The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans

Introduction: Arab Americans are significantly affected by depression with prevalence as high as 50%. Our study assesses whether unique causes of depression such as stress, acculturation, and heritage identity play a role in the high prevalence of depression in Arab Americans. Methods: We surveyed 1...

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Main Authors: Abdul-Rahman Suleiman, Omar Afify, Keith E. Whitfield
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2021-07-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2021.1929050
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author Abdul-Rahman Suleiman
Omar Afify
Keith E. Whitfield
author_facet Abdul-Rahman Suleiman
Omar Afify
Keith E. Whitfield
author_sort Abdul-Rahman Suleiman
collection DOAJ
description Introduction: Arab Americans are significantly affected by depression with prevalence as high as 50%. Our study assesses whether unique causes of depression such as stress, acculturation, and heritage identity play a role in the high prevalence of depression in Arab Americans. Methods: We surveyed 142 self-identified Arab Americans using a convenience model. Participants answered questions about their level of perceived stress, everyday discrimination, and acculturative stress. They also answered questions regarding their level of acculturation and heritage identity. Finally, participants answered questions regarding their depressive symptoms. A score of 16+ on the depression scale was used as the cut-off for depression. Results: The prevalence of depression in our sample was 60%. In our logistic regression model adjusted for age, sex, BMI and education, we found that perceived stress (OR = 1.21, 95% CI 1.10, 1.33, p < 0.01) and acculturative stress (OR = 1.02, 95% CI 1.00, 1.05, p < 0.05) were associated with greater odds of having depression in Arab Americans. We did not find that everyday discrimination, acculturation, or heritage identity were associated with depression in Arab Americans (p > 0.05). Conclusions: Our study shows that perceived stress and acculturative stress increase the odds of depression in Arab Americans and therefore may play a role in the high prevalence of depression in this population. We hope our findings inform clinicians on the important underlying causes that may be causing depression in their Arab American patients.
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spelling doaj.art-a19a9e61464e4644b9994c22ccc7e6fa2023-01-03T00:00:30ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662021-07-0111443343810.1080/20009666.2021.19290501929050The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab AmericansAbdul-Rahman Suleiman0Omar Afify1Keith E. Whitfield2Wayne State UniversityWayne State UniversityUniversity of Nevada Las VegasIntroduction: Arab Americans are significantly affected by depression with prevalence as high as 50%. Our study assesses whether unique causes of depression such as stress, acculturation, and heritage identity play a role in the high prevalence of depression in Arab Americans. Methods: We surveyed 142 self-identified Arab Americans using a convenience model. Participants answered questions about their level of perceived stress, everyday discrimination, and acculturative stress. They also answered questions regarding their level of acculturation and heritage identity. Finally, participants answered questions regarding their depressive symptoms. A score of 16+ on the depression scale was used as the cut-off for depression. Results: The prevalence of depression in our sample was 60%. In our logistic regression model adjusted for age, sex, BMI and education, we found that perceived stress (OR = 1.21, 95% CI 1.10, 1.33, p < 0.01) and acculturative stress (OR = 1.02, 95% CI 1.00, 1.05, p < 0.05) were associated with greater odds of having depression in Arab Americans. We did not find that everyday discrimination, acculturation, or heritage identity were associated with depression in Arab Americans (p > 0.05). Conclusions: Our study shows that perceived stress and acculturative stress increase the odds of depression in Arab Americans and therefore may play a role in the high prevalence of depression in this population. We hope our findings inform clinicians on the important underlying causes that may be causing depression in their Arab American patients.http://dx.doi.org/10.1080/20009666.2021.1929050arab americanstressacculturationheritage identitydepression
spellingShingle Abdul-Rahman Suleiman
Omar Afify
Keith E. Whitfield
The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
Journal of Community Hospital Internal Medicine Perspectives
arab american
stress
acculturation
heritage identity
depression
title The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
title_full The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
title_fullStr The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
title_full_unstemmed The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
title_short The Effect of Stress, Acculturation, and Heritage Identity on Depression in Arab Americans
title_sort effect of stress acculturation and heritage identity on depression in arab americans
topic arab american
stress
acculturation
heritage identity
depression
url http://dx.doi.org/10.1080/20009666.2021.1929050
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