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Behavioral Health among Asian Americ...

Yamamoto, Mari E.

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Behavioral Health among Asian American and Pacific Islanders: The Impact of Acculturation and Receipt of Behavioral Health Services on Depression and Anxiety.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Behavioral Health among Asian American and Pacific Islanders: The Impact of Acculturation and Receipt of Behavioral Health Services on Depression and Anxiety./
作者:	Yamamoto, Mari E.
面頁冊數:	91 p.
附註:	Source: Dissertation Abstracts International, Volume: 77-03(E), Section: B.
Contained By:	Dissertation Abstracts International77-03B(E).
標題:	Clinical psychology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3731187
ISBN:	9781339175539

Behavioral Health among Asian American and Pacific Islanders: The Impact of Acculturation and Receipt of Behavioral Health Services on Depression and Anxiety.
Yamamoto, Mari E.

Behavioral Health among Asian American and Pacific Islanders: The Impact of Acculturation and Receipt of Behavioral Health Services on Depression and Anxiety. - 91 p.

Source: Dissertation Abstracts International, Volume: 77-03(E), Section: B.

Thesis (Ph.D.)--Seattle Pacific University, 2016.

Behavioral health models improve access to mental health care by integrating psychology and medicine. While integrated care is supported among the general population, less research focuses on the model with Asian American and Pacific Islanders (AAPIs). AAPIs are low treatment-seeking due to various barriers (e.g., limited English proficiency, stigma, insurance) and acculturation stressors. Using hierarchical linear modeling, this study examined longitudinal depression (PHQ-9) and anxiety (GAD-7) growth trajectories among AAPIs within a behavioral health model and the moderating impact of acculturation and frequency of behavioral health visits. The best fitting model was from a sample who (N = 354; 71.5% female) met the following inclusion criteria: (a) AAPI, (b) over 18 years of age, (c) engaged in three or more behavioral health visits, (d) PHQ-9 and GAD-7 scores at three or more time points, (e) proxy acculturation data. The sample was 39% Vietnamese, mean age was 55.84 (SD = 16.92), and behavioral health visits ranged from 3 to 12. Depression and anxiety growth trajectories indicated significant cubic functions (PHQ-9, beta 30 = -.077, p < .001; GAD-7, beta30 = -.045, p < .001). For depression, there was a non-significant moderating effect of acculturation (beta11 = .163, p = .468, beta21 = -.005, p = .931, beta 31 = -.001, p = .770), but significant effect of frequency of behavioral health visits (beta12 = .252, p = .005, beta22 = -.080, p = .004, beta 32 = .005, p = .010). For anxiety, there was a non-significant moderating effect of acculturation (beta11 = .255, p = .148) and frequency of behavioral health visits (beta12 = .126, p = .075) on instantaneous rate of change (i.e., slope). There was a non-significant moderating effect of acculturation (beta21 = -.018, p = .687) but significant effect of frequency of behavioral health visits (beta22 = -.044, p = .035) on change to the rate of change. Both moderators were non-significant at the cubic level (beta31 = -.008, p = .822, beta 32 = .003, p = .057). Depression and anxiety outcomes among AAPIs improved within the behavioral health model. Moderation by acculturation and frequency of behavioral health visits varied.

ISBN: 9781339175539Subjects--Topical Terms:

524863
Clinical psychology.

Behavioral Health among Asian American and Pacific Islanders: The Impact of Acculturation and Receipt of Behavioral Health Services on Depression and Anxiety.
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