Our findings draw attention to the role of resilience as a protective factor against mental distress when facing adversities, while highlighting the central importance of family as an emotional resource for immigrant adjustment in the Chinese context. As personal resilience can increase with interventions, our results can inform trials to enhance adaptation among mainland Chinese immigrants in Hong Kong.
Few clinical trials report on the active intervention components that result in outcome changes, although this is relevant to further improving efficacy and adapting effective programs to other populations. This paper presents follow-up analyses of a randomized controlled trial to enhance adaptation by increasing knowledge and personal resilience in two separate brief interventions with immigrants from Mainland China to Hong Kong (Yu et al., 2014b). The present paper extends our previous one by reporting on the longer term effect of the interventions on personal resilience, and examining whether the Resilience intervention worked as designed to enhance personal resilience. The four-session intervention targeted at self-efficacy, positive thinking, altruism, and goal setting. In this randomized controlled trial, 220 immigrants were randomly allocated to three arms: Resilience, Information (an active control arm), and Control arms. Participants completed measures of the four active components (self-efficacy, positive thinking, altruism, and goal setting) at baseline and immediately after the intervention. Personal resilience was assessed at baseline, post-intervention, and 3- and 6-month follow-ups. The results showed that the Resilience arm had greater increases in the four active components post-intervention. Changes in each of the four active components at the post-intervention assessment mediated enhanced personal resilience at the 3-month follow-up in the Resilience arm. Changes in self-efficacy and goal setting showed the largest effect size, and altruism showed the smallest. The arm effects of the Resilience intervention on enhanced personal resilience at the 6-month follow-up were mediated by increases of personal resilience post-intervention (Resilience vs. Control) and at the 3-month follow-up (Resilience vs. Information). These findings showed that these four active components were all mediators in this Resilience intervention. Our results of the effects of short term increases in personal resilience on longer term increase in personal resilience in some models suggest how changes in intervention outcomes might persist over time.
A large number of school-aged children traveling between Mainland China and Hong Kong every day to attend school are known as cross-boundary students (跨境學童). Daily cross-boundary schooling is likely to be a constant challenge for cross-boundary students and their families, putting them at great risk of mental health problems (e.g., depression). Nevertheless, intergenerational relationships may be positive contributors to their adaptation. Guided by the interdependence theory and the operations triad model, this study employed dyadic response surface analysis to take into account linear and curvilinear associations between child–mother relationships and their depressive symptoms. The cross-sectional results based on 187 child–mother dyads showed that when children and mothers reported relatively high levels of closeness and relatively low levels of conflict, they reported fewer depressive symptoms. The extreme closeness between children and their mothers posed particular risks to mothers, increasing maternal depressive symptoms. When children and mothers reported varying levels of closeness and conflict, they displayed greater depressive symptoms. One exception was that no significant association was observed between incongruence in closeness and children’s depressive symptoms. Family-based interventions should be considered for promoting optimal child–mother combinations.
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