Family Conflicts, Coping Skills, Depressive Symptoms, and Gender Among Korean American Adolescents: Mediating Effects of Self-Esteem
Abstract
Objective: This study examines the prevalence of depressive symptoms among Korean American (KA) adolescents and explores the complex relationships among family conflicts, coping skills, self-esteem, depressive symptoms, and gender in KA adolescents, including the mediating role of self-esteem and gender differences. Method: We used linear regression and structural equation modeling to analyze results of a cross-sectional survey of 339 KA adolescents (ages 12–18) living in New York and New Jersey and recruited primarily from religious organizations. Results: KA adolescents had a high prevalence of depressive symptoms. Self-esteem partially mediated the effects of interparental conflict and parent–adolescent conflict on depressive symptoms and fully mediated the effect of problem-focused disengagement coping on depressive symptoms for KA adolescents. There were statistically significant differences between KA male and female youths on the mean values for parent–adolescent conflict, self-esteem, and depressive symptoms, but there were no gender differences in the relationships among interparental and parent–adolescent conflicts, problem-focused disengagement coping, self-esteem, and depressive symptoms. Conclusions: Our findings expand knowledge about family conflict and depression among KA adolescents by examining protective and risk factors not sufficiently studied within this population.
Youth depression is a serious public health concern, as it creates further risk for negative health and social outcomes, including psychopathology, suicide, and unemployment in later life (W. Y. Chung et al., 2009; Fergusson et al., 2007; Reinherz et al., 2006). Its prevalence in the general U.S. adolescent population ranges from 15% to 35% (Kubik et al., 2003; Lewinsohn et al., 2000; Merikangas et al., 2011). Ethnic minority youth are disproportionately affected (Hwang & Wood, 2009)—particularly Asian American adolescents, who often are stereotyped as “model” students (Sue & Sue, 1999) characterized by high academic achievements (Sue & Sue, 2003) and fewer risk-taking behaviors than other ethnic groups (Lorenzo et al., 2000). Although sparse, the available literature on the mental health needs of Asian American youth consistently reports a high prevalence of emotional and psychological problems, including depression (Choi & Park, 2006), suicidality (Centers for Disease Control and Prevention, 2015), low self-esteem (Choi et al., 2006), and anxiety (Farver et al., 2002). Kubik and colleagues (2003) found that the prevalence of depressive symptoms among Asian American youth (47%) was higher than that of Hispanic (40%) or white (30%) youth. In another study, Schoen and colleagues (1998) found that 30% of Asian American youth reported depressive symptoms compared to 22.5% of white and 17% of Black youth.
Korean American (KA) adolescents may be especially vulnerable to depression, according to research by E. Kim and Cain (2008) and Nam (2013), who found that 40%–60% of KA youth experienced elevated levels of depression. Growing evidence indicates that diverse factors affect depressive symptoms among KA adolescents, including family conflicts (E. Kim & Cain, 2008), parent–child acculturation gap (E. Kim, 2011), acculturative stress (Park, 2009), discrimination, and bullying (Shin et al., 2011). Coping strategies may be implicated as well (Park, 2015). Further research is needed to better understand the underlying causes of, and risk and protective factors associated with, psychological problems among KA youth, including the potential role of immigration-related experiences. Thus, this study examined depression in KA adolescents who both immigrated as children or were born in the U.S.
Parent–Adolescent and Interparental Conflicts
Adolescence is a period of dynamic growth in the development of abstract thinking and of greater self-awareness of one’s sexuality, identity, and autonomy. Adolescence also is marked by biological, cognitive, and sociological changes that affect the quality of relationships with parents (Comstock, 1994). Research increasingly supports the association between mental health and the quality of parent–adolescent relationships (E. Kim & Cain, 2008; S. L. Wong, 2000). For example, although the intensity of conflict between parents and their children increases during an adolescent’s transition into adulthood, with possible gender differences (Allison & Schultz, 2004), parent–adolescent conflict has been linked to adolescent anxiety and depressive symptoms (Adams & Laursen, 2007), low self-esteem (Hu & Ai, 2016), suicidal ideation (Au et al., 2009), and delinquency (Doorn et al., 2008).
Although parent–adolescent conflict is a common phenomenon across cultures, KA adolescents of immigrant parents may experience additional stress related to intergenerational issues (Park, 2015). Such issues may be related to incompatible goals as immigrant parents and children acculturate at different rates and in different ways (Hwang, 2006). According to the acculturative family distancing model (Hwang, 2006), a theoretically derived construct, immigrant parents and their children may be prone to greater family conflicts when family members distance from one another emotionally, cognitively, and behaviorally as a “consequence of differences in acculturative processes and cultural changes” (Hwang, 2006, p. 389). The breakdown in communication and incongruent cultural values is hypothesized to increase over time, causing greater emotional, cognitive, and behavioral distancing between parents and their children, thereby increasing the risk for family conflict, which has been linked to youth depression (Hwang et al., 2010) and depressive symptoms in KA adolescents specifically (Huh-Kim, 1998).
In addition, exposure to interparental conflict and violence can have a detrimental impact on children’s emotional and behavioral adjustment (G. H. Chung et al., 2009) and can contribute to parent–adolescent conflict that is greater in frequency and/or intensity. Adolescents exposed to parental conflict exhibit significantly higher levels of internalizing and externalizing behaviors than those from low-conflict families (Gerard et al., 2006). Yet, scant research examines this relationship among KA families.
Coping and Adolescents
Coping is an important variable between perceived stress and emotional adjustment (Orth et al., 2009). Understanding the relationship between coping responses and psychological well-being has implications for the development of appropriate interventions (R. M. Lee et al., 2005), as different coping strategies are associated with various psychological and physical health outcomes (E. C. Chang, 1996). Findings are inconsistent concerning the effects of coping on adolescents’ psychological well-being (R. M. Lee et al., 2005), and little is known about the effects of coping strategies on the mental health of KA adolescents.
For Asian American families with collectivist worldviews and a conception of self that is interdependent with others, interpersonal conflict reflects a disharmony between people who are inevitably interconnected (Chun et al., 2006). Therefore, the aim of this resolution is to manage conflict without damaging relationships by “riding it out” and reinforcing interdependence with a long-term view of the relationship in mind. In facing difficult interpersonal problems, traditional Asian values place importance on maintaining peace and emphasize personal sacrifice and perseverance over potentially destabilizing one’s relationships with others (P. T. P. Wong & Ujimoto, 1998).
A study of Chinese American college students challenged the assumption that problem-focused engagement coping strategies (e.g., problem solving, cognitive restructuring, express emotions and support seeking) are more adaptive than problem-focused disengagement coping strategies (e.g., problem avoidance, wishful thinking, self-criticism, and social withdrawal) when dealing with life’s stressors (E. C. Chang, 2001). Chang found that problem-focused engagement coping strategies were not necessarily more adaptive than problem-focused disengagement coping strategies when dealing with external stressors; that is, higher use of problem-avoidance coping in Asian American college students did not result in lower life satisfaction or greater depressive symptoms as it did for white students. Based on these findings, E. C. Chang (2001) argued that there are discernable differences between Asian American and white students’ use of coping strategies and these strategies may differentially influence psychological outcomes. For Asian American youth, distancing/avoidant coping strategies may have an indirect effect on depressive symptoms through appraisal processes that are culturally affirming to the self. However, further research is needed to illuminate the effects of disengagement coping on psychological outcomes among Asian Americans and, more specifically, among KA youth.
The Mediating Effect of Self-Esteem
Many diathesis-stress models use dispositional risk factors (e.g., self-esteem, self-efficacy, and cognitive attribution style) and environmental stress (e.g., family environment) to explain the development of depression (Hu & Ai, 2016; Orth et al., 2009). Self-esteem and self-efficacy are two aspects of self-concept. Self-esteem first conveys one’s sense of self-worth and value by others, and self-efficacy describes a sense of control, positive coping responses, and belief that challenges can be overcome (Benight & Bandura, 2004; Rosenberg, 1965). High self-esteem and self-efficacy can attenuate the effects of stress on psychological outcomes, such as depression (C. A. Lee et al., 2014). According to Orth and colleagues (2009), individuals with low self-esteem may be more prone to depression because they have fewer coping resources at their disposal when faced with challenging life circumstances. Individuals with high self-esteem, on the other hand, are buffered from depression because they are assumed to have better coping resources. Although various diathesis-stress models of depression have been proposed (Orth et al., 2009), specific pathways leading to depression have not been adequately investigated, especially among minority and immigrant youth. One study recently investigated a specific pathway to depression in a sample of Chinese youth and found that self-esteem partially mediated the relationship between stressful family relationships and depression (Hu & Ai, 2016). Another study of Chinese primary and secondary school students found that self-esteem fully mediated the effects of social support on depressive symptoms, but self-efficacy did not (C. W. Chang et al., 2018). The current study extends previous work by examining the direct and indirect effects of self-esteem and problem-focused disengagement coping on depression among KA adolescents.
Gender Differences in Family Conflict and Depression
The literature on gender differences in depression as a function of family dynamics among Asian Americans is scant; therefore, we examined the broader empirical literature with non-Asian American populations.
As noted by Davies and Lindsay (2004), research in this area is generally mixed. In one study, Essex and colleagues (2003) found that girls were more likely than boys to show an increase in depressive symptoms in the presence of family conflict. Similar results were reported by Davies and Lindsay (2004). They examined the association between interparental conflict and internalizing symptoms (withdrawal, anxiety, and depression) in a sample of 924 children ages 10–15. They found a significant interaction between interparental conflict and binary gender, indicating a stronger association between these variables for girls. They also tested and found support for the hypothesis that girls’ greater vulnerability to conflict is due to their communal disposition (e.g., interpersonal connectedness and concern for welfare of others). The authors concluded that the socialization of girls to traditional gender roles may account for their higher levels of distress stemming from discord or conflict in family relationships (Davies & Lindsay, 2004; Lewis et al., 2015).
Gender studies in immigrant youth fairly consistently show that girls tend to have greater domestic responsibilities than boys (Espiritu, 2001). For example, girls were asked more frequently than boys to translate; to cook; to attend to medical, financial, and legal matters; and to act as surrogate parents. There is also evidence that immigrant parents tend to be more restrictive of their daughters’ activities outside the home, such as spending time with friends and participating in after-school programs (Espiritu, 2001; Olson, 1997). Studies show that these gendered patterns of socialization of children can strain the parent–child dyad (Williams et al., 2002). For example, in a study of Asian American college students, female students reported significantly greater conflict with their parents over dating and marriage than male students (R. H. Chung, 2001). The author indicated that the sources of family conflict may differ for Asian American boys and girls, in part, due to cultural considerations. However, in a separate study of Chinese immigrant youth, no gender differences were observed in relation to family conflict (Florsheim, 1997).
Research Questions
The present study examined the prevalence of depressive symptoms among KA adolescents and explored the complicated relationships among family conflict (i.e., interparental conflict and parent–adolescent conflict), problem-focused disengagement coping, depressive symptoms, self-esteem, and gender in KA adolescents. The structural model is presented in Figure 1. We sought to answer the following research questions:
1. What is the prevalence of depressive symptoms among KA adolescents?
2. Are there any gender differences in the mean values of interparental conflict, parent–adolescent conflict, problem-focused disengagement coping, self-esteem, and depressive symptoms in KA adolescents?
3. What are the relationships among interparental conflict, parent–adolescent conflict, problem-focused disengagement coping, self-esteem, and depressive symptoms in KA adolescents?
4. Does self-esteem mediate these relationships in KA adolescents?
5. Are there any gender differences in these relationships?
Method
Study Design, Sample, and Data Collection Procedure
This study used a cross-sectional survey design and a convenience sampling strategy. Eligibility criteria included (a) have at least one parent who immigrated from Korea, (b) reside with at least one parent, (c) maintain contact with both parents, (d) 12–18 years of age, (e) able to read and understand English, and (f) reside in New York or New Jersey at the time of investigation. The researcher visited several KA religious organizations and one social service agency run by a pastor to explain the study purpose. Upon gaining permission to recruit potential participants, the researcher explained the study to groups of adolescents. Those who were interested in participating were given printed information explaining the study’s purpose, those under age 18 were given a consent form to be signed by their legal guardian and an assent form to sign themselves, and those who were 18 were given a consent form to sign. Data were collected from June to September 2014 after obtaining approval from the New York University Committee on Activities Involving Human Subjects and from the cooperating sites.
Potential participants who returned all signed forms to the researcher were given a questionnaire, which was self-administered in a designated room at each facility and took approximately 20–25 minutes to complete. Prior to beginning the survey, participants were informed that they were free to withdraw without reprisal and could discontinue participation at any time. As an incentive, they were entered into a raffle for $10 gift cards, regardless of survey completion. Of the 353 survey respondents, one withdrew due to minor discomfort during the survey, and 13 did not complete the survey, for a total of 339 KA adolescent participants (276 from religious organizations and 63 from a social service agency). The response rate was 96%.
Power Analyses
Power analyses were conducted using the software G*Power 3.1 (Faul et al., 2009) to determine the number of participants needed to detect effects due to the independent variables. Given that the statistical power for this study was set to 0.80, a medium effect size ( ) with 10 predictors for each analysis, and a criterion for significance of 0.05, a sample of 119 was needed to detect an effect.
Measures
Interparental Conflict
Interparental conflict was measured with the conflict properties subscale of the Children’s Perception of Interparental Conflict Scale (Grych et al., 1992), which contains 19 items with a 3-point response format: true (2), sort of true (1), and false (0). Eight items are reverse scored. Higher scores reflect greater interparental conflict. Sample items included “I often see my parents arguing” and “My parents get really mad when they argue.” The full Children’s Perception of Interparental Conflict Scale and all subscales have shown good internal consistency, test–retest reliability, and concurrent and criterion validity (Grych et al., 1992). In the current study, the conflict properties subscale demonstrated good internal reliability with a Cronbach’s alpha of 0.93.
Parent–Adolescent Conflict
Parent–adolescent conflict was measured using the Asian American Family Conflicts Scale (FCS; R. M. Lee et al., 2000), which contains two 10-item subscales: FCS-likelihood and FCS-seriousness. The current study used the FCS-seriousness subscale to assess the intensity of family conflict. FCS is a self-report measure with 10 items, all from an adolescent perspective and rated on a 5-point scale according to the perceived seriousness of the problem (1 = not at all to 5 = extremely). Higher scores indicate higher conflict between parents and adolescents. Sample items included “Your parents do not want you to bring shame upon the family, but you feel that your parents are too concerned with saving face” and “You have done well in school, but your parents’ academic expectations always exceed your performance.” The internal reliability for the subscale among Asian American adolescents has been well established ( ; R. M. Lee et al., 2000). In the current study, Cronbach’s alpha was 0.86.
Problem-Focused Disengagement Coping
Problem-focused disengagement coping is a subscale of the Coping Strategies Inventory-Short (CSI; Tobin et al., 1989), a 32-item abbreviated version of the CSI that asks respondents to describe recent stressful situations and report the extent to which they used specific coping strategies. This subscale consists of eight items with a 5-point Likert scale ranging from 1 (none) to 5 (very much). Higher scores reflect greater perceived use of problem-focused disengagement coping strategies. Sample items included “I went along as if nothing were happening” and “I tried to forget the whole thing.” The CSI has been used in studies with Asian American adolescents and has demonstrated adequate to good internal reliability, with Cronbach’s alphas of 0.77–0.87 (R. M. Lee et al., 2005). In the present study, Cronbach’s alpha for problem-focused disengagement coping was 0.74.
Self-Esteem
Self-esteem was measured with the Rosenberg’s Self-Esteem Scale (Rosenberg, 1965), which consists of 10 items, such as “On the whole I am satisfied with myself” and “All in all, I am inclined to feel that I am a failure.” The scale has a 4-point response format, ranging from 1 (strongly disagree) to 4 (strongly agree). Five items are reverse scored. Higher scores reflect higher self-esteem. Previous studies on KA adolescents have shown good internal consistency ( ; Kiang & Luu, 2013); in the current study, Cronbach’s alpha was 0.89.
Depressive Symptoms
Depressive symptoms were measured by the Center for Epidemiological Studies-Depression Scale (CES-D; Radloff, 1977), which has been widely used to assess depressive symptoms in adolescents, including KAs (E. Kim & Cain, 2008). The CES-D contains 20 items and measures depressive symptoms in four domains: negative affects, positive affects, somatic complaints, and interpersonal difficulties. For each item, respondents are instructed to rate how they felt or behaved during the past week. The response format is a 4-point scale with the following choices: rarely or none of the time (less than 1 day); some or a little of the time (1–2 days); occasionally or a moderate amount of time (3–4 days); and most or all of the time (5–7 days). Four items are reverse scored. Higher scores indicate higher depressive symptoms. Prior research on KA adolescents using the CES-D has reported a high level of reliability ( ; E. Kim & Cain, 2008). In the current study, the CES-D demonstrated excellent internal reliability, with Cronbach’s alpha of 0.91. A score of 16 was the optimal cutoff score indicating significant depression (Radloff, 1991), which corresponds to a score of 0.80 using the current scoring metric.
Data Analytic Plan
Descriptive statistics for sociodemographic characteristics (i.e., age, gender, generational status, living arrangement, and parents’ education) were examined. We then applied linear regression to compare group mean differences of the major variables among KA adolescents, controlling for covariates (i.e., age, generational status).
We used structural equation modeling to determine whether self-esteem mediated the major independent variables (i.e., interparental conflict, parent–adolescent conflict, problem-focused disengagement coping) and depressive symptoms in KA adolescents. Analyses of total and indirect effects and the magnitude of the effects of the mediator were performed using a percentile based bootstrap method (Biesanz et al., 2010). Gender differences in the structural model were tested using a multigroup structural equation modeling strategy and a scaled chi-square difference test (Brown, 2006).
We estimated model fit using the following goodness-of-fit indices: chi-square fit statistics ( ), comparative fit index ( ), standardized root mean residual ( ), and root mean square error of approximation ( ) with a 90% confidence interval (CI; Schreiber et al., 2006). We used Mplus 8 and SPSS 22.0 for all analyses.
The proportion of missingness in the data ranged from 0 to 3.5%, with an average of 1.7%. Although there is no established cutoff point on an acceptable percentage of missing data, less than 5% is considered inconsequential for valid statistical inferences (Schafer, 1999), and a less rigorous missing data method can be applied (Little et al., 2014). To explore missing data mechanisms, we performed Little’s missing completely at random test; results showed that missing data were not missing completely at random, indicating that they were either missing at random or missing not at random, also called nonignorable missingness (Garson, 2015). Considering the low proportion of missingness in the data and the missing data mechanism, we handled missing data using full information maximum likelihood (FIML) in Mplus (Enders, 2010). Although FIML assumes that data are missing at random, it provides superior performance to listwise and pairwise deletion methods even with nonignorable data (Wothke, 1998). FIML does not impute or delete missing values, but it uses all available data, including observed responses in the incomplete cases (Mazza et al., 2015).
Results
Descriptive Analyses
Table 1 presents the sample characteristics and prevalence of depressive symptoms in our sample of KA adolescents. Mean age was 14.99 ( ), and more than half of respondents (53.1%) were girls. Two-thirds of the sample (66.4%) were second-generation (U.S. born), and almost all (90.0%) lived with both parents. More than half reported that their mother (51.9%) and/or father (59.9%) were at least college graduate or above. More than half (53.7%) reported problematic levels of depressive symptoms (a cutoff score of 16 or above).
Variable | n (%) | M (SD) |
---|---|---|
Age (years; range: 12~18) | 14.99 (1.67) | |
Gender | ||
Boys | 159 (46.9) | |
Girls | 180 (53.1) | |
Generation status | ||
1st generation (non-U.S. born) | 114 (33.6) | |
2nd generation (U.S. born) | 225 (66.4) | |
Living arrangement | ||
Both parents | 305 (90.0) | |
Mother only | 20 (5.9) | |
Father only | 5 (1.5) | |
Biological and stepparent | 9 (2.7) | |
Mother’s education | ||
Some high school | 2 (0.6) | |
High school graduate | 54 (15.9) | |
Junior college | 20 (5.9) | |
College graduate or above | 176 (51.9) | |
Father’s education | ||
Some high school | 3 (0.9) | |
High school graduate | 29 (8.6) | |
Junior college | 15 (4.4) | |
College graduate or above | 203 (59.9) | |
Depressive symptoms | ||
Yes | 180 (53.7) | |
No | 155 (46.3) |
Mean Values of Major Variables and Group Mean Comparisons by Gender
Table 2 presents the mean values of major variables for all KA adolescents and the group mean comparisons of the major variables by gender, as determined by linear regression. Age and generation status were included as covariates in these comparisons. For all KA adolescents, mean values for interparental conflict and parent–adolescent conflict were 0.82 ( ) and 2.67 ( ), respectively. The mean value for problem-focused disengagement coping was 3.20 ( ). The mean values for self-esteem and depressive symptoms were 2.75 ( ) and 0.91 ( ), respectively.
Variable | Total | Korean American Boys | Korean American Girls | t |
---|---|---|---|---|
Mean ± SD | Mean ± SD | Mean ± SD | ||
Interparental conflict | 0.82 ± 0.49 | 0.80 ± 0.04 | 0.84 ± 0.04 | 0.82 |
Parent–adolescent conflict | 2.67 ± 0.90 | 2.77 ± 0.07 | 2.58 ± 0.07 | 1.97* |
Problem-focused disengagement coping | 3.20 ± 0.77 | 3.15 ± 0.06 | 3.24 ± 0.06 | 1.02 |
Self-esteem | 2.75 ± 0.55 | 2.93 ± 0.04 | 2.60 ± 0.04 | 5.66*** |
Depressive symptoms | 0.91 ± 0.56 | 0.78 ± 0.04 | 1.03 ± 0.04 | 4.05*** |
There were significant gender differences in the mean values of parent–adolescent conflict ( , ), self-esteem ( , ), and depressive symptoms ( , ). For boys, parent–adolescent conflict ( ) and self-esteem ( ) values were significantly higher than those for girls ( and 2.60, respectively). Conversely, the mean value for depressive symptoms was higher among girls ( ) than boys ( ).
Structural Equation Model
We performed an initial exploration of the model in Figure 1 to identify any sources of poor fit that might require revision. This initial model yielded a poor fit to the data with respect to overall global fit indices ( , ; ; ; ; 90% CI [0.11, 0.22]). Fit statistics (the absolute standardized residuals and modification indices) suggested the need for model respecification. Based on prior theory and evidence (E. Kim & Cain, 2008; Huh-Kim, 1998; Gerard et al., 2006), we revised the initial model by adding two paths with the largest modification indices: from interparental conflict to depressive symptoms and from parent–adolescent conflict to depressive symptoms. The revised structural model, including covariates (age, gender, generation), yielded a good model fit for the global fit indices ( , ; ; ; ; 90% CI [0.00, 0.16]). Fit indices revealed no theoretically meaningful points of poor fit. Figure 2 displays the unstandardized path coefficients for KA adolescents. All path coefficients were statistically significant: from interparental conflict, parent–adolescent conflict, and problem-focused disengagement coping to self-esteem (path , −0.09, and −0.14, respectively); from interparental conflict and parent–adolescent conflict to depressive symptoms (path and 0.11, respectively); and from self-esteem to depressive symptoms (path ).
Table 3 shows direct, indirect, and total effects using bootstrapping (2,000 iterations). Significance tests for the total effects used the logic of the joint significance test (MacKinnon et al., 2002). The path coefficients for every path in the implied mediational chains were statistically significant for the mediator (all critical ratios , ). The effects of interparental conflict and parent–adolescent conflict on depressive symptoms were partially mediated by self-esteem (the significant direct and indirect effects are shown). The effect of problem-focused disengagement coping on depressive symptoms was fully mediated by self-esteem (the significant indirect effect is shown in Table 3). The total effect of interparental conflict on depressive symptoms was estimated to be 0.29 ( , , 95% CI [0.17, 0.41]), and 0.08 of the units of change were attributable to the mediational chain through self-esteem ( , , 95% CI [0.02, 0.15]). The total effect of parent–adolescent conflict on depressive symptoms was estimated to be 0.16 ( , , 95% CI [0.10, 0.22]), and 0.05 of the units of change were attributable to the mediational chain through self-esteem ( , , 95% CI [0.02, 0.09]). The total effect of problem-focused disengagement coping on depressive symptoms was estimated to be 0.08, and all the units of change were attributable to the mediational effect through self-esteem ( , , 95% CI [0.03, 0.12]).
Path | Direct Effects | Indirect Effects | Total Effects | ||||||
---|---|---|---|---|---|---|---|---|---|
b | Critical Ratio | 95% CI | b | Critical Ratio | 95% CI | b | Critical Ratio | 95% CI | |
1. Interparental conflict to depressive symptoms | 0.21 | 3.93*** | [0.10, 0.31] | 0.08 | 2.48* | [0.02, 0.15] | 0.29 | 4.63*** | [0.17, 0.41] |
2. Parent–adolescent conflict to depressive symptoms | 0.11 | 3.99*** | [0.05, 0.16] | 0.05 | 2.74** | [0.02, 0.09] | 0.16 | 4.98*** | [0.10, 0.22] |
3. Problem-focused disengagement coping to depressive symptoms | – | – | – | 0.08 | 3.53*** | [0.03, 0.12] | 0.08 | 3.53*** | [0.03, 0.12] |
We tested the hypothesized structural model for KA boys and girls using a multigroup structural equation modeling method. The overall fit of the model was good ( , ; ; ; ; 90% CI [0.00, 0.17]). Focused fit indices showed no theoretically meaningful points of poor fit. Figure 3 presents the unstandardized path coefficients for KA boys and girls separately. All the path coefficients in the model were constrained as equal to test for invariance, and they were similar between the two groups, which indicates no gender differences in the structural model.
Discussion
This study investigated the prevalence of depressive symptoms among KA adolescents and the relationships among family conflict (interparental conflict, parent–adolescent conflict), problem-focused disengagement coping, depressive symptoms, self-esteem, and gender in KA adolescents, including the mediating effects of self-esteem and gender differences.
Findings indicate that more than half of the participants (53.7%) had depressive symptoms, which is very high compared to the general adolescent population, which ranges from 15% to 28% in the United States (Lewinsohn et al., 2000; Merikangas et al., 2011). The high level of KA adolescents’ depressive symptoms may be associated with intergenerational acculturation gap, acculturative stress, and family environment. One third of our sample was first generation (foreign-born), which implies that those who lack English proficiency are more likely to experience higher levels of acculturative stress (G. Kim et al., 2011). Regardless of generational status or levels of acculturative stress, parenting styles and/or Asian culture at home might influence KA adolescents’ behaviors and mental health. The cultural dissonance with parents who may more strongly embrace Asian culture, coupled with pressure on academic achievement and career success, could cause intergenerational conflicts between Asian American parents and their children (Qin, 2008). These circumstances would pose additional emotional challenges for some KA adolescents.
In this study, the relationships among interparental conflict, parent–adolescent conflict, problem-focused disengagement coping, self-esteem, and depressive symptoms were statistically significant in KA adolescents, and both interparental conflict and parent–adolescent conflict had negative effects on depressive symptoms, partially mediated by self-esteem. A similar study by Li and Warner (2015) supports this finding. Li and Warner investigated parent–adolescent conflict and self-esteem among Hispanic adolescents of immigrant families and found that parent–adolescent conflict was consistently and negatively related to self-esteem. Similarly, in a longitudinal study, Ha and colleagues (2009) found that marital discord significantly contributed to low self-esteem and depressive symptoms in a sample of Dutch adolescents in the Netherlands. Lastly, Hu and Ai (2016) examined the quality of family relationships and the impact on depression among Chinese adolescents and found that self-esteem partially mediated the link between parent–adolescent conflict and depression.
A considerable body of research demonstrates that interparental conflict and parent–adolescent conflict influence one another due to a spillover effect (Bradford et al., 2008). For example, interparental conflict can produce emotional distress and distractions that drain parental resources, attenuating parents’ ability to provide their children with support, involvement, and structure, leading to greater parent–adolescent conflict, which in turn feeds greater conflict between the parents (O’Donnell et al., 2010). These combined effects can negatively impact children’s emotional well-being. Consistent with the present study’s findings, a large volume of research supports the idea that children exposed to greater family conflicts are at a heightened risk for internalizing and externalizing problems (Hwang, 2006; McDonald et al., 2009).
Yap and colleagues (2014) conducted a meta-analysis examining the association between parental factors and depression, which revealed a consistent positive relationship between interparental conflicts and levels of depression in adolescents. The findings of the current study are in keeping with those of Yap et al. Interparental conflict can adversely impact children’s emotional health, especially when they are exposed to family violence, disruption of stability, and anxiety related to living in perpetual fear. A study of KA immigrant families found that nearly 19% of KA couples reported experiencing physical assault during the past year (J. Y. Kim & Sung, 2000). Children living in homes with frequent and intense interparental conflicts invariably experience stress stemming from exposure to dysfunctional relationships, and such experiences have been linked to emotional distress, including depression (McDonald et al., 2009).
We found that self-esteem fully mediated the relationship between problem-focused disengagement coping and depressive symptoms. Similarly, Aspinwall and Taylor (1992) found that higher use of avoidant coping predicted lower self-esteem in a longitudinal study of college students. Self-esteem is believed to be a protective factor during times of stress, and Fleishman (1984) posited that greater internal locus of control and self-efficacy predicted less use of avoidant coping in response to perceived stress. However, people with low self-esteem may be more likely to use avoidant and disengagement coping styles because they doubt their ability to effectively cope in response to stressful circumstances. According to a model of self-esteem proposed by Bednar et al. (1989), a disposition toward avoidance or disengagement from stressful situations may lead to negative self-evaluations, whereas a healthy coping response is assumed to produce positive self-approval and self-regard. Over time, negative self-evaluation and self-regard can lead to depression.
The current study found several significant gender differences on the mean values of depressive symptoms, self-esteem, and parent–adolescent conflict. Specifically, KA girls presented significantly higher depressive symptoms than KA boys. This finding is consistent with literature on differential depression rates based on gender. For example, Nolen-Hoeksema and Girgus (1994) found that females are twice as likely to be depressed as males. Furthermore, gender differences in depression coincide with puberty (Wichstrom, 1999). One possible explanation for the emergence of these gender differences in adolescence is the hormonal and physical changes that accompany puberty (Graber & Brooks-Gunn, 1996). The transitional stress model posits that the reproductive changes taking place during puberty may increase greater emotional arousal in girls. Many KA girls in the present study were either entering or in the process of pubertal development, which may partially explain their higher scores on depressive symptomology. Another possible explanation for the observed gender difference may be methodological, since the CES-D is designed to measure internalizing symptoms of depression. Although boys and girls may experience distress in similar ways, they may express or manifest it differently. It is possible that boys are more likely to express distress through externalizing behaviors, whereas girls may do so by internalizing behaviors (Stommel, et al., 1993), thus resulting in girls’ higher scores on the CES-D measurement.
In the current study, KA boys were found to have higher self-esteem than KA girls. The literature is inconclusive on gender differences in self-esteem; although some studies support this finding, others have found no statistically significant differences between gender and self-esteem in adolescents (Chui & Wong, 2016). In addition, the current study found a statistically significant gender difference in parent–adolescent conflict, revealing boys to have higher conflict scores than girls. This finding is supported by the study by Renk and colleagues (2005), who found a significant gender difference with regard to mother–child and father–child conflicts. More specifically, Renk et al. demonstrated that boys experienced greater conflict with their parents over material possessions (e.g., television, computers) and teen behavior problems compared to girls.
Limitations
This study has several limitations. First, convenience sampling introduced self-selection bias, which limits the generalizability of findings. Participants were recruited mainly from Korean ethnic churches in New Jersey. These participants live in ethnically dense communities or have easy access to other KA peers, which may affect the results. Along with geographic limitations, the sample is skewed toward adolescents who have two parents, one or both with a college or graduate degree, as well as toward those with Protestant religious affiliations. It is possible that a different sample of KA adolescents would have yielded different results. Second, in addition to self-report data from adolescents, future research should include parents’ reports of parent–child conflict and interparental conflict to develop a more comprehensive picture of family conflicts. Third, cross-sectional survey data make it difficult to address the causal associations between the key variables of interest. Longitudinal research is needed to detect developmental changes in the target population and to examine the mediational effects of self-esteem on the relationships between interparental conflict, parent adolescent conflict, problem-focused disengagement coping, and depressive symptoms among KA adolescents across time.
Implications for Practice and Conclusion
Our results offer insight into the mental health status of KA youth of immigrant families by examining the understudied domains of family conflicts and coping strategies, and their relationship to self-esteem and depression. Findings suggest that greater family conflicts and disengagement coping strategies can affect self-esteem and depressive symptoms among KA adolescents. Clinical interventions for KA adolescents and their families should be considered in the broader context of acculturation gap, loss of common language and discrepant values between the immigrant parents and their children and its impact on family relationships. Prevention and intervention strategies may include immigrant-family-specific parenting and youth programs, if possible, offered through Korean cultural schools and religious organizations, as these institutions are highly respected in KA communities. Family-centered programs should focus on helping families anticipate and navigate intergenerational acculturation issues by normalizing these experiences and teaching immigrant families the skills to strengthen intergenerational communications and parent–child bonding. Additionally, it would be instructive to provide resources and supports for immigrant parents to help their children cultivate positive self-esteem, self-efficacy, and effective coping strategies in light of intergenerational tensions stemming from acculturation issues.
Research studies such as this are made possible by willing participants. We owe an enormous debt to the adolescents who offered their time and stories to this project. We hope that this work can contribute in small measure to the well-being of future adolescents.
Notes
Yeddi Park, PhD, is an assistant professor at the Graduate School of Education and Allied Professions, Fairfield University.
So-Young Park, PhD, is a research fellow at the Ewha Institute for Age Integration Research, Ewha Womans University, Seoul, Republic of Korea.
Michelle Williams, PhD, is a professor in the Department of Psychological Sciences, University of Connecticut.
Tazuko Shibusawa, PhD, Azabu Wellness, Tokyo, Japan.
James I. Martin, PhD, is a professor at the Silver School of Social Work, New York University.
Correspondence regarding this article should be directed to So-Young Park via e-mail to [email protected].
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