Cultural Adaptation and Mental Health: A Dual Review of Acculturation, Enculturation, and Psychological Outcomes
DOI:
https://doi.org/10.31305/rrijm.2025.v10.n11.018Keywords:
Acculturation, Enculturation, Cultural adaptation, Mental health, Positive mental health, Psychological distressAbstract
Cultural adaptation is a multidimensional process involving both acculturation, the adoption of mainstream cultural norms and enculturation, the retention and internalization of one’s heritage culture. Although both constructs play a central role in shaping psychological functioning, research examining their impact on mental health reveals highly inconsistent findings. This review synthesizes evidence across studies on acculturation, enculturation, and mental health outcomes, integrating results from empirical literature on psychological distress, depression, anxiety, positive mental health, collective self-esteem, and life satisfaction. Enculturation was generally associated with enhanced positive mental health, particularly through cultural identity and community support, though certain behavioural aspects of enculturation were linked with increased anxiety in unfamiliar contexts. Conversely, acculturation demonstrated mixed associations, showing both protective and risk pathways depending on measurement methods, cultural groups, and contextual stressors. Measurement heterogeneity, overreliance on unidimensional acculturation scales, and the concentration of studies in Western populations contribute substantially to inconsistent findings. This dual review emphasizes the need for multidimensional frameworks that consider both enculturation and acculturation simultaneously, along with contextual moderators such as discrimination, identity formation, and social support. A more integrated approach offers stronger explanatory power for understanding how cultural adaptation shapes psychological outcomes across diverse populations.
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