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Administration and Policy in Mental Health and Mental Health Services Research

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01-03-2014 | Original Article

Acculturation, Cultural Values, and Latino Parental Beliefs About the Etiology of ADHD

Authors: Kathryn E. Lawton, Alyson C. Gerdes, Lauren M. Haack, Brian Schneider

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 2/2014

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent mental health disorders of childhood. Despite the availability of several evidence-based interventions, Latino children are more likely than non-minority children to have an unmet need for services related to ADHD. Given that parental beliefs about the etiology of ADHD likely influence service utilization, research needs to focus on cultural factors that may influence parental beliefs about the etiology of child behavior problems. Thus, the goal of the current study was to investigate the role of acculturation and cultural values of familism, respect, spirituality, and traditional gender roles in explaining parental etiological beliefs about ADHD in a sample of Latino parents. Findings suggest that behavioral acculturation was not significantly correlated with biopsychosocial or sociological/spiritual etiological beliefs; however, the cultural values of familism and traditional gender roles were positively correlated with sociological/spiritual beliefs. Further, exploratory analyses suggested that after controlling for SES, familism and traditional gender roles accounted for 30.5 % of the total variance in sociological/spiritual beliefs about ADHD. Finally, post hoc analyses revealed that cultural values were associated with several individual belief categories within the sociological/spiritual domain, including beliefs about friends, spirituality, and nature disharmony. The current study supports the inclusion of etiological beliefs and cultural factors in research examining help-seeking and access to mental health services among Latino families and suggests that the incorporation of alternative etiological beliefs about child behavior may be an important factor in culturally-appropriate mental health services.

Alegría, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino Whites. Psychiatric Services, 53, 1547–1555. doi:10.1176/appi.ps.53.12.1547.PubMedCrossRef

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association.CrossRef

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.PubMedCrossRef

Antshel, K. M. (2002). Integrating culture as a means of improving treatment adherence in the Latino population. Psychology, Health, and Medicine, 7, 435–449. doi:10.1080/1354850021000015258.CrossRef

Arcia, E., & Fernández, M. C. (2003). From awareness to acknowledgement: The development of concern among Latina mothers of children with disruptive behaviors. Journal of Attention Disorders, 6, 163–175. doi:10.1177/108705470300600403.PubMedCrossRef

Baez, A., & Hernandez, D. (2001). Complementary spiritual beliefs in the Latino community: The interface with psychotherapy. American Journal of Orthopsychiatry, 71, 408–415.PubMedCrossRef

Bagwell, C. L., Molina, B., Pelham, W. E., & Hoza, B. (2001). Attention-deficit hyperactivity disorder and problems in peer relationships: Predictions from childhood to adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1285–1292. doi:10.1097/00004583-200111000-00008.PubMedCrossRef

Barkley, R. A. (2006). Etiologies. In R. Barkley (Ed.), Attention-deficit hyperactivity disorder (pp. 122–183). New York, NY: Guilford Press.

Barrera, M, Jr, Toobert, D., Strycker, L., & Osuna, D. (2012). Effects of acculturation on a culturally adapted diabetes intervention for Latinas. Health Psychology, 31, 51–54. doi:10.1037/a0025205.PubMedCentralPubMedCrossRef

Berry, J. W. (2001). A psychology of immigration. Journal of Social Issues, 57, 615–631.CrossRef

Biederman, J., & Faraone, S. V. (2006). The effects of attention-deficit/hyperactivity disorder on employment and household income. Medscape General Medicine, 8, 1–6.

Brassett-Harknett, A., & Butler, N. (2007). Attention-deficit/hyperactivity disorder: An overview of the etiology and a review of the literature relating to the correlates and lifecourse outcomes for men and women. Clinical Psychology Review, 27, 188–210. doi:10.1016/j.cpr.2005.06.001.PubMedCrossRef

Bussing, R., Schoenberg, N. E., & Perwien, A. R. (1998a). Knowledge and information about ADHD: Evidence of cultural differences among African-American and White parents. Social Science in Medicine, 46, 919–928.CrossRef

Bussing, R., Schoenberg, N. E., Rogers, K. M., Zima, B. T., & Angus, S. (1998b). Explanatory models of ADHD: Do they differ by ethnicity, child gender, or treatment status? Journal of Emotional and Behavioral Disorders, 6, 233–242.CrossRef

Bussing, R., Zima, B. T., Gary, F. A., & Garvan, C. W. (2003). Barriers to detection, help-seeking, and service use for children with ADHD symptoms. Journal of Behavioral Health Services and Research, 30, 176–189.PubMedCrossRef

Campesino, M., & Schwartz, G. E. (2006). Spirituality among Latinas/os implications of culture in conceptualization and measurement. Advances in Nursing Science, 29, 69–81.PubMedCentralPubMedCrossRef

Cauce, A. M., Domenech-Rodriguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnick, D., et al. (2002). Cultural and contextual influences in mental health help-seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70, 44–55. doi:10.1037//0022-006X.70.1.44.PubMedCrossRef

Cervantes, J. M., & Parham, T. A. (2005). Toward a meaningful spirituality for people of color: Lessons for the counseling practitioner. Cultural Diversity and Ethnic Minority Psychology, 11, 69–81. doi:10.1037/1099-9809.11.1.69.PubMedCrossRef

Céspedes, Y. M., & Huey, S. J. (2008). Depression in Latino adolescents: A cultural discrepancy perspective. Journal of Cultural Diversity and Ethnic Minority Psychology, 14, 168–172. doi:10.1037/1099-9809.14.2.168.CrossRef

Cuellar, I., Arnold, B., & Maldonado, R. (1995). Acculturation rating scale for Mexican-Americans-II: A revision of the original ARSMA scale. Hispanic Journal of Behavioral Science, 17, 275–304. doi:10.1177/07399863950173001.CrossRef

Cuellar, I., & Paniagua, F. A. (2000). Handbook of multicultural mental health: Assessment and treatment of diverse populations. San Diego, CA: Academic Press.

Drench, M. E., Noonan, A. C., Sharby, N., & Ventura, S. H. (2007). Psychosocial aspects of health care. Upper Saddle River, New Jersey: Pearson.

Eiraldi, R. B., Mazzuca, L. B., Clarke, A. T., & Power, T. J. (2006). Service utilization among ethnic minority children with ADHD: A model of help-seeking behavior. Administration and Policy in Mental Health and Mental Health Services Research, 33, 607–622. doi:10.1007/s10488-006-0063-1.PubMedCrossRef

Ennis, S. R., Rios-Vargas, M, & Albert, N. G., (2011). The Hispanic population: 2010. Retrieved from the U.S. Census Bureau website: http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.

Espinosa, G., Elizondo, V., & Miranda, J., (2003). Hispanic churches in American public life: Summary of findings (Vol. 2003.2, 2nd Edn). Retrieved from University of Notre Dame’s Institute for Latino Studies website: http://latinostudies.nd.edu/publications/pubs/HispChurchesEnglishWEB.pdf.

Gidwani, P. P., Opitz, G. M., & Perrin, J. M. (2006). Mothers’ views on hyperactivity: A cross-cultural perspective. Journal of Developmental and Behavioral Pediatrics, 27, 121–126.PubMedCrossRef

Haack, L. M., & Gerdes, A. C. (2011). Functional impairment in Latino children with ADHD: Implications for culturally appropriate conceptualization and measurement. Clinical Child and Family Psychology Review, 14, 318–328. doi:10.1007/s10567-011-0098-z.PubMedCrossRef

Hollingshead, A. A. (1975). Four-factor index of social status. Yale University: Unpublished manuscript.

Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207.PubMedCrossRef

Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177, 396–410.PubMedCrossRef

Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.PubMedCrossRef

Knight, G. P., Gonzales, N. A., Saenz, D. S., Bonds, D. D., German, M., & Updegraff, K. A. (2010). The Mexican American cultural values scale for adolescents and adults. Journal of Early Adolescence, 30, 444–481. doi:10.1177/0272431609338178.PubMedCentralPubMedCrossRef

Koneru, V. K., Weisman de Mamani, A. G., Flynn, P. M., & Betancourt, H. (2007). Acculturation and mental health: Current findings and recommendations for future research. Applied and Preventative Psychology, 12, 76–96. doi:10.1016/j.appsy.2007.07.016.CrossRef

Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Bautsita, D. E. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. doi:10.1146/annurev.publhealth.26.021304.144615.PubMedCrossRef

LeFever, G. B., Dawson, K. V., & Morrow, A. L. (1999). The extent of drug therapy for attention deficit-hyperactivity disorder among children in public schools. American Journal of Public Health, 89, 1359–1364.PubMedCrossRef

Livingston, R. (1999). Cultural issues in diagnosis and treatment of ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1591–1594.PubMedCrossRef

Marín, G. (1992). Issues in the measurement of acculturation among Hispanics. In K. F. Geisinger (Ed.), Psychological testing of Hispanics (pp. 23–51). Washington, DC: American Psychological Association.

Marín, G., & Gamba, R. J. (2003). Acculturation and changes in cultural values. In K. Chun, P. Organista, & G. Marín (Eds.), Acculturation: Advances in theory, measurement, and applied research (pp. 83–93). Washington, DC: American Psychological Association.CrossRef

Marín, G., & Marín, B. V. (1991). Hispanics: Who are they? In Research with Hispanic populations (pp. 1–11). Newbury Park, CA: Sage.

Martin, K. R., & Garcia, L. (2011). Unintended pregnancy and intimate partner violence before and during pregnancy among Latina women in Los Angeles, California. Journal of Interpersonal Violence, 26, 1157–1175. doi:10.1177/0886260510368154.PubMedCrossRef

McCabe, K. M. (2002). Factors that predict premature termination among Mexican-American children in outpatient psychotherapy. Journal of Child and Family Studies, 11, 347–359. doi:1062-1024/02/0900-0347/0.CrossRef

McLeod, J. D., Fettes, D. L., Jensen, P. S., Pescosolido, B. A., & Martin, J. K. (2007). Public knowledge, beliefs, and treatment preferences concerning attention-deficit hyperactivity disorder. Psychiatric Services, 58, 626–631.PubMedCentralPubMedCrossRef

Mendelson, C. (2002). Health perceptions of Mexican American women. Journal of Transcultural Nursing, 13, 210–217.PubMedCrossRef

Musgrave, C. F., Allen, C. E., & Allen, G. J. (2002). Spirituality and health for women of color. American Journal of Public Health, 92, 557–560.PubMedCrossRef

National Institutes of Health. (2002). Outreach notebook for the inclusion, recruitment and retention of women and minority subjects in clinical research. Retrieved from http://orwh.od.nih.gov/pubs/outreach.pdf.

Pelham, W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatment for attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 37, 184–214. doi:10.1080/15374410701818681.CrossRef

Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476. doi:10.1207/s15374424jccp3403_5.PubMedCrossRef

Perry, C. E., Hatton, D., & Kendall, J. (2005). Latino parents’ accounts of attention deficit hyperactivity disorder. Journal of Transcultural Nursing, 16, 312–321. doi:10.1177/1043659605278938.PubMedCrossRef

Pescosolido, B. A., Jensen, P. S., Martin, J. K., Perry, B. L., Olafsdottir, S., & Fettes, D. (2008). Public knowledge and assessment of child mental health problems: Findings from the National Stigma Study-Children. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 339–349. doi:10.1097/CHI.0b013e318160e3a0.PubMedCrossRef

Pineda, D., Ardila, A., Rosselli, M., Arias, B. E., Henao, G. C., Gomez, L. F., et al. (1999). Prevalence of attention-deficit/hyperactivity disorder symptoms in 4-to 17-year-old children in the general population. Journal of Abnormal Child Psychology, 27, 455–462. doi:10.1023/A:1021932009936.PubMedCrossRef

Ramos-Sanchez, L., & Atkinson, D. R. (2009). The relationships between Mexican American acculturation, cultural values, gender, and help-seeking intentions. Journal of Counseling and Development, 87, 62–71.CrossRef

Reichman, J. S. (2006). Immigration, acculturation, and health: The Mexican Diaspora. New York, NY: LFB Scholarly Publishing.

Santana, S., & Santana, F. O. (2001). Mexican culture and disability: Information for US service providers. Retrieved from Center for International Rehabilitation Research Information and Exchange website: http://cirrie.buffalo.edu/culture/monographs/mexico.pdf.

Schwartz, S. J. (2007). The applicability of familism to diverse ethnic groups: A preliminary study. The Journal of Social Psychology, 147, 101–118.PubMedCrossRef

Snowden, L. R., & Yamada, A. (2005). Cultural differences in access to care. Annual Reviews of Clinical Psychology, 1, 143–166. doi:10.1146/annurev.clinpsy.1.102803.143846.CrossRef

Srebnik, D., Cauce, A. M., & Baydar, N. (1996). Help-seeking pathways for children and adolescents. Journal of Emotional and Behavioral Disorders, 4, 210–220. doi:10.1177/106342669600400402.CrossRef

Steidel, A. G. L., & Contreras, J. M. (2003). A new familism scale for use with Latino populations. Hispanic Journal of Behavioral Sciences, 25, 312–330. doi:10.1177/0739986303256912.CrossRef

Umaña-Taylor, A. J., Alfaro, E. C., Bámaca, M. Y., & Guimond, A. B. (2009). The central role of familial ethnic socialization in Latino adolescents’ cultural orientation. Journal of Marriage and Family, 71, 46–60. doi:10.1111/j.1741-3737.2008.00579.x.CrossRef

Yeh, M., & Hough, R. L. (1997). Beliefs about the causes of child problems-parent version. Unpublished measure.

Yeh, M., Hough, R. L., McCabe, K., Lau, A., & Garland, A. (2004). Parental beliefs about the causes of child problems: Exploring racial/ethnic patterns. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 605–612. doi:10.1097/00004583-200405000-00014.PubMedCrossRef

Yeh, M., McCabe, K., Hough, R. L., Lau, A., Fakhry, F., & Garland, A. (2005). Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about causes of child problems, and mental health service use. Journal of Consulting and Clinical Psychology, 73, 800–807.PubMedCrossRef

Zimmerman, F. J. (2005). Social and economic determinants of disparities in professional help-seeking for child mental health problems: Evidence from a national sample. Health Services Research, 40, 1514–1533. doi:10.1111/j.1475-6773.2005.00411.x.PubMedCrossRef

Title: Acculturation, Cultural Values, and Latino Parental Beliefs About the Etiology of ADHD
Authors: Kathryn E. Lawton
Alyson C. Gerdes
Lauren M. Haack
Brian Schneider
Publication date: 01-03-2014
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 2/2014
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-012-0447-3

At a glance: The STEP trials

Springer Medicine

Acculturation, Cultural Values, and Latino Parental Beliefs About the Etiology of ADHD

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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