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Abstract
Purpose: The purpose of this study was to investigate relationships among the demands of immigration, resilience, and psychological distress in divorced immigrant women, and determine the mediating effects of resilience on the relationship between demands of immigration and psychological distress. Design: The cross-sectional study included 117 women who had immigrated and married Taiwanese men but later got divorced. Methods: The Chinese health questionnaire-12 scale, the resilience scale-Chinese version, and the demands of immigration (DI) scale were used to measure in this study. A multiple regression and Sobel test were used to examine whether resilience mediated the relationship between demands of immigration and psychological distress. Findings: In this study, 47% of the divorced immigrant women were experiencing psychological distress, and 25.6% exhibited high levels of demands of immigration. Women with psychological distress had higher demand scores (t=2.592, p=0.011) and lower resilience scores (t=-3.965, p<0.001) compared to women without psychological distress. The demands of immigration negatively predicted resilience (t=- 3.050, p=0.003). Finally, resilience mediated the association of demands of immigration with psychological distress (z=2.497, p=0.0125). Conclusions: Relationships among the demands of immigration, resilience, and psychological distress in divorced immigrant women were demonstrated in this study. Resilience played an important role in the relationship between demands of immigration and psychological distress. Clinical Relevance: Tailored programs that foster resilience to reduce risks of demands of immigration and psychological distress in this vulnerable population should be developed.
Introduction
Globally, there were 272 million international migrants in 2018 (World Migration Report, 2019). Studies have consistently shown that immigrants confront more changes in lifestyle and suffer from greater psychological distress than natives in many countries (Aroian, Norris, Tran, & Schappler-Morris, 1998; Dedamia & Gonzales, 2019). Psychological distress means that people are at greater risk of suffering from mental health issues, and these may initiate psychiatric disorders, such as mood disorders, anxiety, or depression (El-Metwally et al., 2018; Honkaniemi, Juarez, Katikireddi, & Rostila, 2020; Mclean, Strongman, & Neha, 2007). A previous study found that approximately 18.1% of immigrant adults in the US had moderate to severe psychological distress; compared to US-born adults, immigrant adults were much likely to have higher emergency room visits, mental health care utilization, and prescription medications consumed (Dedamia & Gonzales, 2019). Additionally, a past study showed that 31.7% of immigrant women had psychological distress in Asia (Kuo et al., 2013). Accordingly, there are important concerns about immigrants’ mental health, especially with psychological distress among divorced immigrant women.