{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:42:58Z","timestamp":1790998978253,"version":"4.1.0"},"reference-count":83,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Gallaudet University Office of Research Support and International Affairs","award":["3655"],"award-info":[{"award-number":["3655"]}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R01AA026815-03S1"],"award-info":[{"award-number":["R01AA026815-03S1"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acculturative stress is associated with negative mental health among culturally diverse individuals. Deaf and Hard-of-Hearing (DHH) individuals experience acculturative stress as they navigate within and between the Hearing and Deaf communities, yet, research has not examined the relationship between deaf acculturative stress and psychological functioning. This study examined the relationships between deaf acculturative stress, well-being, and symptoms of depression and anxiety. One hundred and ten DHH adults (71.6% female, 82.7% White, median age\u2009=\u200930\u201339) completed an online survey including the Multidimensional Inventory of Deaf Acculturative Stress (MIDAS), demographic questions, and measures of psychological functioning. After controlling for relevant sociodemographic factors, the MIDAS Stress from the Deaf and Hearing Community scales emerged as significant predictors of well-being and symptoms of anxiety and depression. Findings are discussed within the context of DHH sociocultural experiences, and suggestions for future research are offered to inform clinical work with DHH individuals.<\/jats:p>","DOI":"10.1093\/deafed\/enad015","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T20:28:03Z","timestamp":1685737683000},"page":"387-398","source":"Crossref","is-referenced-by-count":11,"title":["Acculturative Stress, Mental Health, and Well-Being among Deaf Adults"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6067-8230","authenticated-orcid":false,"given":"Aileen","family":"Aldalur","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Rochester Medical Center , Rochester, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9401-8751","authenticated-orcid":false,"given":"Lawrence H","family":"Pick","sequence":"additional","affiliation":[{"name":"Department of Psychology, Gallaudet University , Washington, DC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,1]]},"reference":[{"issue":"4","key":"2023092217150823600_ref1","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1093\/deafed\/enac016","article-title":"Development of the multidimensional inventory of deaf acculturative stress","volume":"27","author":"Aldalur","year":"2022","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"3","key":"2023092217150823600_ref2","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1093\/deafed\/enab014","article-title":"Navigating deaf and hearing cultures: An exploration of deaf acculturative stress","volume":"26","author":"Aldalur","year":"2021","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"2","key":"2023092217150823600_ref3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1037\/rep0000315","article-title":"Psychometric properties of the SAFE-D: A measure of acculturative stress among deaf undergraduate students","volume":"65","author":"Aldalur","year":"2020","journal-title":"Rehabilitation Psychology"},{"issue":"3","key":"2023092217150823600_ref4","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1080\/08897077.2018.1442383","article-title":"Alcohol and drug use among deaf and hard-of-hearing individuals: A secondary analysis of NHANES 2013\u20132014","volume":"39","author":"Anderson","year":"2018","journal-title":"Substance Abuse"},{"issue":"1","key":"2023092217150823600_ref5","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/smi.2912","article-title":"The relationship between bicultural identity, acculturative stress, and psychological well-being in multicultural adolescents: Verification using multivariate latent growth modelling","volume":"36","author":"Bae","year":"2020","journal-title":"Stress and Health"},{"issue":"7\u20138","key":"2023092217150823600_ref6","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1177\/0020764019867994","article-title":"The effects of ethnic identity and acculturation in mental health of immigrants: A literature review","volume":"65","author":"Balidemaj","year":"2019","journal-title":"International Journal of Social Psychiatry"},{"issue":"5","key":"2023092217150823600_ref7","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1353\/aad.2012.0176","article-title":"Diversity of deaf identities","volume":"145","author":"Bat-Chava","year":"2000","journal-title":"American Annals of the Deaf"},{"key":"2023092217150823600_ref8","volume-title":"Deaf gain: Raising the stakes for human diversity","author":"Bauman","year":"2014"},{"issue":"6","key":"2023092217150823600_ref9","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.janxdis.2014.06.002","article-title":"Beyond generalized anxiety disorder: Psychometric properties of the GAD-7 in a heterogeneous psychiatric sample","volume":"28","author":"Beard","year":"2014","journal-title":"Journal of Anxiety Disorders"},{"key":"2023092217150823600_ref10","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1111\/j.1467-842X.2001.tb00294.x","article-title":"How can I deal with missing data in my study?","volume":"25","author":"Bennett","year":"2001","journal-title":"Australian and New Zealand Journal of Public Health"},{"issue":"3","key":"2023092217150823600_ref11","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1464-0597.2006.00256.x","article-title":"Immigrant youth: Acculturation, identity, and adaptation","volume":"55","author":"Berry","year":"2006","journal-title":"Applied Psychology"},{"key":"2023092217150823600_ref12","first-page":"61","article-title":"\u201cWe still have a dream\u201d the deaf hip hop movement and the struggle against the socio-cultural marginalization of deaf people","volume":"61","author":"Best","year":"2016","journal-title":"Song and Popular Culture"},{"key":"2023092217150823600_ref13","article-title":"Quandary of hidden disabilities: Conceal or reveal","author":"Bouton","year":"2013"},{"key":"2023092217150823600_ref14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2147\/AHMT.S60261","article-title":"Deaf adolescents in a hearing world: A review of factors affecting psychosocial adaptation","volume":"7","author":"Brice","year":"2016","journal-title":"Adolescent Health, Medicine and Therapeutics"},{"key":"2023092217150823600_ref15","first-page":"1","article-title":"Depression and suicide ideation: The role of self-acceptance for Black young adults","volume":"0","author":"Brooks","year":"2021","journal-title":"Journal of Black Psychology"},{"key":"2023092217150823600_ref16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.ijintrel.2020.02.002","article-title":"A latent class analysis of acculturation and depressive symptoms among Latino immigrants: Examining the role of social support","volume":"76","author":"Bulut","year":"2020","journal-title":"International Journal of Intercultural Relations"},{"issue":"1","key":"2023092217150823600_ref17","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/j.2161-1882.2012.00005.x","article-title":"Predictors of familial acculturative stress in Asian American college students","volume":"15","author":"Castillo","year":"2012","journal-title":"Journal of College Counseling"},{"issue":"2","key":"2023092217150823600_ref18","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1093\/deafed\/enw073","article-title":"The significance of deaf identity for psychological well- being","volume":"22","author":"Chapman","year":"2017","journal-title":"The Journal of Deaf Studies and Deaf Education"},{"issue":"6","key":"2023092217150823600_ref19","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.jagp.2014.04.008","article-title":"Social support from church and family members and depressive symptoms among older African Americans","volume":"23","author":"Chatters","year":"2015","journal-title":"The American Journal of Geriatric Psychiatry"},{"issue":"6","key":"2023092217150823600_ref20","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1353\/csd.0.0036","article-title":"The social adjustment of undergraduate White students in the minority on an historically Black college campus","volume":"49","author":"Closson","year":"2008","journal-title":"Journal of College Student Development"},{"key":"2023092217150823600_ref21","volume-title":"IBM SPSS Statistics for Windows, Version 19.0","author":"IBM Corp. Released","year":"2010"},{"issue":"8","key":"2023092217150823600_ref22","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.2337\/dc07-0447","article-title":"Validation of the WHO-5 well-being index in adolescents with type 1 diabetes","volume":"30","author":"De Wit","year":"2007","journal-title":"Diabetes Care"},{"issue":"1\u20132","key":"2023092217150823600_ref23","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.drugalcdep.2012.03.011","article-title":"Brief case finding tools for anxiety disorders: Validation of GAD-7 and GAD-2 in addictions treatment","volume":"125","author":"Delgadillo","year":"2012","journal-title":"Drug and Alcohol Dependence"},{"issue":"7","key":"2023092217150823600_ref24","doi-asserted-by":"crossref","first-page":"2055","DOI":"10.1177\/0265407518776134","article-title":"Perceived social support, received social support, and depression among clergy","volume":"36","author":"Eagle","year":"2019","journal-title":"Journal of Social and Personal Relationships"},{"issue":"3","key":"2023092217150823600_ref25","doi-asserted-by":"crossref","first-page":"892","DOI":"10.2307\/3659972","article-title":"Sound and fury: Or, much ado about nothing? Cochlear implants in historical perspective","volume":"92","author":"Edwards","year":"2005","journal-title":"The Journal of American History"},{"issue":"3","key":"2023092217150823600_ref26","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1093\/deafed\/eng015","article-title":"Deaf persons of Asian American, Hispanic American, and African American backgrounds: A study of intraindividual diversity and identity","volume":"8","author":"Foster","year":"2003","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"2","key":"2023092217150823600_ref27","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1111\/sltb.12595","article-title":"Suicidal behaviors and help-seeking attitudes among deaf and hard-of-hearing college students","volume":"50","author":"Fox","year":"2020","journal-title":"Suicide and Life-threatening Behavior"},{"issue":"2","key":"2023092217150823600_ref28","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1037\/a0018671","article-title":"Cultural body shape ideals and eating disorder symptoms among White, Latina, and Black college women","volume":"16","author":"Gordon","year":"2010","journal-title":"Cultural Diversity and Ethnic Minority Psychology"},{"key":"2023092217150823600_ref29","first-page":"69","volume-title":"Deaf mental health care","author":"Gournaris","year":"2013"},{"key":"2023092217150823600_ref30","doi-asserted-by":"crossref","first-page":"113452","DOI":"10.1016\/j.psychres.2020.113452","article-title":"The role of perceived social support on depression and sleep during the COVID-19 pandemic","volume":"293","author":"Grey","year":"2020","journal-title":"Psychiatry Research"},{"key":"2023092217150823600_ref31","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.diabres.2017.07.005","article-title":"Validation of the WHO-5 as a first-step screening instrument for depression in adults with diabetes: Results from diabetes MILES\u2013Australia","volume":"132","author":"Halliday","year":"2017","journal-title":"Diabetes Research and Clinical Practice"},{"issue":"2","key":"2023092217150823600_ref32","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"Journal of Biomedical Informatics"},{"issue":"2","key":"2023092217150823600_ref33","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1093\/deafed\/enm054","article-title":"Self-esteem and satisfaction with life of deaf and hard-of-hearing people\u2014A resource-oriented approach to identity work","volume":"13","author":"Hintermair","year":"2008","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"5","key":"2023092217150823600_ref34","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1080\/00223980009598231","article-title":"Psychosocial predictors of acculturative stress in Mexican immigrants","volume":"134","author":"Hovey","year":"2000","journal-title":"The Journal of Psychology"},{"issue":"3","key":"2023092217150823600_ref35","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/15332640.2016.1185656","article-title":"Acculturative stress as a moderator for international student drinking behaviors and alcohol use consequences","volume":"16","author":"Hunt","year":"2017","journal-title":"Journal of Ethnicity in Substance Abuse"},{"issue":"1","key":"2023092217150823600_ref36","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1093\/deafed\/eni004","article-title":"Self-esteem and coping strategies among deaf students","volume":"10","author":"Jambor","year":"2005","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"4","key":"2023092217150823600_ref37","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1093\/deafed\/eny024","article-title":"Trauma and resilience among DHH individuals","volume":"23","author":"Johnson","year":"2018","journal-title":"The Journal of Deaf Studies and Deaf Education"},{"issue":"4","key":"2023092217150823600_ref38","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1037\/1040-3590.14.4.462","article-title":"Construct validity of a measure of acculturative stress in African Americans","volume":"14","author":"Joiner","year":"2002","journal-title":"Psychological Assessment"},{"issue":"4","key":"2023092217150823600_ref39","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1093\/oxfordjournals.deafed.a014330","article-title":"Balancing between deaf and hearing worlds: Reflections of mainstreamed college students on relationships and social interaction","volume":"2","author":"Kersting","year":"1997","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"2","key":"2023092217150823600_ref40","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.appsy.2007.07.016","article-title":"Acculturation and mental health: Current findings and recommendations for future research","volume":"12","author":"Koneru","year":"2007","journal-title":"Applied and Preventive Psychology"},{"issue":"9","key":"2023092217150823600_ref41","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"Journal of General Internal Medicine"},{"issue":"4","key":"2023092217150823600_ref42","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1093\/deafed\/enz017","article-title":"Prevalence of anxiety or depression diagnosis in deaf adults","volume":"24","author":"Kushalnagar","year":"2019","journal-title":"The Journal of Deaf Studies and Deaf Education"},{"issue":"4","key":"2023092217150823600_ref43","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1093\/deafed\/enr015","article-title":"Mode of communication, perceived level of understanding, and perceived quality of life in youth who are deaf or hard of hearing","volume":"16","author":"Kushalnagar","year":"2011","journal-title":"Journal of Deaf Studies and Deaf Education"},{"key":"2023092217150823600_ref44","doi-asserted-by":"crossref","DOI":"10.21832\/9781853595479","volume-title":"Understanding Deaf Culture: In Search of Deafhood","author":"Ladd","year":"2003"},{"issue":"3","key":"2023092217150823600_ref45","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/deafed\/enz051","article-title":"The association between deaf identity and emotional distress among adolescents","volume":"25","author":"Lambez","year":"2020","journal-title":"The Journal of Deaf Studies and Deaf Education"},{"issue":"2","key":"2023092217150823600_ref46","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1037\/0022-0167.47.2.211","article-title":"Construction of the Asian American family conflict scale","volume":"47","author":"Lee","year":"2000","journal-title":"Journal of Counseling Psychology"},{"key":"2023092217150823600_ref47","volume-title":"Deaf culture: Exploring deaf communities in the United States","author":"Leigh","year":"2018"},{"key":"2023092217150823600_ref48","first-page":"39","volume-title":"Psychotherapy with deaf clients from diverse groups","author":"Leigh","year":"2010"},{"issue":"2","key":"2023092217150823600_ref49","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1093\/deafed\/enn038","article-title":"Correlates of psychosocial adjustment in deaf adolescents with and without cochlear implants: A preliminary investigation","volume":"14","author":"Leigh","year":"2009","journal-title":"Journal of Deaf Studies and Deaf Education"},{"key":"2023092217150823600_ref50","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population","volume":"46","author":"L\u00f6we","year":"2008","journal-title":"Medical Care"},{"key":"2023092217150823600_ref51","volume-title":"Acculturation and psychological well-being in deaf and hard -of -hearing people","author":"Maxwell-McCaw","year":"2001"},{"issue":"3","key":"2023092217150823600_ref52","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1093\/deafed\/enq061","article-title":"The deaf acculturation scale (DAS): Development and validation of a 58-item measure","volume":"16","author":"Maxwell-McCaw","year":"2011","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"5","key":"2023092217150823600_ref53","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1353\/aad.0.0118","article-title":"Epistemology and people who are deaf: Deaf worldviews, views of the deaf world, or my parents are hearing","volume":"154","author":"Miller","year":"2010","journal-title":"American Annals of the Deaf"},{"issue":"1","key":"2023092217150823600_ref54","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/deafed\/enac031","article-title":"How many people use sign language? A National Health Survey-Based Estimate","volume":"28","author":"Mitchell","year":"2023","journal-title":"Journal of Deaf Studies and Deaf Education"},{"issue":"3","key":"2023092217150823600_ref55","first-page":"113","article-title":"The deaf: An exploration of their participation in community life","volume":"27","author":"Murray","year":"2007","journal-title":"OTJR: Occupation, Participation and Health"},{"key":"2023092217150823600_ref56","doi-asserted-by":"crossref","DOI":"10.1057\/9781137309778","volume-title":"Sign language in action","author":"Napier","year":"2016"},{"key":"2023092217150823600_ref57","author":"Nguy\u1ec5n","year":"2020"},{"issue":"2","key":"2023092217150823600_ref58","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1037\/1099-9809.8.2.130","article-title":"Could you hold the door for me? Including disability in diversity","volume":"8","author":"Olkin","year":"2002","journal-title":"Cultural Diversity and Ethnic Minority Psychology"},{"issue":"5","key":"2023092217150823600_ref59","doi-asserted-by":"crossref","first-page":"405","DOI":"10.3200\/JRLP.140.5.405-419","article-title":"Affective and attributional features of acculturative stress among ethnic minority college students","volume":"140","author":"Paukert","year":"2006","journal-title":"The Journal of Psychology"},{"key":"2023092217150823600_ref60","first-page":"31","volume-title":"Real data analysis","author":"Peng","year":"2006"},{"issue":"2","key":"2023092217150823600_ref61","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1375\/ajgc.17.2.160","article-title":"Sudanese adolescent refugees: Acculturation and acculturative stress","volume":"17","author":"Poppitt","year":"2007","journal-title":"Australian Journal of Guidance and Counseling"},{"issue":"2","key":"2023092217150823600_ref62","doi-asserted-by":"crossref","first-page":"204","DOI":"10.32674\/jis.v7i2.377","article-title":"Acculturative stress and adjustment experiences of Greek international students","volume":"7","author":"Poulakis","year":"2017","journal-title":"Journal of International Students"},{"issue":"4","key":"2023092217150823600_ref63","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1037\/1040-3590.14.4.451","article-title":"Development of the multidimensional acculturative stress inventory for adults of Mexican origin","volume":"14","author":"Rodriguez","year":"2002","journal-title":"Psychological Assessment"},{"issue":"3","key":"2023092217150823600_ref64","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1353\/aad.2003.0023","article-title":"Signs of resilience: Assets that support deaf adults' success in bridging the deaf and hearing worlds","volume":"148","author":"Rogers","year":"2003","journal-title":"American Annals of the Deaf"},{"issue":"1","key":"2023092217150823600_ref65","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1007\/s10862-016-9571-9","article-title":"Psychometric properties of the generalized anxiety disorder scale-7 (GAD-7) in outpatients with anxiety and mood disorders","volume":"39","author":"Rutter","year":"2017","journal-title":"Journal of Psychopathology and Behavioral Assessment"},{"key":"2023092217150823600_ref66","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/096228029900800102","article-title":"Multiple imputation: A primer","volume":"8","author":"Schafer","year":"1999","journal-title":"Statistical Methods in Medical Research"},{"key":"2023092217150823600_ref67a","first-page":"153","article-title":"Dealing with missing data","volume":"3","author":"Scheffer","year":"2002","journal-title":"Research Letters in the Information and Mathematical Sciences"},{"issue":"1","key":"2023092217150823600_ref67","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1037\/a0021578","article-title":"Trauma exposure and traumatic symptoms in deaf adults","volume":"4","author":"Schild","year":"2012","journal-title":"Psychological Trauma: Theory, Research, Practice, and Policy"},{"issue":"1","key":"2023092217150823600_ref68","doi-asserted-by":"crossref","DOI":"10.1037\/a0018082","article-title":"Best practices for missing data management in counseling psychology","volume":"57","author":"Schlomer","year":"2010","journal-title":"Journal of Counseling Psychology"},{"issue":"4","key":"2023092217150823600_ref69","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1037\/a0012818","article-title":"Testing berry\u2019s model of acculturation: A confirmatory latent class approach","volume":"14","author":"Schwartz","year":"2008","journal-title":"Cultural Diversity and Ethnic Minority Psychology"},{"issue":"3","key":"2023092217150823600_ref70","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1177\/0117196818794680","article-title":"Acculturative stress as a mental health predictor of north Korean refugees in South Korea","volume":"27","author":"Shin","year":"2018","journal-title":"Asian and Pacific Migration Journal"},{"issue":"4","key":"2023092217150823600_ref71","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1037\/a0028398","article-title":"The role of acculturative stress on mental health symptoms for immigrant adolescents: A longitudinal investigation","volume":"49","author":"Sirin","year":"2013","journal-title":"Developmental Psychology"},{"issue":"5","key":"2023092217150823600_ref72","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1080\/09687599.2012.732537","article-title":"Deaf adults: Retrospective narratives of school experiences and teacher expectations","volume":"28","author":"Smith","year":"2013","journal-title":"Disability and Society"},{"issue":"10","key":"2023092217150823600_ref73","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Archives of Internal Medicine"},{"issue":"6","key":"2023092217150823600_ref74","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1353\/csd.2015.0061","article-title":"When being deaf is Centered: D\/deaf women of Color's experiences with racial\/ethnic and d\/deaf identities in college","volume":"56","author":"Stapleton","year":"2015","journal-title":"Journal of College Student Development"},{"issue":"2","key":"2023092217150823600_ref75","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1007\/s10447-010-9095-z","article-title":"Influence of family perceptions of acting White on acculturative stress in African American college students","volume":"32","author":"Thompson","year":"2010","journal-title":"International Journal for the Advancement of Counselling"},{"issue":"2","key":"2023092217150823600_ref76","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1080\/10401334.2016.1146611","article-title":"Resilience among medical students: The role of coping style and social support","volume":"28","author":"Thompson","year":"2016","journal-title":"Teaching and Learning in Medicine"},{"issue":"3","key":"2023092217150823600_ref77","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000376585","article-title":"The WHO-5 well-being index: A systematic review of the literature","volume":"84","author":"Topp","year":"2015","journal-title":"Psychotherapy and Psychosomatics"},{"issue":"1","key":"2023092217150823600_ref78","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1037\/a0026710","article-title":"Discrimination, acculturation, acculturative stress, and Latino psychological distress: A moderated meditational model","volume":"18","author":"Torres","year":"2012","journal-title":"Cultural Diversity and Ethnic Minority Psychology"},{"key":"2023092217150823600_ref79","volume-title":"Wellbeing measures in primary health care\/the DepCare Project: report on a WHO meeting","author":"World Health Organization","year":"1998"},{"issue":"3","key":"2023092217150823600_ref80","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s10823-009-9096-8","article-title":"Acculturative stress and depression in an elderly Arabic sample","volume":"24","author":"Wrobel","year":"2009","journal-title":"Journal of Cross-Cultural Gerontology"},{"issue":"1","key":"2023092217150823600_ref81","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/0951507031000114058","article-title":"International students reported English fluency, social support satisfaction, and social connectedness as predictors of acculturative stress","volume":"16","author":"Yeh","year":"2003","journal-title":"Counseling Psychology Quarterly"},{"issue":"1","key":"2023092217150823600_ref82","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1017\/S0954579414000637","article-title":"Acculturative and enculturative stress, depressive symptoms, and maternal warmth: Examining within-person relations among Mexican-origin adolescent mothers","volume":"27","author":"Zeiders","year":"2015","journal-title":"Development and Psychopathology"}],"container-title":["Journal of Deaf Studies and Deaf Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jdsde\/article-pdf\/28\/4\/387\/51662274\/enad015.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jdsde\/article-pdf\/28\/4\/387\/51662274\/enad015.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T17:36:25Z","timestamp":1695404185000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jdsde\/article\/28\/4\/387\/7187959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,1]]},"references-count":83,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,6,1]]},"published-print":{"date-parts":[[2023,9,18]]}},"URL":"https:\/\/doi.org\/10.1093\/deafed\/enad015","relation":{},"ISSN":["1081-4159","1465-7325"],"issn-type":[{"value":"1081-4159","type":"print"},{"value":"1465-7325","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10]]},"published":{"date-parts":[[2023,6,1]]}}}