“…Acculturative stress was identified as common among immigrants with limited English proficiency, deficits in stress-coping resources, and those reporting high family cohesion (Miranda & Matheny, 2000;Sanchez, Dillon, Ruffin, & De La Rosa, 2012). Also, longer time lived in the United States was associated with increased mental health distress as measured by self-rated health questions adapted from the Behavioral Risk Factor Surveillance System and the National Health and Nutrition Examination Survey (Hadley et al, 2008). Additionally, in a study of Mexican immigrants in which most were undocumented, marital conflict and separation from family were associated with interpersonal distress as measured by the Mental Health Risk Factor (MHRF) Survey, an instrument developed by the author to assess mental health distress among Latinos (Santos, Bohon, & S anchezSosa, 1998).…”