The Conceptualization of Depression and Acculturative Stress among Latino Immigrants: A Comparison of Scores from Non-Hispanic Whites and Persons of Mexican Origin on the Center for Epidemiologic Studies Depression Scale - Revised (CESD-R) Public Deposited

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  • March 19, 2019
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  • Walsh, Tasanee
    • Affiliation: School of Social Work
Abstract
  • This dissertation examines and compares the influence of acculturative stress on the experience of depressive symptoms among Non-Hispanic Whites and persons of Mexican origin. The objectives of this dissertation are threefold: First, to develop an expanded and integrated explanatory model of Latino acculturative stress that accounts for culture, stress and coping, cognitive appraisal, timing, and family and neighborhood factors; second, to evaluate the reliability and validity evidence of the English language version of the CESD-R; and third, to evaluate the reliability and validity evidence of the Spanish language version of the CESD-R. The first manuscript posits an explanatory model that expands upon and integrates work by Berry (2006) and most notably adds the dimension of family and neighborhood. Recent research findings on Latino immigrant depression point toward the importance of understanding and leveraging the protective nature of neighborhood and family (Breslau, 2011; Shell, Peek, & Eschbach, 2013). The second manuscript evaluates the validity and reliability evidence of the English language version of the CESD-R. The results of an EFA, CFAs, and a multiple-group CFA of the English version of the CESD-R suggest that a 15-item version of the CESD-R best fit the study data. The final two-factor solution of negative mood and functional impairment and suicide, fit the data well. The third manuscript evaluates the reliability and validity evidence of the Spanish language version of the CESD-R. The scores of the Spanish Language version of the CESD-R fit the same CESD-R factor structure of Manuscript II. The results support the use of the 15-item version of the CESD-R with a Spanish speaking sample. This suggests that despite cultural differences, there are common cross-cultural components of depression that relate to negative mood and functional impairment and suicide.
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  • In Copyright
Advisor
  • Chapman, Mimi
  • Cutchin, Malcolm
  • Rounds, Kathleen
  • Markides, Kyriakos
  • Bowen, Natasha
Degree
  • Doctor of Philosophy
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2014
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  • Chapel Hill, NC
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