japanese-American Families, The Gerontologist 2002; 42(6): 814–825.

    PubMed  Google Scholar 

  43. Pinquart M and Sorensen S. Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: A meta-analysis. The Gerontologist 2005; 45(1): 90–106.

    PubMed  Google Scholar 

  44. Li H. Barriers to and unmet needs for supportive services: Experiences of Asian-American Caregivers. Journal of Cross-Cultural Gerontology 2004; 19:241–260.

    Article  PubMed  Google Scholar 

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Correspondence to Nhi-Ha Trinh .

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Trinh, NH., Ahmed, I. (2009). Acculturation and Asian American Elderly. In: Trinh, NH., Rho, Y.C., Lu, F.G., Sanders, K.M. (eds) Handbook of Mental Health and Acculturation in Asian American Families. Current Clinical Psychiatry. Humana Press. https://doi.org/10.1007/978-1-60327-437-1_9

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  • DOI: https://doi.org/10.1007/978-1-60327-437-1_9

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-436-4

  • Online ISBN: 978-1-60327-437-1

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