Predictors of Help Seeking for Emotional Distress Among Chinese Americans: Family Matters

Using data from the Chinese American Psychiatric Epidemiological Study, the authors examined longitudinal predictors of help seeking for emotional distress in a community sample of 1,503 Chinese Americans. Specifically, they assessed the relative contribution of family relational variables (e.g., le...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2002-10, Vol.70 (5), p.1186-1190
Main Authors: Abe-Kim, Jennifer, Takeuchi, David, Hwang, Wei-Chin
Format: Article
Language:English
Subjects:
Acculturation
Adolescent
Adult
Affective Symptoms - ethnology
Affective Symptoms - psychology
Affective Symptoms - therapy
Aged
Asian Americans
Asian Americans - psychology
Asians
Biological and medical sciences
Chinese American people
Conflict
Distress
Emotional distress
Emotions
Families & family life
Family - psychology
Family environment. Family history
Family Relations
Female
Health Attitudes
Health Care Seeking Behavior
Helpseeking
Human
Humans
Male
Medical sciences
Mental Health Services
Middle Aged
Patient Acceptance of Health Care - ethnology
Patient Acceptance of Health Care - psychology
Prediction
Predictors
Primary Health Care
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social psychiatry. Ethnopsychiatry
Social Support
USA
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Summary:Using data from the Chinese American Psychiatric Epidemiological Study, the authors examined longitudinal predictors of help seeking for emotional distress in a community sample of 1,503 Chinese Americans. Specifically, they assessed the relative contribution of family relational variables (e.g., levels of family support and family conflict) in predicting help seeking for medical, mental health, and informal services. After traditional need, predisposing, and enabling factors were controlled for in hierarchical logistic regression analyses, family conflict predicted both mental health and medical service use, whereas family support was not predictive of help seeking. In addition to family conflict, mental health service use was predicted by negative life events, emotional distress, and insurance coverage. Implications of the findings for assessing and treating Asian American clients are explored.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.70.5.1186