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This chapter begins with a brief review of various approaches to the study of ethnic identity, because they form the foundation for the research studies on the acculturation and enculturation processes of Arab Americans. In particular, the seminal works of John W. Berry, Jean Phinney, and their colleagues (e.g. Berry, Phinney, Sam, & Vedder, 2006 ) are discussed in light of research on the acculturation of Arab Americans to the U.S. Acculturation involves the variety of diff erent ways that a person can adapt to a culture that is diff erent from that of their family’s culture(s) of origin. Enculturation, on the other hand, involves learning about one’s culture of origin.

Although depression is a chronic illness with high morbidity and personal and economic losses, little is known about depression in immigrants with an Arab or Chaldean ethnic background. Our primary objective was to determine the overall and ethnicity-specific prevalence of self-reported depression in Arab Americans, Chaldean Americans, and African Americans in the Midwest. The secondary objective was to evaluate the associations between potential risk and protective factors and the presence of self-reported depression. A total of 3543 adults were recruited from the Arab and Chaldean communities in Metropolitan Detroit. The sample in this study was restricted to those of Arab, Chaldean, and African ethnic backgrounds, resulting in 81.2% of the original sample (n52878). A health assessment survey questionnaire was administered The overall rate of self-reported depression was 18.2%. The highest rate of depression was found in Arab American participants (23.2%), followed by African Americans (15%) and Chaldeans (13.3%). Self-reported prevalence of depression by country of origin differed significantly. Our results show the need to provide culturally competent mental health services for Arab Americans and other minority American subgroups. Research is needed to identify risk factors, preferably modifiable factors, and to ascertain which factors are similar and non-similar to the general American population.