Acculturation, discrimination and depressive symptoms among Korean immigrants in New York City.

Immigrant mental health issues, especially depression in relation to discrimination and acculturation, are reported to be serious problems in the United States. The current study examines the prevalence of depressive symptoms among Korean immigrants in New York City (NYC) and its relation to self-reported discrimination and acculturation. A sample of 304 Korean immigrants residing in NYC completed a survey utilizing the Center for Epidemiologic Studies Depression Scale-Korean version, Discrimination Scale, and Acculturation Stress Scale. Results indicated that 13.2% of the sample population demonstrated some symptoms of depression and that variable such as living alone, marital status, education, years in US and income impact high depression scores. Results also indicate that higher self-reported exposure to discrimination and lower self-reported language proficiency were related to higher depressive symptoms. In a regression analysis, discrimination and English language proficiency were significant predictors of depression, but acculturation stress was not significantly related to depression.

Symptom manifestations and expressions among Korean immigrant women suffering with depression.

AIM: This paper is a report of a study to investigate the culture-specific symptom manifestation and expression of depression in Korean immigrant women in the United States of America (USA). BACKGROUND: The literature indicates that Korean immigrants to the USA report higher levels of depressive symptoms than immigrants from other Asian ethnic groups, and women immigrants tend to encounter more gender-related emotional difficulties. However, because of traditional cultural beliefs, immigrants may not seek treatment for depression and, when they do, tend to leave treatment prematurely. METHODS: We used an ethnographic method based on Spradley's Developmental Research Sequence with a sample of 17 Korean immigrant women who scored mild-to-severe depression on a Korean version of the Hamilton Depression Inventory Scale. Data were collected from 2005 to 2006, and consisted of tape-recorded interviews, field notes and diaries. FINDINGS: Depressive symptoms were complex, intertwined and felt in all domains of the person's existence. They were expressed mainly through emotional and physical suffering, and the expression of suffering as a way of life. Themes elicited were emotional entrapment, shame and failure as women, disappointment at not being able to live a normal life and emotional restraint, as emotions were not generally expressed verbally but instead were expressed somatically, bodily and metaphorically. CONCLUSION: Being aware of culture-specific symptoms of depression among Korean immigrant women can assist nurses in caring for them and thus improving their therapeutic alliances and preventing them from prematurely terminating treatment.

Depression and Korean American immigrants.

Koreans are a relatively new and fast-growing immigrant group in the United States. Research has shown that immigration experiences are associated with depression, whereas acculturation and social support are moderating factors. Korean culture is informed by Confucianism, which emphasizes family integrity, group conformity, and traditional gender roles, and has influenced how Korean immigrants conceptualize depression, express depressive symptoms, and demonstrate help-seeking behavior. An understanding of Korean patterns of manifesting and expressing depression will be helpful to provide culturally appropriate mental health services to Korean American immigrants.

Clinical assessment and management of psychiatric patients' violent and aggressive behaviors in general hospital.

Patients with co-morbid psychiatric disorders exhibiting violent and aggressive behaviors can be a challenge for nurses in medical-surgical units. They can deliver effective, safe care by assessing risk and building a rapport with the patient during the admission process; utilizing crisis prevention strategies, including appropriate medication administration, environmental, psychobiological, counseling, and health teaching interventions; and employing conflict resolution technique. Utilizing the nursing process, the nurse can provide effective therapeutic interventions to promote safety for both the patient and the nurse.

Clinical assessment and management of depression.

Major depressive disorder is a psychiatric disorder that encompasses a broad range of emotional, psychological, behavioral, and physical symptoms (Fava et al., 2004). The nurse in the hospital, office, school, or community setting can provide the essential elements of effective care for depression, including early detection by screening, medication teaching, depression education, teaching coping skills, and appropriate use of specialists and resources. Utilizing the nursing process, the nurse can provide comprehensive care to improve the depressed patient's physical and psychological well-being.