Abstract
Background
Accumulating evidence indicates that Latino children and adolescents are at risk for higher anxiety relative to youth of other ethnicities. However, to date, very little research has been conducted to examine culture specific mechanisms of anxiety in Latino youth.
Objective
This study explored whether strict adherence to Latino cultural values emphasizing maintenance of group harmony, familismo and simpatia, in combination with poor awareness and identification of negative emotions predicts increased anxiety among Latino youth.
Method
Familismo, simpatia, poor emotion awareness, and anxiety were measured in a mixed clinically anxious (n = 27) and non-clinical (n = 20) sample of 7–13 year-old Latino children. Anxiety was measured through self-report and mother report.
Results
Two way interactions between familismo and simpatia, and between poor emotion awareness and simpatia predicted anxiety level. Graphs of the interactions indicated that the combination of high levels of each variable was associated with the highest levels of child-reported anxiety, while high familismo in the context of low simpatia was associated with low anxiety levels per child and parent report. In contrast, low simpatia in the context of poor emotion awareness was associated with low mother-reported child anxiety.
Conclusions
Strict adherence to cultural values emphasizing family cohesion and positive interdependent social experiences in combination with poor emotion awareness are linked to anxiety in Latino youth.
Similar content being viewed by others
References
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Anderson, E. R., & Mayes, L. C. (2010). Race/ethnicity and internalizing disorders in youth: A review. Clinical Psychology Review, 30, 338–348.
Berry, J. W. (2002). Conceptual approaches to acculturation. In K. M. Chun, P. B. Organista, & G. Marin (Eds.), Acculturation: Advances in theory, measurement, and applied research (pp. 17–37). Washington, DC: American Psychological Association.
Bird, H., Gould, M., Rubio-Stipec, M., Staghezza, B. M., & Canino, G. (1991). Screening for childhood psychopathology in the community using the Child Behavior Checklist. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 116–123.
Cicchetti, D., Ackerman, B. P., & Izard, C. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1–10.
Cole, P. M., & Hall, S. E. (2008). Emotion dysregulation as a risk factor for psychopathology. In T. P. Beauchaine & S. P. Hinshaw (Eds.), Child and adolescent psychopathology (pp. 265–298). New Jersey: Wiley.
Draguns, J. G. (1973). Comparisons of psychopathology across cultures: Issues, findings, directions. Journal of Cross-Cultural Psychology, 4, 9–47.
Eagleton, T. (2000). The idea of culture. Oxford: Blackwell.
Escobar, J. I., Nervi, C. H., & Gara, M. A. (2000). Immigration and mental health: Mexican Americans in the United Status. Harvard Review of Psychiatry, 8, 64–72.
Gabrielidis, C., Stephan, W. G., Ybarra, O., Pearson, V. M., & Villareal, L. (1997). Preferred styles of conflict resolution: Mexico and the United States. Journal of Cross-Cultural Psychology, 28, 661–677.
Ginsburg, G. S., & Silverman, W. K. (1996). Phobic disorders in Hispanic and European-American youth. Journal of Anxiety Disorders, 10, 517–528.
Glover, S. H., Pumariega, A. J., Holzer, C. E., Wise, B. K., & Rodriguez, M. (1999). Anxiety symptomatology in Mexican-American adolescents. Journal of Child and Family Studies, 8, 47–57.
Gross, D., Fogg, L., Young, M., Ridge, A., Cowell, J. M., Richardson, R., et al. (2006). The equivalence of the Child Behavior Checklist/11/2-5 across parent race/ethnicity, income level, and language. Psychological Assessment, 18, 313–323.
Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guildford Press.
Guarnaccia, P. J., DeLaCancela, V., & Carrillo, E. (1989). The multiple meanings of ataques de nervios in the Latino community. Medical Anthropology, 11, 47–62.
Guarnaccia, P. J., & Farias, P. (1988). The social meanings of nervios: A case study of a Central American woman. Social Science and Medicine, 26, 1223–1231.
Harre, R., & Parrott, W. G. (1996). The emotions: Social, cultural, and biological dimensions. London: Sage Publications.
Hernandez, A., Plant, E. A., Sachs-Ericsson, N., & Joiner, T. E. (2005). Mental health among Hispanics and Caucasians: Risk and protective factors contributing to prevalence rates of psychiatric disorders. Journal of Anxiety Disorders, 19, 844–860.
Jenkins, J. H. (1988a). Ethnopsychiatric interpretations of schizophrenic illness: The problem of nervios within Mexican-American families. Culture, Medicine and Psychiatry, 12, 301–329.
Jenkins, J. H. (1988b). Conceptions of schizophrenia as a problem nerves: A cross-cultural comparison of Mexican-Americans and Anglo-Americans. Social Science and Medicine, 26, 1233–1243.
Kirmayer, L. J. (2001). Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment. Journal of Clinical Psychiatry, 62, 22–28.
March, J. S., Parker, J. D. A., Sullivan, K., Stallings, P., & Conners, K. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554–565.
Marin, G., & Marin, B. V. (1991). Research with Hispanic populations. Newbury Park, California: Sage Publications.
Marsella, A. J. (1988). Cross-cultural research on severe mental disorders: Issues and findings. Acta Psychiatrica Scandinavica, 78, 7–22.
McLaughlin, K. A., Hilt, L. M., & Nolen-Hoeksemsa, S. (2007). Racial/ethnic differences in internalizing and externalizing symptoms in adolescents. Journal of Abnormal Child Psychology, 35, 801–816.
Mendoza, R. H. (1989). An empirical scale to measure type and degree of acculturation in Mexican-American adolescents and adults. Journal of Cross-Cultural Psychology, 20, 372–385.
Metzger, R. L. (1976). A reliability and validity study of the State-Trait Anxiety Inventory. Journal of Clinical Psychology, 32, 276–278. https://doi.org/10.1002/1097-4679(197604)32:2%3c276::AID-JCLP2270320215%3e3.0.CO;2-G.
Penza-Clyve, S., & Zeman, J. (2002). Initial validation of the Emotion Expression Scale for children (EESC). Journal of Clinical Child and Adolescent Psychology, 31, 540–547.
Phinney, J., Kim-Jo, T., Osorio, S., & Vilhjalmsdottir, P. (2005). Autonomy and relatedness in adolescent-parent disagreements: Ethnic and developmental factors. Journal of Adolescent Research, 20, 8–39.
Piña, A. A., Little, M., Knight, G. P., & Silverman, W. K. (2009). Cross-ethnic measurement equivalence of the RCMAS in Latino and White youth with anxiety disorders. Journal of Personality Assessment, 91, 58–61. https://doi.org/10.1080/00223890802484183.
Piña, A., & Silverman, W. K. (2004). Clinical phenomenology, somatic symptoms, and distress in Hispanic/Latino and European American youths with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33, 227–236.
Reynolds, C. R., & Richmond, B. O. (1978). What I Think and Feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280. https://doi.org/10.1007/BF00919131.
Rubio-Stipec, M., Bird, H., Canino, G., & Gould, M. (1990). The internal consistency and concurrent validity of a Spanish translation of the Child Behavior Checklist. Journal of Abnormal Child Psychology, 18, 393–406.
Safren, S. A., Gonzalez, R., Horner, K. J., Leung, A. W., Heimberg, R. G., & Juster, H. R. (2000). Anxiety in ethnic minority youth: Methodological and conceptual issues and review of the literature. Behavior Modification, 24, 147–183. https://doi.org/10.1177/0145445500242001.
Salgado de Snyder, V. N., Diaz-Perez, M. J., & Ojeda, V. D. (2000). The prevalence of nervios and associated symptomatology among inhabitants of Mexican rural communities. Culture, Medicine and Psychiatry, 24, 453–470.
Salman, E., Diamond, K., Jusino, C., Sanchez-LaCay, A., & Liebowitz, M. R. (1997). Hispanic Americans. In S. Friedman (Ed.), Cultural issues in the treatment of anxiety (pp. 59–80). New York: The Guilford Press.
Selman, R. L., Beardslee, W., Schultz, L. H., Krupa, M., & Podorefsky, D. (1986). Assessing adolescent interpersonal negotiation strategies: Toward the integration of structural and functional models. Developmental Psychology, 22, 450–459.
Silverman, W. K., & Albano, A. M. (1996). The Anxiety Disorders Interview Schedule for DSM-IV: Child and parent versions. San Antonio, TX: Psychological Corporation.
Silverman, W. K., La Greca, A. M., & Wasserstein, S. (1995). What do children worry about? Worries, and their relation to anxiety. Child Development, 66, 671–686.
Silverman, W. K., Saavedra, L. M., & Piña, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.
Simonian, S., Beidel, D., Turner, S., Berkes, J., & Long, J. (2001). Recognition of facial affect by children and adolescents diagnosed with social phobia. Child Psychiatry and Human Development, 32, 137–145.
Southam-Gerow, M. A., & Kendall, P. C. (2000). A preliminary study of the emotion understanding of youths referred for treatment of anxiety disorders. Journal of Clinical Psychology, 29, 319–327.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1977). Manual for the State-Trait Anxiety Inventory, STAI. Palo Alto, CA: Consulting Psychologists Press.
Staples, R., & Mirande, A. (1980). Racial and cultural variations among American families: A decennial review of the literature on minority families. Journal of Marriage and the Family, 42, 887–903.
Suveg, C., & Zeman, J. (2004). Emotion regulation in children with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33, 750–759.
Thompson, R. A., & Meyer, S. (2007). Socialization of emotion regulation in the family. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 249–268). New York, NY: Guilford Press.
Triandis, H. C., Marin, G., Lisansky, J., & Betancourt, H. (1984). Simpatia as a cultural script of Hispanics. Journal of Personality and Social Psychology, 47, 1363–1375.
U.S. Census Bureau. (2017). Statistical abstract of the United States. Washington, DC: U.S. Government Printing Office.
Varela, R. E., & Biggs, K. B. (2006). Reliability and validity of the RCMAS across samples of Mexican, Mexican American, and European American children: A preliminary investigation. Anxiety, Stress & Coping: An International Journal, 19, 67–80.
Varela, R. E., & Hensley-Maloney, L. (2009). The influence of culture on anxiety in Latino youth: A review. Clinical Child and Family Psychology Review, 12, 217–233.
Varela, R. E., Sanchez-Sosa, J. J., Biggs, B. K., & Luis, T. M. (2008). Anxiety symptoms and fears in Hispanic and European American children: Cross-cultural measurement equivalence. Journal of Psychopathological Behavior Assessment, 30, 132–145.
Varela, R. E., Sanchez-Sosa, J. J., Biggs, B. K., & Luis, T. M. (2009). Parenting strategies and socio-cultural influences in childhood anxiety: Mexican, Latin American descent, and European American families. Journal of Anxiety Disorders, 23, 609–616.
Varela, R. E., Vernberg, E. M., Sanchez-Sosa, J. J., Riveros, A., Mitchell, M., & Mashunkashey, J. (2004). Anxiety reporting and culturally associated interpretation biases and cognitive schemas: A comparison of Mexican, Mexican American, and European American Families. Journal of Clinical Child and Adolescent Psychology, 33, 237–247.
Varela, R. E., Weems, C. F., Berman, S. L., Hensley, L., & Rodriguez de Bernal, M. C. (2007). Internalizing symptoms in Latinos: The role of anxiety sensitivity. Journal of Youth and Adolescence, 36, 429–440.
Weems, C. F., & Silverman, W. K. (2008). Anxiety disorders. In T. P. Beauchaine & S. P. Hinshaw (Eds.), Child and adolescent psychopathology (pp. 447–476). New Jersey: Wiley.
Weisz, J. R., Suwanlert, S., Chaiyasit, W., & Walter, B. R. (1987). Over-and undercontrolled referral problems among children and adolescents from Thailand and the United States: The Wat and Wai of cultural differences. Journal of Consulting and Clinical Psychology, 55, 719–726.
Funding
This study was funded by a grant from the National Institute of Mental Health (50R03MH076874-01 A2) to first author.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Varela, R.E., Niditch, L.A., Hensley-Maloney, L. et al. Culture Specific Influences on Anxiety in Latino Youth. Child Youth Care Forum 48, 1–17 (2019). https://doi.org/10.1007/s10566-018-9476-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10566-018-9476-8