SCHOLASTIC ACHIEVEMENT OF ADOLESCENT REFUGEES FROM CAMBODIA AND CENTRAL AMERICA.
Rousseau, Cecile ; Drapeau, Aline
ABSTRACT
This study investigated the relationship of emotional disturbance
and pre- and postmigration environment to the scholastic achievement of
adolescent refugees of very different cultural backgrounds. One hundred
fifty-two Central American and Cambodian students in six Canadian high
schools, as well as their parents, were interviewed to assess the
students' emotional problems (using the Youth Self-Report and Child
Behavior Checklist) and to determine the pre- and postmigration family
environment. The findings indicated that the relationship between the
emotional problems and scholastic achievement of teenaged refugees was
tenuous. It was concluded that a connection between young refugees'
symptomatology and their functional capacity should not be assumed.
Nonetheless, certain pre- and postmigration variables, particularly
trauma experienced in the homeland, seem to be associated with the
academic achievement of some refugees.
The lives of most adolescent refugees have been seriously disrupted
by the trauma of war and cultural uprooting. As a result, refugee
children may exhibit signs of major psychological distress (Kinzie et
al., 1986, 1989). Since research on North American children and
adolescents has found a relationship between emotional problems and
trouble at school, as well as between the social and family environment
and scholastic achievement (Salyer et al., 1991; Weinberg et al., 1989),
young refugees, who run a high risk of experiencing mental health
problems, might also be expected to have serious academic problems.
Initial investigations of clinical samples of young refugees
supported this hypothesis: problems at school were among the main
reasons for psychiatric consultation and constituted potential signs of
major emotional disturbance (Williams & Westermeyer, 1983; Irwin
& Madden, 1985). However, the results of later studies on the
scholastic achievement of refugee children and adolescents were more
ambiguous. Sack et al. (1995), for instance, found no differences in
overall scholastic achievement between teenaged Khmer refugees with and
without posttraumatic stress syndrome (PTSS) or, indeed, any psychiatric
diagnosis (however, school records could be obtained for only a small
fraction of their total sample). The same research team also reported
that there was no consistent relationship between English proficiency
and a diagnosis of PTSS among Khmer adolescents (Clarke et al., 1993).
Sack et al. (1986) hypothesized that the lack of relationship
between emotional problems and scholastic achievement for Southeast
Asian refugee children and teenagers can be explained, in part, by the
specific form taken by disturbances observed in this population,
especially the predominance of internalized symptoms. However, this
hypothesis has not been systematically tested, with regard to
adolescents, using a transcultural research protocol. Research with
younger children indicates that the influence of culture on the
relationship between emotional disturbances and scholastic achievement
in teenaged refugees may be more complex than it first appears. A study
of refugee children from Central America and Southeast Asia found that
the relationship between their emotional problems and scholastic
achievement was weak in both groups, despite their very different
cultural origins (Rousseau et al., 1996). Furthermore, remedial measures
implemented by the schools were more strongly associated with
externalized sy mptoms than with scholastic achievement per se. Since
such symptoms were more prevalent in Central American students, they
were the ones more often identified by the school as having learning
disabilities, despite the fact that their scholastic achievement was
comparable to that of their Asian peers.
Another line of investigation suggests that the scholastic
achievement of adolescent refugees is directly influenced by factors
specific to their pre- and postmigration environments, such as degree of
acculturation, without being mediated by psychopathological symptoms
(Rumbaut, 1991; Jupp & Luckey, 1990). More research in this area is
needed, however.
In order to develop and implement appropriate support programs for
refugee children and adolescents, it is important both to delve further
into the possible relationship between psychological symptoms and
scholastic achievement in refugees of various cultural backgrounds and
to determine the extent to which their specific pre- and postmigration
environments influence that achievement. This study attempted to answer
two questions: Is there a relationship between scholastic achievement
and the symptoms, if any, exhibited by adolescent refugees from two
vastly different cultural groups? How do the pre- and postmigration
environments relate to the adolescents' scholastic achievement?
METHOD
The target population consisted of Central American and Cambodian
teenagers attending Montreal-area schools with large numbers of students
of different ethnic origins and an especially high proportion of Central
Americans or Cambodians. Potential subjects were selected by cluster
sampling, with the sampling base consisting of the enrollment records of
six high schools. Two hundred thirteen students met the following
selection criteria: (1) enrolled in regular or special education classes
in the seventh or eighth grade; (2) of Central American (Honduras,
Guatemala, or El Salvador) or Cambodian origin; (3) born outside Canada;
(4) neither physically nor mentally disabled. Of the 195who could be
contacted, 158 were interviewed after they and their parents had signed
a consent form. The total acceptance rate was 81% (158/195): 75%
(82/110) of the Central American students and 89% (76/85) of the
Cambodian students. Report cards could not be obtained for 6 students,
so the final sample was 77 Central Americans and 75 Cambodians.
Interviewers were of the same ethnic origin as the respondents (the
adolescents and their mothers, fathers, or guardians). Three categories
of variables were considered: scholastic achievement, mental health
problems, and pre- and postmigration variables.
Scholastic Achievement
Two variables reflected the adolescents' scholastic
achievement: scholastic failure and relative scholastic achievement.
Scholastic failure was defined as a failing grade in the current year in
French, English, or math, which are compulsory courses in seventh and
eighth grades. A measure of relative scholastic achievement (rather than
raw grades) was used, because grading varied from class to class and
from school to school. First, a score for each compulsory course was
determined by calculating the ratio of the adolescent's final grade
to the class average. Scores were then summed. A total score of less
than 3 indicated that the teen had performed below average
scholastically, and a score higher than 3 meant that the teen's
performance was above average.
Mental Health Problems
The emotional functioning of each adolescent was assessed from both
the parent's and adolescent's points of view. The Child
Behavior Checklist (CBCL) was administered to the parent or guardian and
the Youth Self-Report (YSR) was utilized with the adolescent (Achenbach
& Edelbrock, 1987, 1993). Khmer and Spanish versions of the CBCL and
a French version of the YSR were employed.
The CBCL and YSR are often used in transcultural settings and are
the assessment tools most widely recommended when taking an empirical
approach to mental health problems (Bird, 1996; Verhulst &
Achenbach, 1995). The present study employed the internalization and
externalization indices of the Cross-Informants Symptom Checklist (CISC), comprising items common to the subdimensions of the CBCL and
YSR. Alphas were between .78 and .87 for all scores except the
adolescent's degree of internalization as reported by Cambodian
parents ([alpha] = .56). In the Cambodian sample, correlations between
the parents' reports and those of the adolescents were .26 for the
internalization index and .05 for the externalization index. In the
Central American sample, the correlations were .28 and .31,
respectively. These are fairly weak correlations, but similar
discrepancies between the assessments of parents and children have been
observed in a number of other studies (Achenbach & Edelbrock, 1987).
Pre- and Postmigration Variables
In addition to the usual sociodemographic variables
(adolescent's age and sex; household income, size, and type; and
parents' employment status, education, and language proficiency),
two other types of context variables were analyzed: the premigration
experience (trauma experienced by the family and significant separations
experienced by the adolescent in his or her homeland or on the way to
Canada) and the postmigration experience (adolescent's degree of
acculturation and number of years in Canada). There were two measures of
trauma--related to war or violent political conflict--experienced by the
adolescent's family prior to and during migration (reported by the
parent). These were developed in the course of earlier research
(Rousseau et al., 1989, 1996) and are based on the Breslau and Davis
model (1987). The first counts the number of traumas (e.g., torture,
execution, disappearance, imprisonment) experienced by the family before
the adolescent subject's birth. The second counts the traumas
experienced a fter the subject's birth, including war- or
conflict-related acts of violence that he or she may have witnessed, and
whether time was spent in a refugee camp. There were also two measures
of separation: from parental figures (mother, father, or other family
member who had taken care of the subject for more than six months before
he or she left for Canada) and from attachment figures (other caring
people who were part of the subject's circle). The number of
separations experienced in the homeland or as a result of leaving for
Canada were counted (Rousseau et al., 1996).
Family environment, as reported by parents, was measured using the
Family Environment Scale (FES; Moos & Moos, 1986). The 90-item FES
assesses 10 dimensions of the family environment, but only cohesion
(i.e., commitment, help, and support family members provide one another)
and conflict (i.e., openly expressed anger, aggression, and conflict
among family members) were examined here. There are nine statements for
each, with the respondent indicating whether or not they applied to his
or her family. The Spanish version of the FES, developed and validated
by Szapocznik et al. (1983), was utilized. The Khmer version that was
used had been translated by two Cambodian professionals and validated
though back-translation in the course of earlier research (Rousseau et
al., 1996).
Parental depression was assessed using the 20-item Self-Rating
Depression Scale (SRDS; Zung, 1969), with the respondent indicating the
degree to which he or she has experienced each item: none or little of
the time, some of the time, a good part of the time, or most or all of
the time. The Spanish version, validated by Zung, and a Khmer version,
which was checked by means of back-translation (Rousseau et al., 1996),
were employed.
The Behavioral Acculturation Scale (BAS; Szapocznik et al., 1978),
designed for adolescents, was used to measure acculturation. The BAS has
been used with Hispanic and Southeast Asian populations (Celano &
Tyler, 1991).
Statistical Analysis
Differences between mean scores and between percentages, using
confidence intervals (degree of confidence = .95), were calculated and
analyzed. In addition, correlational analyses (by sex and ethnic origin)
were conducted. The Spearman rank correlation coefficient was used,
rather than the Pearson product-moment correlation, because some
categories contained relatively few subjects and the distribution of
some variables was asymmetrical.
RESULTS
The family environment of the 75 Cambodians was comparable to that
of the 77 Central Americans in terms of household income, size and type,
and parents' employment status (see Table 1). However, the
Cambodian parents tended to have less education compared with the
Central American parents. The Cambodian parents also tended to be less
proficient in French or English, but because of the small number of
subjects at the extreme ends of the scale (no proficiency and good
proficiency), it was impossible to confirm the reliability of this
observation.
The two groups had similar proportions of males and females, but
other sociodemographic characteristics varied by ethnic origin. The mean
age of the Cambodian adolescents was slightly lower than that of the
Central Americans, while the mean length of time they had been in Canada
and mean BAS score were higher for the Cambodians (see Table 1).
The mean number of traumas experienced by the family before the
adolescent subject's birth was higher in the Cambodian sample (4.6)
than in the Central American sample (0.4), but the mean number of
traumas experienced after was lower among the Cambodians (3.6) than
among the Central Americans (5.4). The mean number of separations from
parental figures and attachment figures was lower in the Cambodian
sample (0.3 and 1.2, respectively) than in the Central American sample
(1.9 and 2.2).
The percentage of adolescents who failed at least one course
(English, French, math) during the current academic year did not vary
significantly by ethnic origin, but was especially low (21%) among
Cambodian females (see Table 2). The mean scholastic achievement score
was virtually identical for Cambodians and Central Americans of either
sex, and was close to that of their classmates. The course in which the
adolescents did best or worst tended to vary by sex and ethnic origin,
but this was not confirmed statistically.
The teenagers' internalization and externalization indices
depended on whether the emotional profile was based on the parent's
point of view or the teen's. As reported by the parents, the mean
internalization and externalization indices were higher for the Central
American adolescents (11.7 and 7.7, respectively) than for the
Cambodians (5.3 and 4.2). This intercultural difference disappeared when
the teenagers' point of view was taken into account: the
differences between the mean internalization and externalization indices
of Central American adolescents (14.8 and 13.2) and those of the
Cambodians (17.4 and 15.5) were not statistically significant.
The relationship between emotional profile and relative scholastic
achievement was fairly weak (r ranged from -- .20 to .16)--except for
that between scholastic achievement and internalization as reported by
the parents of Central American males (r = -.33, CI = -.57: -.03).
Similarly, adolescents who failed one or more courses could not be
distinguished from those who did not on the basis of their emotional
profile scores.
The relationship between premigration experiences and scholastic
achievement was also generally quite weak (r ranged from -.20 to .19).
However, for Central American males, there was a significant negative
correlation (r = - .31) between scholastic achievement and trauma
experienced by the family after the birth of the adolescent subject (see
Table 3). Moreover, the mean number of traumas experienced before the
birth of the adolescent subject was lower among the Cambodians who had
failed at least one course ([micro] = 3.2) compared with those who had
not failed any courses ([micro] = 5.3), and this did not substantially
vary by sex (see Table 4).
A few postmigration variables were significantly associated with
scholastic achievement, especially among Central American females (see
Table 3). For these females, scholastic achievement was associated with
household income (r = .41) and degree of acculturation (r = .34). Family
cohesion, at r = .32, approached statistical significance. It should be
pointed out that, among Cambodian females, the association with
household income was reversed (r = - .37). Among the males, even the
highest correlations between scholastic achievement and postmigration
variables were not significant, namely degree of acculturation (r = .22)
and household income (r = .22) for the Cambodians, and number of years
in Canada (r = .22) and family conflict (r = -.24) for the Central
Americans.
With only two exceptions, adolescents who failed one or more
courses could not be distinguished from those who did not on the basis
of the postmigration variables. In the Cambodian sample, 70% of the
adolescents whose parents could speak neither English nor French had
failed at least one course, while only 30% of the adolescents whose
parents' language proficiency was poor and 37% of those whose
parents' language proficiency was good had failed at least one
course. This association between parents' proficiency in English or
French and adolescents' scholastic failure was particularly
noticeable among the males. In the Central American sample, academic
failure was related to parents' education: 75% of Central American
teenagers whose parents had gone no further than elementary school had
failed at least one course, while the same was true for 40% of those
whose parents had completed high school or vocational school, and 50% of
those whose parents had a university degree.
DISCUSSION
The scholastic achievement of the adolescent refugees corresponded
by and large to the average achievement of their classmates, a finding
that seems to contradict the general perception that refugees have more
academic problems (Latif 1988). It must be kept in mind, however, that
the schools were chosen for their ethnic mix, and thus the academic
performance of those enrolled may not be typical of the entire student
population.
Cambodian females fail less often at school than do Central
American females or males of either group. According to sources in the
Cambodian community, females' greater scholastic success may stem
from their close ties to their parents. Often females are responsible
not only for providing their parents with emotional support, but also
for maintaining their family's honor. Tobin and Friedman (1984)
underscored this emotional closeness between Southeast Asian parents and
their daughters and the fact that their sons had a harder time
identifying with their parents in the new cultural environment.
No significant associations were found between failure at school
and internalized or externalized mental health symptoms, whether
reported by parents or the adolescents themselves. Academic achievement
was associated with internalized symptoms only among Central American
males; this association has also been reported for a sample of Central
American refugees in elementary school (Rousseau et al., 1996). On the
whole, these results confirm the findings of other studies (Sack et al.,
1995; Clarke et al., 1993), namely that there is no significant
correlation between the scholastic achievement of adolescent refugees
and psychological symptomatology. The relationship between scholastics
and emotional profile seen in the general population is not found among
refugees. This difference may be due to the origin of the emotional
problems observed in refugee populations, who are more preoccupied with
adapting and grieving, and in the host population, for whom problems
less related to acute environmental factors genera lly play a greater
role. This hypothesis is in line with Terr's (1983) observations of
traumatized North American children, whose scholastic achievement was
not affected despite the persistence of severe symptoms.
Results concerning the relationship between scholastic achievement
and certain pre- and postmigration factors highlight variations between
the two cultural groups and between females and males of the same
background. While traumatic family experiences that occurred after the
adolescent subject's birth were associated with more scholastic
problems for both cultural groups, and especially for Central American
males, trauma experienced before the Cambodians were born was, on the
contrary, associated less academic failure. Overcompensation, similar to
that found among some children of Holocaust survivors (Solkoff, 1992),
might explain these results among the Cambodians: after the massacres
perpetrated by the Pol Pot regime, children of survivors may feel that
they have an obligation to make a success of their lives, because of all
those who never had the same chance. Jupp and Luckey (1990), discussing
the success of Southeast Asian refugees in mathematics, mention their
extraordinary determination to succeed. Th e results here suggest that
on top of the value traditionally placed on education by people from
Southeast Asia, historical factors involving the transmission of trauma
from generation to generation influence the high degree of determination
to succeed.
The two variables that pertain to familiarity with the host
country--acculturation (BAS score) and number of years spent in
Canada--seemed to help the Central Americans avoid scholastic failure.
Nonetheless, while the BAS score was significant for females, in the
case of males it was the length of time they had been in the country
that stood out. These variables were not significant for the Cambodians.
While the link between acculturation, length of time in host country,
and scholastic aptitude found for the Central Americans has been
frequently reported in the literature (Berry et al., 1986), the absence
of links between these variables for the Cambodian group is more
surprising. Rumbaut (1991) has stated that, for adolescents from
Southeast Asia, acculturation may be synonymous with departure from
traditional values, which translates into more problems at school. Jupp
and Luckey (1990) found that improvement in scholastic achievement among
Southeast Asian adolescents was associated with the length of time in
the host country, but pointed out that their families had not
assimilated. The differences found here between the two cultural groups
confirms that the effect of acculturation on scholastic success is not
homogeneous, and that complex interactions between the community of
origin (its history and values) and the host community (its educational
system and the prospects it offers) must be taken into account.
This study had a number of limitations that must be considered when
interpreting the results. First, the sample was relatively small, and
may not be representative of refugee youths in schools with high numbers
of students from the host country. Second, the two groups had different
trauma histories: the Cambodian families experienced more traumas before
the birth of the adolescent subjects, while the Central American
families experienced many more traumas afterward. The contrasting trauma
histories may have had an impact on the difference between Central
Americans and Cambodians with regard to the risk and protective factors
associated with scholastic achievement. Third, the BAS score can in no
way be taken as a measure of overall acculturation. In the field of
education, a means of determining acculturation in terms of the values
that largely determine the motivation to learn would be a welcome
addition to the available scales. Fourth, the internalization and
externalization indices are based on factor anal yses derived from North
American samples; indices derived from Central American and Cambodian
samples might include different items.
Despite these limitations, the results suggest that the
relationship between emotional disturbance and scholastic achievement in
adolescent refugees is tenuous. Further, the findings indicate that
scholastic failure and relative scholastic achievement do not measure
exactly the same dimension, since different variables were associated
with each. In addition, pre- and postmigration factors associated with
failure at school may not be universal, but rather specific to a given
cultural context. The results also suggest that a family history of
trauma, too often considered solely as a risk factor, may play a complex
role in scholastic achievement, and may even be a protective factor.
Last but not least, the findings point the way for further research into
the relationship between psychological symptoms and functional capacity
in immigrants and refugees, and indicate the potential danger inherent
in assuming that refugee children are a dysfunctional group in the
school setting.
Aline Drapeau, Department of Psychiatry, Montreal Children's
Hospital, Montreal, Quebec, Canada.
Reprint requests to Cecile Rousseau, Department of Psychiatry,
Montreal Children's Hospital, 4018 Ste. Catherine Street West,
Montreal, Quebec, Canada H3Z 1P2.
REFERENCES
Achenbach, T. M., & Edelbrock, C.(1987). Manual for the Youth
Self-Report and Profile. Burlington, VT: University of Vermont,
Department of Psychiatry.
Achenbach, T. M., & Edelbrock, C. (1993). Manual for the Child
Behavior Checklist and Revised Child Behavior Profile. Burlington, VT:
University of Vermont, Department of Psychiatry.
Berry, J. W., Trimble, J. E., & Olmedo, E. L. (1986).
Assessment of acculturation. In W. J. Lonner & J. W. Berry (Eds.),
Field methods in cross-cultural research. Beverly Hills, CA: Sage.
Bird, H. (1996). Epidemiology of childhood disorders in a
cross-cultural context. Journal of Child Psychology and Psychiatry, 37,
35--49.
Breslau, N., & Davis, G. C. (1987). Post-traumatic stress
disorder: The etiologic specificity of wartime stressors. American
Journal of Psychiatry, 144, 578--583.
Celano, M. P., & Tyler, F. B. (1991). Behavioral acculturation
among Vietnamese refugees in the United States. Journal of Social
Psychology, 131,373--385.
Clarke, G. N., Sack, W. H., Ben, R., Lanham, K., & Him, C.
(1993). English language skills in a group of previously traumatized
Khmer adolescent refugees. Journal of Nervous and Mental Disease, 181,
454--456.
Irwin, A. D., & Madden, C. (1985). A psychoeducational
assessment procedure for Southeast Asia refugee students. In T. C. Owen
(Ed.), Southeast Asian mental health: Treatment, prevention, services,
training and research. Washington, DC: U.S. Department of Health and
Human Services Utilization.
Jupp, J. J., & Luckey, J. (1990). Educational experience in
Australia of Indochinese adolescent refugees. International Journal of
Mental Health, 18, 78-91.
Kinzie, J. D., Sack, W. H., Angell, R., Clarke, G., & Ben, R.
(1989). A three-year follow-up of Cambodian young people traumatized as
children. Journal of the American Academy of Child and Adolescent
Psychiatry, 28, 501-504.
Kinzie, J. D., Sack, W. H., Angell, H. R., Manson, S., & Roth,
B. (1986). The psychiatric effects of massive trauma on Cambodian
children: I. The children. Journal of the American Academy of Child and
Adolescent Psychiatry, 25, 370-376.
Latif, G. (1988). L'ecole quebecoise et les communautes
culturelles au Quebec [School and the etbno-cultural communities in
Quebec]. Education Department, Government of Canada.
Moos, H. R., & Moos, S. B. (1986). Family Environment Scale
manual. Palo Alto: Counsulting Psychologists Press.
Rousseau, C., Corin, E., & Renaud, C. (1989). Conflit arme et
trauma: Une etude clinique chez des enfants refugies latino-americains
[Armed conflict and trauma: A clinical study of Latin American refugee
children]. Canadian Journal of Psychiatry, 34, 376-385.
Rousseau, C., Drapeau, A., & Corin, E. (1996). School
performance and emotional problems in refugee children. American Journal
of Orthopsychiatry, 66, 229-251.
Rousseau, C., Drapeau, A., & Corin, E. (1997). The influence of
culture and context on the pre- and postmigration experience of
school-aged refugees from Central America and Southeast Asia in Canada.
Social Science and Medicine, 44, 1115-1127.
Rumbaut, R. G. (1991). The agony of exile: A study of the migration
and adaptation of Indochinese refugee adults and children. In F. L.
Ahearn, Jr., & J. L. Athey (Eds.), Refugee children: Theory,
research, and services. Baltimore: Johns Hopkins University Press.
Sack, W. H., Clarke, G. N., Kinney, R., Belestos, G., Chanrithy,
H., & Seeley, J. (1995). The Khmer Adolescent Project: II.
Functional capacities in two generations of Cambodian refugees. Journal
of Nervous and Mental Disease, 183, 177-181.
Sack, W. H., Richard, H. A., Kinzie, J. D., & Roth-Ber, D. J.
(1986). The psychiatric effects of massive trauma on Cambodian children:
II. The family, the home and the school. Journal of the American Academy
of Child and Adolescent Psychiatry, 25, 377-383.
Salyer, K. M., Holmstrom, R. W., & Washpitz, J. D. (1991).
Learning disabilities as a childhood manifestation of severe
psychopathology. American Journal of Orthopsychiatry, 61, 230-240.
Solkoff, N. (1992). Children of survivors of the Nazi Holocaust: A
critical review of the literature. American Journal of Orthopsychiatry,
62, 342-358.
Szapocznik, J., Kurtines, M. W., & Foote, H. F. (1983). Some
evidence for the effectiveness of conducting family therapy through one
person. Journal of Consulting and Clinical Psychiatry 51, 889-899.
Szapocznik, J., Scopetta, M. A., Kurtines, W., & de los Angeles
Aranalde, M. (1978). Theory and measurement of acculturation.
Interamerican Journal of Psychology, 12, 113-130.
Terr, L. (1983). Life attitudes, dreams, and psychic trauma in a
group of "normal" children. Journal of the American Academy of
Child and Adolescent Psychiatry, 22, 221-230.
Tobin, J. J., & Friedman, J. (1984). Intercultural and
developmental stresses confronting Southeast Asian refugee adolescents.
Journal of Operational Psychiatry, 15, 39-45.
Verhulst, F. C., & Achenbach, T. M. (1995). Empirically based
assessment and taxonomy of psychopathology: Cross-cultural applications.
European Journal of Child and Adolescent Psychiatry, 4, 61-76.
Weinberg, W. A., McLean, A., Swider, R. L., Nickols, A. S.,
Rintelmann, J. W., & Erwin, P. R. (1989). Depression, learning
disability and school behavior problems. Psychological Reports, 64,
275-283.
Williams, L. C., & Westermeyer, J. (1983). Psychiatric problems
among adolescent Southeast Asian refugees: A descriptive study. Journal
of Nervous and Mental Disease, 171, 79-85.
Zung, W. W. K. (1969). A cross-cultural study of symptoms in
depression. American Journal of Psychiatry, 126, 154-159.