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Biomedical subjects

Heeseung Choi

Publications and source records attributed to Heeseung Choi.

4 recordsLinked to original sources

Ethnic differences in adolescents' mental distress, social stress, and resources.

Limited data on ethnic group differences among young adolescents exist regarding the prevalence of mental distress, social stress, and resources. The aim of this cross-sectional study was to examine ethnic differences among African American (AA), European American (EA), Hispanic American (HA), and Asian American adolescents in mental distress, social stress, and resources. A total of 316 adolescents completed the self-administered questionnaire: The DSD, Somatic Symptom Scale, SAFE-C, FES, Coping, and Rosenberg's Self-Esteem Scale. The findings revealed that (1) Asian Americans and HAs reported significantly higher scores on social stress and mental distress and lower scores on resources than EAs; (2) Compared to EAs, AAs and HAs were more likely to experience social stress (2.2 < or = OR < or = 4.3), and HAs are more likely to have suicidal ideation (OR = 2.04; 95% CI = 1.04-3.98). Findings highlighted the importance of understanding the role of social stress in the development of adolescents' mental distress. Identified ethnic minority adolescents are vulnerable groups who require additional research and attention from health care providers.

Adaptation, Psychological↗

Psychometric properties of the DSM scale for depression (DSD) with Korean-American youths.

As a first step in developing a reliable and culturally sensitive instrument to assess depression in Korean-American youths, this community-based methodological study was designed to evaluate the characteristics of the DSM Scale for Depression (DSD). A total of 104 Korean Americans, 11 to 13 years, participated in this study, and the response patterns of this group were compared with Korean- (n = 20) and Anglo- (n = 557) American youths assessed by the Teen Life Changes Survey (TLCS). Overall, Korean-American youths showed significantly higher mental distress scores than Anglos. The DSD was found to be a culturally appropriate instrument for Korean Americans with good reliability (alpha =.92) and validity demonstrated by correlating with related constructs (loneliness, self-esteem, coping, social support, mastery, and somatic symptoms). The highest correlation coefficient was observed between depression and somatic symptoms (r =.61). These findings are informative for the design of further studies of mental health of Korean-American youths.

Adaptation, Psychological↗

Understanding adolescent depression in ethnocultural context.

Asian-American adolescents often are regarded as a "model minority" and as being less likely to experience depression than adolescents of other ethnic groups. African-American adolescents are more often diagnosed with schizophrenia than depression. Do these epidemiologic phenomena reflect the real facts, or are these just artifacts shaped by cultural bias or insensitivity prevailing in this society? This article explores the diagnostic bias resulting in misdiagnosis of adolescent depression and reviews the role of culture/ethnicity in mental health and the ethnocultural variations in depression among African-American, Hispanic-American, and Asian-American adolescents. By discussing the issues, this article guides nurses to enhance cultural competence in nursing care.

Acculturation↗

Understanding adolescent depression in ethnocultural context: updated with empirical findings.

As a continuation of the discussion of the ethnocultural variations in adolescent depression, a cross-sectional, school-based study was designed to examine ethnocultural variations in depression and somatic symptoms in white, African American, Hispanic American, and Asian American adolescents (N = 307). Ethnocultural variations in the relationship between depression and somatic symptoms were also explored. Each ethnocultural group of adolescents had its own particular tendency to symptoms of depression. Ethnocultural-specific patterns of relationship were also found between depression and somatic symptoms. This study confirmed the importance of understanding ethnocultural variations in adolescent depression.

Adolescent↗