Smith, Rachel Khawaja, Nigar
Smith, Rachel Khawaja, Nigar
This work is covered by copyright. Unless the document is being made available under a
Creative Commons Licence, you must assume that re-use is limited to personal use and
that permission from the copyright owner must be obtained for all other uses. If the docu-
ment is available under a Creative Commons License (or other specified license) then refer
to the Licence for details of permitted re-use. It is a condition of access that users recog-
nise and abide by the legal requirements associated with these rights. If you believe that
this work infringes copyright please provide details by email to [email protected]
Notice: Please note that this document may not be the Version of Record
(i.e. published version) of the work. Author manuscript versions (as Sub-
mitted for peer review or as Accepted for publication after peer review) can
be identified by an absence of publisher branding and/or typeset appear-
ance. If there is any doubt, please refer to the published source.
https://doi.org/10.1016/j.ijintrel.2011.08.004
1
Author Note
Queensland, Australia.
Correspondence concerning this article should be addressed to Dr. Nigar Gohar Khawaja,
Senior Lecturer, School of Psychology & Counselling, Queensland University of Technology, Level 5,
O Block, B Wing, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia. Fax: 61 7 3864
Abstract
Universities in Western countries host a substantial number of international students. These students
bring a range of benefits to the host country and in return the students gain higher education. However,
the choice to study overseas in Western countries may present many challenges for the international
student including the experience of acculturative stress and difficulties with adjustment to the
environment of the host country. The present paper provides a review of current acculturation models
as applied to international students. Given that these models have typically been empirically tested on
migrant and refugee populations only, the review aims to determine the extent to which these models
variables from acculturation models was explored including acculturative stressors encountered
discrimination, and practical problems associated with changing environments). Further discussed was
the subsequent impact of social support and coping strategies on acculturative stress experienced by
international students, and the psychological and sociocultural adaptation of this student group. This
review found that the international student literature provides support for some aspects of the
acculturation models discussed, however, further investigation of these models is needed to determine
acculturation models portray the host society as an important factor influencing international students’
1. Introduction
In 2008, there were more than 3.3 million tertiary international students worldwide (see OECD,
2010). Over half of all tertiary international students choose to study in the United States of America
(U.S.A.) (19%), the United Kingdom (U.K.) (10%), Germany (7%), France (7%), and Australia (7%)
(OECD, 2010). Other countries hosting significant numbers of international students include Canada,
Japan, Italy, and Russia (OECD, 2010). International students are an important financial commodity
for these countries contributing approximately $19 billion (U.S. dollars) annually to each of the
Australian and U.S. economies, followed by $14 billion to the U.K. economy (Australian Education
International, 2010; NAFSA, 2010; UK Council for International Student Affairs, 2010).
International students are not only a valuable financial asset to universities in developed
countries, they are individuals who also enrich these countries with their diverse heritage and
perspectives, thus, serving to increase cultural awareness and appreciation (Bevis, 2002; P. Harrison,
2002). International students bring with them a wide range of knowledge and skills across many
disciplines, thereby contributing to the intellectual capital of their host country and adding to the work
force. Whilst it could be argued that their stay is mutually beneficial as they bring a range of assets to
their host country and in return gain higher education, a number of factors impact upon international
students’ acculturation; whereby acculturation is the process of change that takes place as a result of
two or more cultures coming into contact (Berry, 2005). Moving to a foreign country to study brings
many potential challenges, and international students may experience acculturative stress (i.e., stress
resulting from life changes in the acculturation process; Berry, 2006) and adjustment problems.
Whilst literature reviews have previously investigated the array of stressors that international
students face (e.g., Andrade, 2006; Chen, 1999; Mori, 2000), the subsequent expansion of literature in
this area in the past decade highlights the need for another review integrating this recent research.
4
Furthermore, there is an ongoing need to refine dominant acculturation models in the general
acculturation literature and apply them to international students, as the majority of the acculturation
models are related to immigrants and refugees. A recently published systematic review (J. Zhang &
Goodson, 2011) examined the predictors of international students’ psychosocial adjustment in the
U.S.A. across 64 studies. Although this review provided an important analysis of the literature, the
findings were not thoroughly discussed in relation to acculturation models. The authors in their review
did state the theoretical framework employed in each study, which included acculturation models,
however, the findings were not specifically used to critique the models or theories. Additionally, by
only focusing on studies conducted in the U.S.A., the review ignored important contributions from
other countries. Zhou, Jindal-Snape, Topping, and Todman (2008) reviewed the central acculturation
models in the literature and applied them specifically to international students, in which each model
was discussed briefly. Whilst this was an important addition to the literature, there is a need to review
the literature again to include emerging acculturation models and a more comprehensive discussion of
A number of strategies were used to identify relevant literature for the current review.
For example, computer searches for relevant journal articles were conducted using the search engine
EBSCO Host with title words ‘international student’, ‘foreign student’ or ‘overseas student’. The
overall search resulted in a total of 94 studies, including 13 qualitative studies and 81 quantitative
international students is discussed initially. Drawing upon leading acculturation models, the range of
potential stressors that international students face when studying abroad, and their coping mechanisms
will then be considered. The impact of acculturative stress on international students and recent
attempts to enhance the adjustment and acculturation of international students through various
5
programs are examined also. Finally, gaps in the literature are highlighted in order to suggest future
research directions.
2. Acculturation
discuss the concept of acculturation. The increase in migration over the past century has prompted
researchers to explore the processes that immigrants go through when settling in a foreign country,
uni-dimensional model focusing on the migrant only, and it was theorised that the migrant underwent a
process of discarding their cultural heritage and adopting the host country’s culture (Schwartz, Unger,
Zamboanga, & Szapocznik, 2010). However, over the past three decades researchers have
research such as Berry and colleagues (e.g., Berry, 1992, 1997, 2005, 2006; Berry & Kim, 1988;
Berry, Kim, Minde, & Mok, 1987; Williams & Berry, 1991) have defined acculturation as “the dual
process of cultural and psychological change that takes place as a result of contact between two or
more cultural groups and their individual members” (Berry, 2005, p. 698). In Berry’s (2005) definition
acculturation) and on a group level (cultural acculturation) in both cultures. For example, acculturative
change occurs in international students as well as in their host culture. Berry (1997) also developed a
taxonomy to describe acculturation attitudes of both host and migrant groups, identifying four
A number of acculturation models have been developed and debated in an attempt to depict the
key factors impacting on the acculturation process. Ward, Bochner, and Furnham (2001) distinguished
between three different approaches to the study of acculturation (termed the ABC’s of acculturation):
6
the stress and coping framework, the cultural learning approach, and the social identification
perspective, with each approach emphasising affective, behavioural, or cognitive changes, respectively
in the psychological acculturation process. A stress and coping framework for acculturation was first
developed by Berry (1997; 2006) to explain the factors affecting acculturative stress and adaptation,
drawing on broad models of stress and coping, such as Lazarus and Folkman’s (1984) stress model.
In the framework, Berry conceptualises the psychological acculturation experience as a significant life
event that involves a number of life changes. These changes are cognitively appraised by the
individual and may be viewed as benign or as opportunities (thus not a source of acculturative stress),
or alternatively as difficulties and therefore classified as acculturative stressors (Berry). When faced
with an acculturative stressor, a further appraisal occurs regarding whether the individual has sufficient
coping resources/strategies to overcome the stressor. If adequate coping strategies are employed, the
acculturative stress experienced may be low; however, if the coping strategies are not sufficient to
overcome the stressor or maladaptive coping is used, the acculturative stress experienced may be
higher, and in severe cases may manifest as psychopathology such as depression and anxiety (Berry).
According to Berry’s (1997; 2006) acculturative stress and adaptation framework, the long-term
goal is to achieve adaptation, which is defined as “the relatively stable changes that take place in an
individual or group in response to external demands” (Berry, 2006, p. 52). Ward and colleagues were
the first to make the distinction between two types of adaptation: psychological and sociocultural
(Searle & Ward, 1990; Ward & Kennedy, 1992, 1993a). Psychological adaptation concerns affective
responses including a sense of well-being and self-esteem, as well as physical well-being (Ward, et al.,
individual links in to the new society, such as competence in managing tasks required for daily
Ward et al. (2001) expanded on Berry’s (1997; 2006) framework to integrate both the stress
and coping, cultural learning, and social identification perspectives. Along with coping strategies, this
Additionally, cultural and social identities are included as predictor variables. Arends-Toth and van de
Vijver (2006) and Safdar, Lay, and Struthers (2003) have also developed comprehensive acculturation
models which integrate the three theoretical approaches to studying acculturation. Consistent with
Berry and Ward et al.’s models, both of these models also consider individual characteristics,
characteristics of the larger society, and hassles or stressors as predictor variables; however, Arends-
Toth and van de Vijver’s model includes the predictor variable of characteristics of the society of origin
also. The acculturation outcomes in both models are psychological and sociocultural adaptation, and
additionally both models include acculturation attitudes as a central component connecting the
predictor variables and outcomes. Safdar and colleagues’ multidimensional individual difference
acculturation (MIDA) model was tested longitudinally on international students (see Rasmi, Safdar, &
Lewis, 2009), revealing that the predictor variables of hassles and psychosocial resources do predict the
Further acculturation models have been developed, which shift from the host society depicted as
a peripheral factor, as in the four abovementioned models, to a central component influencing the
migrant’s acculturation. Bourhis, Moise, Perreault, and Senecal (1997) developed the interactive
acculturation model (IAM), which emphasises not only the acculturation attitudes of the migrant, but
additionally their interaction with the acculturation attitudes favoured by the host society. This
affective, behavioural, and cognitive changes in the psychological acculturation process). Additionally,
the IAM accentuates that government immigration policies can strongly influence host and migrant
8
acculturation attitudes. Piontkowski, Rohmann, and Florack (2002) expanded on the IAM to develop
the concordance model of acculturation (CMA), which specifically outlines four concordance outcomes
possibilities of match or mismatch between the host and migrant acculturation attitudes. Navas et al.
(2005) devised the relative acculturation extended model (RAEM) based on Berry’s taxonomy of
acculturation attitudes, the IAM, and the CMA. The distinguishing factor of this model is the depiction
of several sociocultural domains across which the acculturation attitudes preferred and adopted by the
host and migrant interact and can vary (e.g., assimilation in the workplace, separation for religious
beliefs). It is noteworthy that amongst the seven acculturation models discussed above, the MIDA is
the only model to be empirically tested on international students by Rasmi et al (2009), highlighting a
need for the other acculturation models to be tested using this student population.
The purpose of the current review is to discuss the psychological acculturation experience of
international students’ in-line with the salient acculturation models in the literature. None of the seven
international students, thus, it is important to explore the degree to which these models fit the literature
for this student group. The models developed by Berry (1997; 2006), Ward et al. (2001), Safdar et al.
(2003), and Arends-Toth and van de Vijver (2006) identify a number of group factors (e.g., society of
origin and society of settlement characteristics) and/or individual factors (e.g., personality,
demographic variables, migration motivation, acculturation strategy, length of stay, coping, ethnic
identity, and social support) occurring both prior to and during acculturation that can impact on the
psychological acculturation process. Ideally group and individual factors need to be targeted to
enhance the acculturation of international students, which would encompass societal, organisational,
and individual changes. However, initially it is important to understand the stressors, coping strategies,
and social support of international students, and the corresponding relationship with acculturative stress
9
and adaptation, as these are central components of the four acculturation models. In addition these
aspects may serve as points of intervention, enabling health professionals to assist international
students. Finally, as the IAM, CMA, and RAEM emphasise, the host society is of central importance
to the acculturation of the migrant; therefore, interventions developed by host countries to enhance the
Based on the acculturation models by Arends-Toth and van de Vijver (2006), Berry (1997;
2006), Safdar, et al. (2003), and Ward et al. (2001), it is reasonable to expect that an international
student may encounter a range of life changes as a result of being in a new culture. These changes
have the potential to become stressors, or hassles as termed in Safdar et al.’s (2003) model, if they are
appraised by an international student as being a difficulty. The following section reviews the
3.1. Language
A major acculturation stressor that international students face is a language barrier. Chen
(1999) argues that second language anxiety is a stressor that interacts with other stressors in both
academic and sociocultural domains. In the academic domain, language barriers can impact on
assignment writing, understanding lectures, oral and written examinations, and the ability to ask
questions in class (Chen; Mori, 2000). Poyrazli and Kavanaugh (2006) found that low academic
achieving international students studying in the U.S.A. reported lower levels of English proficiency and
greater overall adjustment strain. This finding is consistent with further research showing a
relationship between English proficiency and academic performance in international students (Poyrazli,
Arbona, Bullington, & Pisecco, 2001; Stoynoff, 1997; Z. Zhang & Brunton, 2007). Additionally, a
qualitative study by Trice (2003) examining the perceptions of 27 academic staff (professors,
10
department chairs, and deans) highlighted that staff members felt that English proficiency was the main
challenge for international students, and stated that this could affect students’ academic performance.
Socially, language barriers can impede international students’ attempts to make friends and
interact with locals (Chen, 1999; Mori, 2000). For instance, Barratt and Huba (1994) found that
international students’ English competency increased self-esteem and was positively associated with
more interpersonal relations with locals. Similarly, Poyrazli, Arbona, Nora, McPherson, and Pisecco
(2002) demonstrated that English competency of international students was a predictor of their
adjustment, which included ability to relate to locals. In their systematic review, J Zhang and Goodson
(2011) found that English proficiency was a predictor of both psychological and sociocultural
adjustment. Furthermore, there is significant evidence in the literature demonstrating that lower levels
of English proficiency are a predictor of acculturative stress, and/or depression (Dao, Lee, & Chang,
2007; Duru & Poyrazli, 2007; Poyrazli, Kavanaugh, Baker, & Al-Timimi, 2004; Sumer, Poyrazli, &
There are a number of potential acculturative stressors that international students encounter in
the educational environment. Academic stress is not unique to international students but rather
experienced by all university students; however, academic stress is likely to be intensified for
international students due to the added stressors of second language anxiety and adapting to a new
educational environment. For example, Misra, Crist, and Burant (2003) found that international
students in the U.S.A who experienced academic stress had greater reactions to other stressors
encountered when adjusting to the educational environment. Academic stress was also found to be a
significant predictor of life stress. This finding is consistent with Rasmi et al. (2009) longitudinal
examination of the predictor and outcome variables of the MIDA model using international students,
which revealed that those who reported more academic hassles at time one exhibited significantly
11
greater levels of psychological distress at time two (18 months later). Hashim and Yang (2003)
demonstrated similar results in their study of stress in African and Western international students in
China, where academic stressors were rated as the most commonly occurring stressors in both groups.
In contrast, Misra and Castillo (2004) found that international students reported lower levels of
academic stress and fewer reactions to stressors compared to American domestic students. However,
the authors argued that the international students may have under-reported academic stress due to them
considering admission to stress as a weakness and shameful. This factor may have also influenced
Khawaja and Dempsey’s (2008) results where no significant difference in academic stress for
Another likely contributor to acculturative stress for international students is a mismatch in their
academic expectations to the realities of university life. International students may expect to perform
academically as well as, if not better than, what they did in their home country (Chen, 1999; Mori,
2000; Pedersen, 1991). However, their academic performance may be below their expectations due to
acculturative stressors of studying in a second language and adapting to the new educational, cultural,
and social environment. As a result, if international students do not overcome these stressors they may
experience decreased confidence in mastering their new environment, thereby negatively impacting
upon adaptation (Chen, 1999). In addition, international students may be pressured by their family and
sponsoring university in their country of origin to achieve a high level of academic performance, which
if not obtained can aggravate the acculturative stress experienced by the student (Chen, 1999; Mori,
2000).
International students may also encounter a mismatch in expectations regarding the quality and
efficiency of services provided by educational institutions. Sherry, Bhat, Beaver, and Ling (2004)
highlighted that international students, in comparison to domestic students, had lower perceptions of
services offered by their educational institutions, and these findings were verified by Khawaja and
12
Dempsey (2008). International students’ unmet expectations of university’s educational services have
been found to be associated with poorer adaptation (Khawaja & Dempsey, 2008) and increased
depression levels (Kennedy, 1999, as cited in, Ward, et al., 2001). Therefore, unmet education
International students may also find it difficult to adjust to the teaching style of their host
country. For example, students from countries which focus upon rote learning may find it particularly
difficult to adjust to the importance placed on critical thinking in Western universities (Aubrey, 1991).
Liberman (1994) examined the educational experience of Asian international students in the U.S.A
through 682 qualitative informal interviews. Participants stated that it was difficult to adjust to the
interactive teaching style and critical thinking approach to learning, but felt that it was beneficial for
their learning. Additionally, participants expressed concern about the informality and lack of respect
shown by domestic students towards teaching staff. International students in two Australian qualitative
studies also noted difficulties adjusting to teaching styles (Edgeworth & Eiseman, 2007; Townsend &
Poh, 2008). Together the research outlined above suggests that international students encounter
numerous acculturative stressors within the educational domain, which can influence adaptation.
In addition to the acculturative stressors experienced within the educational domain, often
international students have to establish a new social network after leaving their friends and family back
home. Emerging research suggests that personality variables of attachment style, trait-anxiety, and
extroversion may impact on international students’ ability to form friendships, and in-turn sociocultural
and psychological adaptation (Brisset, Safdar, Lewis, & Sabatier, 2010; Wang & Mallinckrodt, 2006;
Ying & Han, 2006). Additionally, cultural norms, language barriers, and the nature of friendships in
the host country may also impede international students’ ability to establish friendships, and thus
contribute to their feelings of loneliness. For example, all 10 participants in an Australian qualitative
13
study reported difficulties socialising with locals (Townsend & Poh, 2008). In another qualitative
study, Sawir, Marginson, Deumert, Nyland, and Ramia (2008) examined experiences of loneliness in
200 Australian international students. Two thirds of participants in their study reported that they had
experienced loneliness and/or isolation in their host country particularly in the beginning months of
their stay. Comparable results were reported by Chataway and Berry (1989), and McLachlan and
Justice (2009). Furthermore, Z. Zhang and Brunton (2007) found that 55% of their sample of Chinese
international students in New Zealand were unhappy with their opportunities to make friendships with
locals, and 71% reported that they would like to have more local friends. In other studies, international
students have reported perceptions of less social support than domestic students (Hechanova-Alampay,
Beehr, Christiansen, & Van Horn, 2002; Khawaja & Dempsey, 2008), and more loneliness and
homesickness (Parr & Bradley, 1991; Rajapaksa & Dundes, 2002). Contrary to these findings,
Klomegah (2006) found no significant difference in levels of feeling alienated between domestic and
international students in the U.S.A. The authors argued that these results may be explained by the
study being conducted in a small university, which may have been more conducive to creating a sense
Asian international students, particularly, may have increased difficulty making friends with
locals compared to their European counterparts. Asian cultures are typically collectivistic, although
there is large variation in the degree and type of collectivism amongst them (Triandis, 1999).
Therefore, Asian international students may experience difficulties when interacting and attempting to
make friends in a Western culture that emphasises individualism, assertiveness, and self-sufficiency
over interdependence and relatedness (Mori, 2000; Yeh & Inose, 2003). For example, most Asian
participants in Liberman’s (1994) study were consistently critical of American social customs.
Participants also reported feeling emotionally deprived in their host country without their support
networks from their home country. International students may feel considerable loss when living away
14
from their family as collectivist cultures often consist of close-knit families (J.-S. Lee, Koeske, &
Sales, 2004). Difficulty forming friendships with locals may be compounded by the possible
disinterest of domestic students in initiating friendships with international students (Ward, 2001, as
cited in, Z. Zhang & Brunton, 2007). The difficulty that international students, particularly Asian
students, have in establishing local friendships may be explained in view of the IAM, CMA, and
RAEM, because this issue may be a result of conflicting acculturation attitudes between the host
university and the international students. For example, international students from collectivist cultures
may desire to maintain their heritage sociocultural behaviours and values, whilst local students may
desire international students to assimilate or integrate their attitudes to align with the host culture.
Future research should explore this hypothesis further, particularly the acculturation attitudes of the
host.
3.4. Discrimination
Discrimination has also been noted as another potential acculturative stressor. International
students from Asia, Africa, India, Latin America, and the Middle East often report significant perceived
Lee & Rice, 2007; Poyrazli & Lopez, 2007). Findings from interview-based research (J. J. Lee & Rice,
2007) with 24 international students attending a university in the U.S.A. revealed that international
students from Asia, India, Latin America, and the Middle East reported significant discrimination
ranging from feelings of inferiority, direct verbal insults, discrimination when seeking employment,
and physical attacks (objects thrown). Similarly, participants in Poyrazli and Grahame’s (2007)
qualitative study reported encountering off-campus discrimination, spanning from covert interactions to
overt acts. Such feelings and experiences of discrimination can impact negatively on international
students’ adaptation and have been linked with poor psychological well-being and depression (Atri,
Sharma, & Cottrell, 2006; Jung, Hecht, & Wadsworth, 2007; Wei, et al., 2007); has been found to
15
predict higher levels of homesickness (Poyrazli & Lopez, 2007); and can discourage international
students from making friends with locals (Chen, 1999; Mori, 2000). Recent tragic incidents in
Australia where Indian international students were assaulted and attacked by members of the host
society is one of the more extreme examples of possible social prejudices and hostility experienced by
international students (O'Loughlin, January 2010; O'Malley, January 2010). The events occurring in
Australia highlight that discrimination can take a severe form, creating significant fear amongst
international students; this may explain why Australia experienced a decrease in Indian international
students from July to 31 October 2009 compared to the same period in 2008 (D. Harrison, January
2010). Host countries need to be proactive in taking steps towards addressing issues of discrimination
In addition to educational and sociocultural stressors, international students may also experience
a number of practical or lifestyle acculturative stressors. Studies have shown that financial problems
are experienced by the majority of international students (R. Y. Li & Kaye, 1998; Poyrazli & Grahame,
2007; Roberts, Golding, Towell, & Weinreib, 1999), with contributing factors including work
restrictions in the host country and substantially greater tuition fees (Chen, 1999; Mori, 2000). Further
practical issues such as accommodation and transportation have also been highlighted in other
qualitative studies (Bradley, 2000; Poyrazli & Grahame). However, Khawaja and Dempsey (2008)
found no significant differences in financial and accommodation satisfaction between international and
domestic students. The authors suggest that this might be due to the majority of the international
student sample having resided in Australia for more than two years, and thus having had time to resolve
In summary, congruent with Berry (1997; 2006), Safdar, et al. (2003), Arends-Toth and van de
Vijver (2006), and Ward et al.’s (2001) models, extensive research outlines potential acculturative
16
stressors international students may encounter. However, this is not emphasised in the IAM, CMA,
and RAEM, which on the other hand focus on acculturation attitudes of the host and migrant. The
RAEM does identify several domains that may be problematic due to conflicting acculturation attitudes
between the host and migrant, including a social domain which has been identified in Section 3.3 as a
stressor for international students, but education, a focal domain for international students, is not
mentioned. In accordance with Berry, Safdar, et al., Arends-Toth and van de Vijver, and Ward et al.’s
models, the impact of acculturative stressors is variable depending on how they are appraised and
The aforementioned life changes that international students face when acculturating can impact
on their psychological adaptation. Studies have consistently revealed positive moderate correlations
between acculturative life changes and psychological distress in international students (Searle & Ward,
1990; Ward & Kennedy, 1993a, 1993b); however, life changes only accounted for a proportion of the
variance. Prominent acculturation models (Arends-Toth & van de Vijver, 2006; Berry, 1997, 2006;
Safdar, et al., 2003; Ward, et al., 2001) outline that further factors need to be considered in the
acculturation process, such as cognitive appraisal of life changes and coping strategies, which can
subsequently impact upon the degree of acculturative stress experienced, and therefore psychological
According to Berry (1997; 2006) and Ward et al.’s (2001) acculturation models, individuals
may vary in the manner in which they appraise life changes in the acculturation process. However, the
other acculturation models discussed in this review do not include cognitive appraisal as a variable in
their models, thereby failing to depict that one international student may appraise a life change as an
opportunity whilst another may view it as a threat, and thus an acculturative stressor. Despite the
17
importance of cognitive appraisal in the general stress and coping field, only a few studies in the
international student literature have been conducted in this area. For example, Chataway and Berry
(1989) and Zheng and Berry (1991) examined which life changes are appraised as the most difficult by
particular groups of international students. Further research is needed in this area to determine whether
the diverse cultural backgrounds of international students affect their appraisal of life changes.
Berry (1997; 2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth and van de Vijver
(2006) all identify coping as impacting on the acculturation process of international students. In the
general stress and coping literature various types of coping have been identified, such as problem-
focused coping, emotion-focused coping, and meaning-focused coping (refer to Folkman, 2008).
Research in the international student literature is particularly limited on the use of positive coping
strategies. Ward, Leong, and Kennedy (1998, as cited in, Ward, et al.) examined international students
in Singapore and found that secondary coping mechanisms which do not directly fix the problem (e.g.,
acceptance and positive reinterpretation) predicted lower levels of perceived stress and subsequently
reduced depressive symptoms. Similarly, Lin and Betz (2009) revealed that unconditional positive
regard (i.e., self compassion) in Chinese international students was negatively associated with
acculturative stress. Humour has also been shown to be a positive coping strategy used by international
students resulting in reduced mood disturbance (Kennedy, 1994, as cited in, Ward, et al., 2001).
However, the majority of coping research on international students focuses upon maladaptive coping.
particularly Asian students. Khawaja and Dempsey (2007; 2008) in an Australian study found that
although levels of psychological distress were not significantly different between international
(predominantly from Asian countries) and domestic students, international students’ coping was
maladaptive in comparison to the domestic students. For the international students in the study,
18
dysfunctional coping (denial, substance use, self blame, venting, and behavioural disengagement) was
the only significant predictor of psychological distress; and psychological distress was predominantly
displayed as obsessive-compulsive symptoms, manifesting as worry and rumination over mistakes, and
perfectionist tendencies. Similarly, Cheng, Leong, and Geist (1993) found that Asian international
students in a U.S.A university scored significantly higher than domestic students on obsessive-
compulsiveness. Chataway and Berry’s (1989) research demonstrated that Asian international students
compared to French and British international students in Canada used less positive thinking coping
strategies and less positive or maladaptive tension reduction methods (i.e., use of drugs, alcohol, food,
and/or exercise). Wei et al. (2007) revealed that maladaptive perfectionism in Chinese international
students was a significant predictor of depression, and Kennedy (1999, as cited in, Ward, et al., 2001)
highlighted that the use of avoidance as a coping style in Singaporean international students soon after
arriving in the host country predicted psychological distress later on in their stay.
Furthermore, it seems that Asian cultures place importance on emotional control (Kim,
Atkinson, & Yang, 1999; Kim, Li, & Ng, 2005), and may therefore believe that they should be able to
handle emotional distress on their own (Wei, et al., 2007). To seek help from peers and professionals
for acculturative stress might imply personal failure to manage their emotions, thus, resulting in shame
and loss of face (i.e., embarrassment) (Wei, et al., 2007). Additionally, Asian international students
may also be reluctant to speak to family members and friends in their home country about how they are
feeling for fear of burdening them with their problems (Constantine, Kindaichi, Okazaki, Gainor, &
Baden, 2005; Heppner, et al., 2006). Due to these factors, emotional suppression may be the favoured
coping style of Asian international students when faced with acculturative stressors, which may
increase vulnerability to depression and anxiety (Chataway & Berry, 1989; Wei, Ku, Russell,
Mallinckrodt, & Liao, 2008). The use of maladaptive coping strategies might be one factor
contributing to research findings that have demonstrated that Asian international students report more
19
acculturative stress than European international students (Poyrazli & Kavanaugh, 2006; Poyrazli, et al.,
2004; Yang & Clum, 1994; Yeh & Inose, 2003). If acculturative stressors are not sufficiently
overcome with positive coping resources acculturative stress may result, which can be exacerbated if
maladaptive coping is used. One way to cope appropriately is to seek assistance from external sources.
Student counselling services are a potential positive coping resource for international students
when faced with acculturative stressors, however, research suggests counselling services are
underutilised. Nilsson et al. (2004) demonstrated that only 2% of international students at a U.S.A
university sought help from the counselling centre in the year sampled, and of those that did seek help,
approximately one third dropped out of treatment after the first session. In their qualitative study, Ang
and Liamputtong (2008) found also an underutilisation of counselling services by international students
attending an Australian university; where the reasons stated were the belief that counsellors would not
have adequate cultural knowledge, and that the service was for individuals with mental illness which
carries a social stigma. Therefore, international students’ appraisal of university counselling centres
can result in students disregarding them as a coping resource. Additionally, Mori (2000) stated that
international students (particularly from Asian countries) have a tendency to somatise problems, and
thus seek help from medical physicians first. Cheng et al. (1993) suggest that if Asian international
students do present for help at university counselling centres, it is likely to be with academic
Russell, Thomson, and Rosenthal (2008) conducted a large study investigating the use of health
and counselling services by 979 international students at an Australian university. Overall, the
international students rated the services positively, which is in contrast to prior research (e.g., Kilinc &
Granello, 2003; W. M. L. Lee & Mixson, 1995; N. Zhang & Dixon, 2003). This finding might have
been due to the high quality of multicultural services offered in association with this university. In-line
20
with prior research, Asian international students reported a greater lack of information about the
counselling service and a greater perceived need for academic-educational counselling. Also, findings
students who felt they were in need of help did not seek assistance. The most common reason provided
for a lack of action was feeling that the problem was not significant enough to necessitate seeking help.
Those who did seek help had higher acculturation scores, which may suggest that they had less
discomfort with seeking help due to cultural stigmas. Perhaps the underutilisation of counselling
services outlined in this section can be explained by the IAM, CMA, and RAEM, which highlight the
influence of the acculturation attitudes of the host. In some of the studies discussed in this section, the
universities may have adopted an assimilation attitude, expecting international students to utilise
services that are culturally acceptable for domestic students, but may not be culturally appropriate for
some international students. Future research could investigate host universities adopting services that
In summary, life changes faced by international students when studying abroad do not solely
predict psychological adaptation, as life changes are appraised differently depending on the individual.
As illustrated by Berry (1997; 2006) and Ward et al.’s (2001) acculturation models, when life changes
are appraised as an acculturative stressor, coping resources can determine whether the acculturative
stressor results in acculturative stress, and the degree to which it is experienced. Other acculturation
models (Arends-Toth & van de Vijver, 2006; Safdar, et al., 2003) also identify coping as a variable that
can impact on psychological and sociocultural adaptation. Considering the importance placed on
coping in these models, and the findings outlined in this section, further research is needed to explore
international students’ coping mechanisms. Although, the IAM, CMA, and RAEM do not specifically
outline coping as a variable impacting on adaptation, the models are useful in considering factors
Consistent with Berry (1997; 2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth
and van de Vijver’s (2006) acculturation models, the range of acculturative stressors previously
outlined in Section 3 may result in acculturative stress in international students if they cannot be
sufficiently overcome with coping resources. In-turn acculturative stress may negatively impact upon
psychological and sociocultural adaptation in the acculturation process. The exact manifestation of
acculturative stress is unclear but the literature suggests that it can be displayed in a variety of ways.
For example, acculturative stress can result in international students reporting somatic complaints such
as sleep and appetite disturbance, fatigue, headaches, increases in blood pressure, and gastrointestinal
problems (Mori, 2000). Acculturative stress can lead also to psychological symptoms such as isolation,
helplessness, hopelessness, sadness, feelings of loss, anger, disappointment, and a sense of inferiority,
and in severe cases may lead to clinical depression (Mori). The complexity of acculturative stress and
its varying manifestations as described above is consistent with Berry and Ward et al.’s models;
however, the manifestations of acculturative stress are not represented by other models reviewed
presently.
Research has shown that acculturative stress in international students is associated with
depression. For example, Wei et al.’s (2007) study of 189 Chinese international students in the U.S.A
found that acculturative stress was a significant predictor of depression even after controlling for other
variables, such as maladaptive perfectionism and length of stay in the U.S.A. Wilton and Constantine’s
(2003) research demonstrated that acculturative distress and international students’ concerns regarding
their own intercultural competence predicted psychological distress in Asian and Latin international
students at a U.S.A university. Additionally, an Australian study demonstrated that higher levels of
acculturative stress were associated with lower levels of self-esteem in international students
(Gholamrezaei, 1997). Further studies with Asian international students have shown a positive
22
association between acculturative stress and depression also (Dao, et al., 2007; J.-S. Lee, et al., 2004;
Pan, Wong, Joubert, & Chan, 2007; Yang & Clum, 1995; Ying & Han, 2006).
Depression has been highlighted as one of the predominant complaints for international students
presenting at counselling centres. Yi, Lin, and Kishimoto (2003) examined the complaints of 516
international students presenting at a U.S.A counselling centre between 1992 and 1998. Before seeking
counselling the students were asked to complete a self-report questionnaire about their concerns.
Seventy-two percent of international students reported that they were worried or extremely worried
about “depression,” which was the second most frequently endorsed complaint after
“anxiety/fear/nervousness” (82%). Similarly, Nilsson, Berkel, Flores, and Lucas (2004) found that the
most common complaint amongst international students at a U.S.A counselling centre was feeling
depressed, down, and blue with a 34% endorsement rate. In their qualitative study, McLachlan and
Justice (2009) found that one-fifth of the participants reported significant emotional difficulties for
which they sought professional help. Although emotional difficulties were not specifically enquired
about as unstructured interviews were used, emotional difficulties were still raised by some
Kennedy, 1999, as cited in Ward, et al., 2001; Ying & Liese, 1990, 1991), as well as monitoring
psychological and sociocultural adaptation over time (e.g., Lu, 1990; Nash, 1991). However, a gap
remains in the literature regarding the impact of acculturative stress on the psychological and
sociocultural adaptation of international students over time. This section has outlined the negative
influence that acculturative stress can have on international students’ mental health; however, the CMA
and RAEM fail to clearly depict the potential psychological distress experienced by international
students in the acculturation process. These two models state that conflict will result when there is
23
disparity between the acculturation attitudes of the host and migrant, but they do not outline the
manifestation or impact of this conflict. The IAM portrays that acculturative stress can result due to
conflicting acculturation attitudes, but this is not a central component of the model. Berry (1997;
2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth and van de Vijver’s (2006)
acculturation models illustrate that acculturative stress can be experienced by the acculturating
international student, and also identify factors that can decrease the detrimental impact of acculturative
stress.
Berry (1997; 2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth and van de Vijver
(2006) all depict social support as a variable in their model that can decrease acculturative stress
experienced and aid adaptation. This is in accordance with findings from the international student
literature which demonstrate the buffering effect of social support on acculturative stress and
depression. Yeh and Inose (2003) sampled 359 international students in a U.S.A university, and found
that international students who felt socially connected and who were content with their social support
networks exhibited lower acculturative distress. These findings are consistent with studies
demonstrating a negative association between social support and psychological distress (including
acculturative stress, depression, and anxiety) (Dao, et al., 2007; Poyrazli, et al., 2004; Sumer, et al.,
2008; J. Zhang & Goodson, 2011); and a positive association with psychological well-being (Atri, et
al., 2006). In contrast, a study of 74 Korean international students in the U.S.A found that social
support did not have a direct effect on international students’ mental health symptoms (J.-S. Lee, et al.,
2004). However, social support did moderate the relationship between acculturative stress and mental
health symptoms; whereby those who reported acculturative stress but had a high level of social
support exhibited less mental health symptoms compared to those with low levels of social support.
Research suggests that international students utilise a variety of social support sources.
24
In Sawir et al.’s (2008) Australian study it was found that 88% of international students who felt lonely
turned to social networks to cope, and sources of social support most frequently cited were friends in
Australia (54%) and family and relatives back home (34%). Sawir and colleagues argued that
friendships with co-nationals may not be sufficient to ward off loneliness as 65% of international
students who had experienced loneliness or isolation had also encountered barriers when attempting to
make friends cross-culturally, compared to 36% of those who had not felt lonely. This implies that
friendships with host nationals are important in reducing loneliness. This point was demonstrated by Z.
Zhang and Brunton (2007) who found that 45% of their sample of Chinese international students in
New Zealand who had more than two host national friends engaged in more leisure activities with
locals; 57% of these reported lower levels of loneliness compared to the 55% of international students
who had less than two New Zealand friends. Additionally, research has shown that social ties with
hosts are important to the overall adjustment of international students (Al-Sharideh & Goe, 1998;
Kashima & Loh, 2006; A. Li & Gasser, 2005; Ying & Han, 2006; Ying & Liese, 1994; J. Zhang &
Goodson, 2011). These findings are congruent with Rasmi et al.’s (2009) longitudinal examination of
the MIDA model on international students, revealing that those who reported a high level of
and cultural competence) initially exhibited significantly less psychological distress, and were more
important social support. Ward (2001, as cited in, Z. Zhang & Brunton, 2007) found that the 23% of
Asian international students in their sample who did not have friendships with New Zealand host
nationals, were most likely to seek out fellow Asian international students for support if they
experienced difficulties with their study. Kashima and Loh (2006) found that Asian international
students in an Australian university who had more ties with fellow international students in their host
25
country were better adjusted psychologically, and also had greater identification with their own culture
and their university. Overall, social support with either locals or co-nationals appears to be an
important buffer of acculturative stress, thus, enhancing adaptation, and warranting inclusion as a
predictor variable in acculturation models. This is also consistent with Berry (1997; 2006), Safdar et
al. (2003), Ward et al. (2001), and Arends-Toth and van de Vijver’s (2006) acculturation models who
distinguish between social support from members of the host society and social support from co-
nationals, with both potentially positively impacting on psychological and sociocultural adaptation.
Therefore, a limitation of the IAM, CMA, and RAEM with reference to international students is that
social support is not specifically included as a predictor variable. However, their models do give
central importance to host factors influencing acculturation, suggesting that specific interventions at the
individual and the group level could be a source of social support that enhances the adaptation of
international students.
tested interventions that seek to decrease acculturative stress and aid adaptation of international
students. Host factors are central variables in the IAM, CMA, and RAEM, therefore, when applied to
international students these models highlight the need for group level interventions, such as the society
students. In-line with the IAM, group interventions may also involve policy changes at the state and
institutional level in the higher education industry. Many universities have taken measures to target the
focusing on help for practical and academic matters (Andrade, 2006; Arkoudis, 2006; Australian
Universities Quality Agency, 2008; Hawthorne, Minas, & Singh, 2004; Nilsson, et al., 2004).
Although individual counselling may also be offered, international students typically underutilise these
26
services as was discussed in Section 4.2.1. As the international education industry is a growing area,
there is a need to explore and evaluate further intervention options outside of what universities already
provide. In-line with Berry (1997; 2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth and
van de Vijver’s (2006) models, interventions could also be developed that target individual variables
such as social support and coping strategies, as these factors have the potential to mitigate acculturative
stress as previously discussed in Sections 4.2 and 6. The following section examines the intervention
Mak, Westwood, Barker, and Ishiyama (1999) developed an intercultural social effectiveness
training program for international students entitled Excellence in Experiential Learning and Leadership
adaptation. The behavioural program seeks to help international students gain confidence and skills in
academic and everyday interpersonal situations whilst maintaining their cultural identity. The program
entails six three-hour sessions with groups of 10–20 international students that are new to the host
country. The sociocultural competencies covered include making social contact and conversation,
seeking help and information, participating in a group, and negotiating with others in the new culture
(e.g., expressing disagreement, giving feedback, and refusing a request). Evaluation studies assessing
the effectiveness of the EXCELL program have previously been conducted. For example, Shergill
(1997, as cited in, Mak & Buckingham, 2007) tested the program on international students in Canada
and found a significant reduction in social avoidance and an increase in social skills valued by the host
country, which was maintained at the four month follow-up. Wong (2001, as cited in, Mak &
Buckingham, 2007) found that in a Canadian university international students’ social self-efficacy in
interacting with host nationals significantly increased after the EXCELL program was implemented.
Mak, Barker, Logan, and Millman (1999, as cited in, Mak & Buckingham, 2007) evaluated the
27
program utilising Australian international students, and found that social interaction skills and social
self-efficacy in interacting with host nationals significantly increased. Therefore, the EXCELL
program has been shown to be highly effective and is now utilised in a number of different countries.
However, the program is limited by being only behavioural. Although EXCELL is effective in
improving the sociocultural adaptation of international students, no attempt was made to measure its
consistent with the RAEM, the EXCELL program may not be appropriate for international students
desiring to adopt a separation acculturation attitude in the social domain, as this is likely to result in
conflict when interacting with host society’s acculturation attitude of assimilation adopted in this
intervention.
Pritchard and Skinner (2002) also developed a behavioural intervention to improve cross-
cultural relationships. Consistent with the acculturation models discussed in this review, Pritchard and
Skinner recognised that host members, in addition to international students, should also be a target of
their intervention. They sought to improve cross-cultural relationships between domestic and
international students, and in-turn aimed to decrease loneliness and acculturative stress in international
students attending an Irish university. Domestic and international students were paired (n=66, retention
rate = 70%) to complete cross-cultural activities together. Results were mixed and difficult to interpret
due to the ambiguous manner in which they were presented, and details of statistical tests used to
obtain the findings were not provided. Overall, the program’s results failed to show any improvement
in the domestic and international students’ cross-cultural relationships. One explanation for these
findings is that the international and domestic students held conflicting acculturation attitudes in the
social domain as depicted in the RAEM. It is not known whether the program achieved its goals of
decreasing loneliness and acculturative stress as no measures were incorporated to test this. Future
28
research could employ the creative use of cross-cultural activities in a program, but with a clear
Further behavioural peer-pairing interventions have been carried out whereby international
students are paired with domestic students, which have been found to aid social adjustment or enhance
social support (Abe, Talbot, & Geelhoed, 1998; Shigaki & Smith, 1997), improve academic
achievement (Westwood & Barker, 1990), and increase utilisation of university services including
counselling services (Quintrell & Westwood, 1994). Whilst these are promising findings, the peer-
pairing interventions did not directly target international students’ psychological adaptation.
Sakurai, McCall-Wolf, and Kashima (2010) designed and evaluated an intervention to improve
social ties, cultural orientation, and psychological adaptation in international students. The treatment
group comprised 47 international students at an Australian University, who went on a bus excursion to
a popular tourist attraction, whilst 51 participants were in the control group. Sakurai and colleagues
hoped that such a treatment would enhance co-national social ties and also facilitate positive orientation
towards the local culture. Participants completed measures one and four months following the
excursion. No significant differences were found between the two groups at one month. However, at
four months the treatment group had developed significantly more social ties with locals, but the two
groups did not differ on the number of ties with co-nationals or other international students.
Additionally, at four months the treatment group continued their local cultural orientation, whilst the
control group decreased in their local orientation and increased in their culture of origin orientation.
Results showed no significant differences between the two groups on psychological adaptation. Whilst
these results are promising the intervention lacked comprehensiveness by not including components
Consistent with Berry (1997; 2006), Ward et al. (2001), Safdar et al. (2003), and Arends-Toth
and van de Vijver’s (2006) models, there have been some attempts to promote the psychological
adaptation of international students through support programs that target individual factors. Carr,
Koyama, and Thiagarajan (2003) designed a group support program for Asian international students in
a U.S.A university with the goals of increasing coping skills, aiding adjustment to U.S.A culture,
offering culturally sensitive counselling, addressing acculturative stressors, and normalising students’
experiences. The groups were time-limited (weekly 90 minute sessions during the semester),
interactive, and psycho-educational in nature. A group format also provided a setting for social
networking aiming to reduce loneliness and isolation. Common themes stated on participant feedback
forms included gratitude about being able to share experiences and emotions without judgment. Whilst
this program appears to have directly targeted psychological adaptation, unfortunately no quantitative
evaluation of the program has yet been conducted, and thus it is not known if the program enhanced
This review discussed the psychological acculturation of international students drawing upon
the framework of current acculturation models (Arends-Toth & van de Vijver, 2006; Berry, 1997,
2006; Bourhis, et al., 1997; Navas, et al., 2005; Piontkowski, et al., 2002; Safdar, et al., 2003; Ward, et
al., 2001). It is important to note that these models have not been applied in their entirety. The review
has focused on the individual factors outlined in the models as individual factors comprise a large
proportion of the international student literature, which emphasise acculturative stressors and the
resulting acculturative stress that may be experienced, along with investigation of international
students’ coping process and the role of social support. Group level factors have also been discussed
through examination of interventions to aid the acculturation of international students. Further aspects
30
of the models need to be investigated in relation to international students, such as individual factors
occurring prior to and/or during acculturation including motivation (see Chirkov, Safdar, de Guzman,
& Playford, 2008; Chirkov, Vansteenkiste, Tao, & Lynch, 2007) and the emerging area of attachment
style (see Brisset, et al., 2010; Wang & Mallinckrodt, 2006), as individual variables are peripheral
predictor variables in Berry, Ward et al., Safdar et al., and Arends-Toth and van de Vijver’s models.
All of the acculturation models discussed in the present review include the host as a variable
interacting with the acculturation of the migrant, and the IAM, CMA, and RAEM depict this variable
as the salient feature in the models. Despite the important role that host acculturation attitudes (and
macro level factors impacting on these attitudes) play in these models, there is an absence of studies
examining these attitudes and factors with reference to international students. A handful of studies (see
Cemalcilar, 2008; Cemalcilar, Falbo, & Stapleton, 2005; Kagan & Cohen, 1990; Kilinc & Granello,
2003; Wang & Mallinckrodt, 2006) have investigated the influence of international students’
acculturation attitudes on their adaptation, but as the IAM, CMA, and RAEM outline, the migrant’s
acculturation attitudes interact with the host acculturation attitudes, with discrepancies likely to impact
negatively on adaptation.
It is not known if there is one acculturation model that best describes the acculturation of
international students, as none of the models have been researched in their entirety on this student
population. Rasmi et al. (2009) did empirically examine the MIDA model and found that the predictor
variables do predict the outcome variables in international students over time; however, they did not
examine the role of the moderating variable in the model of acculturation attitudes, thereby warranting
future investigation. The findings in this review regarding the impact of acculturative stressors, coping,
and social support on international students’ adaptation does suggest that Berry (1997; 2006), Ward et
al. (2001), Safdar et al. (2003), and Arends-Toth and van de Vijver’s (2006) models are applicable to
understanding the acculturation of international students, but additional predictor variables in these
31
models need to be explored using international student populations. The extent to which the IAM,
CMA, and RAEM explain the acculturation of international students is not known as the models have
not been tested on this population. Moreover, there is a paucity of research on the impact of the
acculturation attitudes of the host and international student on adaptation. The strength of the IAM,
CMA, and RAEM when applied to international students, is that they highlight the pivotal role of the
host and call for further research into this area. The RAEM could be revised in relation to international
students to include education as one of the sociocultural domains depicted, in which interacting
acculturation attitudes between the host and international student affect adaptation. The IAM, CMA,
and RAEM could also be altered to incorporate predictor variables of stressors, coping, and social
support as literature suggests they do impact on international student adaptation. Furthermore, the
CMA and RAEM could more clearly depict outcome variables (e.g., acculturative stress) resulting from
interacting acculturation attitudes. If future research using international student populations confirms
the IAM, CMA, and RAEM, Berry, Ward et al., Safdar et al., and Arends-Toth and van de Vijver’s
models could be revised to depict the role of the host more prominently.
8.2. Methodology
Despite some promising qualitative research with international students, there is still a
considerable gap in the literature. Future qualitative research is needed to explore the lived experiences
research delving into the acculturation attitudes of international students and host members (e.g.,
domestic students and academics) in varying sociocultural domains is needed. There is also a shortage
of longitudinal studies examining the impact of variables on international students’ adaptation over
8.3. Interventions
32
between international students and their host society, and the acculturation models discussed in this
review highlight that the society of settlement is an important variable impacting on international
counselling services has resulted in researchers calling for proactive and preventative steps to be taken
to aid the acculturation process of international students and prevent acculturative stress (Angelopoulos
& Catano, 1993; Bradley, 2000; Khoo & Abu-Rasain, 1994; Komiya & Eells, 2001; Mori, 2000;
Nilsson, et al., 2004). Despite this need, there has been a lack of interventions administered by the host
society to improve the adaptation of international students. The interventions carried out thus far are
promising; however, they lack either rigorous empirical testing (e.g., Carr et al., 2003; Pritchard &
Skinner, 2002) or comprehensiveness by only being behavioural in nature (e.g., the EXCELL
9. Conclusion
This review has discussed leading acculturation models to explore the degree to which they
represent the acculturation experience of international students, and are consistent with the literature for
this student group. Only the MIDA model has been specifically tested on international students.
Although, the international student literature does provide support for central predictor and outcome
variables in Berry (1997; 2006), Ward et al. (2001), and Arends-Toth and van de Vijver’s (2006)
models, there are some predictor variables in these models that have not been adequately researched,
such as host society factors. Host and international student acculturation attitudes, as centrally depicted
in the IAM, CMA, and RAEM, also require investigation to determine if these models describe the
acculturation experience of international students. The review has also outlined the lack of empirically
tested interventions to aid the acculturation of international students, therefore, highlighting the need
33
for further research in the area, and calling for host countries to recognise their pivotal role in
facilitating the acculturation of international students into universities and wider society.
34
References
Abe, J., Talbot, D. M., & Geelhoed, R. J. (1998). Effects of a peer program on international student
adjustment. Journal of College Student Development, 39, 539-547.
Al-Sharideh, K. A., & Goe, W. R. (1998). Ethnic communities within the university: An examination
of factors influencing the personal adjustment of international students. Research in Higher
Education, 39, 699-725.
Andrade, M. S. (2006). International students in English-speaking universities. Journal of Research in
International Education, 5, 131-154.
Ang, P. L. D., & Liamputtong, P. (2008). "Out of the circle": International students and the use of
university counselling services. Australian Journal of Adult Learning, 48, 108-130.
Angelopoulos, M., & Catano, V. M. (1993). International and Canadian students' choice of helping
source: It depends on the problem. Journal of College Student Development, 34, 377-378.
Arends-Toth, J. V., & van de Vijver, F. J. R. (2006). Issues in conceptualization and assessment of
acculturation. In M. H. Bornstein & L. R. Cote (Eds.), Acculturation and parent-child
relationships: Measurement and development. Mahwah, New Jersey: Lawrence Erlbaum.
Arkoudis, S. (2006). Teaching international students: Strategies to enhance learning. Retrieved
September 2, 2010, from http://www.cshe.unimelb.edu.au/pdfs/international.pdf
Atri, A., Sharma, M., & Cottrell, R. (2006). Role of social support, hardiness, and acculturation as
predictors of mental health among international students of Asian Indian origin. International
Quarterly of Community Health Education, 27, 59-73.
Aubrey, R. (1991). International students on campus: A challenge for counselors, medical providers,
and clinician. Smith College Studies in Social Work, 62, 20-33.
Australian Education International. (2010). Export income to Australia from education services in
2009. Research Snapshot. Retrieved September 1, 2010, from
http://aei.gov.au/AEI/PublicationsAndResearch/Snapshots/2010052810_pdf.pdf
Australian Universities Quality Agency. (2008). Good practice principles for English language
proficiency for international students in Australian universities. Retrieved September 2, 2010,
from http://www.deewr.gov.au/HigherEducation/Publications/Documents/Final_Report-
Good_Practice_Principles.pdf
Barratt, M. F., & Huba, M. E. (1994). Factors related to international graduate student adjustment in an
American community. College Student Journal, 39, 422-435.
Berry, J. W. (1992). Acculturation and adaptation in a new society. International Migration, 30, 69-85.
Berry, J. W. (1997). Immigration, acculturation and adaptation. Applied Psychology: An International
Review, 46, 5-68.
Berry, J. W. (2005). Acculturation: Living successfully in two cultures. International Journal of
Intercultural Relations, 29, 697-712.
Berry, J. W. (2006). Stress perspectives on acculturation. In D. L. Sam & J. W. Berry (Eds.), The
Cambridge handbook of acculturation psychology (pp. 43-57). Cambridge: Cambridge
University Press.
Berry, J. W., & Kim, U. (1988). Acculturation and mental health. In P. Dasen, J. W. Berry & N.
Sartorius (Eds.), Health and cross-cultural psychology (pp. 207-236). Newbury Park: Sage.
Berry, J. W., Kim, U., Minde, T., & Mok, D. (1987). Comparative studies of acculturative stress.
International Migration Review, 21, 491-511.
Bevis, T. B. (2002). At a glance: International students in the United States. International Educator,
11(3), 12-17.
35
Bourhis, R. Y., Moise, L. C., Perreault, S., & Senecal, S. (1997). Towards an interactive acculturation
model: A social psychological approach. International Journal of Psychology, 32, 369-386.
Bradley, G. (2000). Responding effectively to the mental health needs of international students. Higher
Education, 39, 417-433.
Brisset, C., Safdar, S., Lewis, J. R., & Sabatier, C. (2010). Psychological and sociocultural adaptation
of university students in France: The case of Vietnamese international students. International
Journal of Intercultural Relations, 34, 413-426.
Carr, J. L., Koyama, M., & Thiagarajan, M. (2003). A women's support group for Asian international
students. Journal of American College Health, 52, 131-134.
Cemalcilar, Z. (2008). A longitudinal study of the adaptation of international students in the United
States. Journal of Cross-Cultural Psychology, 39, 799-804.
Cemalcilar, Z., Falbo, T., & Stapleton, L. M. (2005). Cyber communication: A new opportunity for
international students' adaptation? International Journal of Intercultural Relations, 29, 91-110.
Chataway, C. J., & Berry, J. W. (1989). Acculturation experiences, appraisal, coping, and adaption: A
comparison of Hong Kong Chinese, French, and English students in Canada. Canadian Journal
of Behavioural Science, 21, 295-309.
Chen, C. P. (1999). Common stressors among international college students: Research and counseling
implications. Journal of College Counseling, 2, 49-65.
Cheng, D., Leong, F., & Geist, R. (1993). Cultural differences in psychological distress between Asian
and American college students. Journal of Multicultural Counseling & Development, 21, 182-
189.
Chirkov, V. I., Safdar, S., de Guzman, J., & Playford, K. (2008). Further examining the role motivation
to study abroad plays in the adaptation of international students in Canada. International
Journal of Intercultural Relations, 32, 427-440.
Chirkov, V. I., Vansteenkiste, M., Tao, R., & Lynch, M. (2007). The role of self-determined motivation
and goals for study abroad in the adaptation of international students. International Journal of
Intercultural Relations, 31, 199-222.
Constantine, M. G., Kindaichi, M., Okazaki, S., Gainor, K. A., & Baden, A. L. (2005). A qualitative
investigation of the cultural adjustment experiences of Asian international college women.
Cultural Diversity and Ethnic Minority Psychology, 11, 162-175.
Dao, T. K., Lee, D., & Chang, H. L. (2007). Acculturation level, perceived English fluency, perceived
social support level, and depression among Taiwanese international students. College Student
Journal, 41, 287-295.
Duru, E., & Poyrazli, S. (2007). Personality dimensions, psychosocial-demographic variables, and
English language competency in predicting level of acculturative stress among Turkish
international students. International Journal of Stress Management, 14, 99-110.
Edgeworth, K., & Eiseman, J. (2007). Going bush: International student perspectives on living and
studying at an Australian rural university campus. Journal of Research in Rural Education,
22(9), 1-13.
Folkman, S. (2008). The case for positive emotions in the stress process. Anxiety, Stress & Coping, 21,
3-14.
Gholamrezaei, A. (1997). Acculturation and self-esteem as predictors of acculturative stress among
international students at the University of Wollongong. Unpublished doctoral dissertation,
University of Wollongong. Retrieved from
http://gateway.library.qut.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true
&db=psyh&AN=1997-95008-039&site=ehost-live
36
Hanassab, S. (2006). Diversity, international students, and perceived discrimination: Implications for
educators and counselors. Journal of Studies in International Education, 10, 157-172.
Harrison, D. (January 2010). Indian student visa applications fall by half, The Age. Retrieved from
http://www.theage.com.au/national/education/indian-student-visa-applications-fall-by-half-
20100106-lubt.html
Harrison, P. (2002). Educational exchange for international understanding. International Educator,
11(4), 2-4.
Hashim, I. H., & Yang, Z. L. (2003). Cultural and gender differences in perceiving stressors: A cross-
cultural investigation of African and Western students in Chinese colleges. Stress and Health,
19, 217-225.
Hawthorne, L., Minas, I. H., & Singh, B. (2004). A case study in the globalization of medical
education: Assisting overseas-born students at the University of Melbourne. Medical Teacher,
26, 150-159.
Hechanova-Alampay, R., Beehr, T. A., Christiansen, N. D., & Van Horn, R. K. (2002). Adjustment and
strain among domestic and international student sojourners: A longitudinal study. School
Psychology International, 23, 458-474.
Heppner, P. P., Heppner, M. J., Lee, D.-G., Wang, Y.-W., Park, H.-J., & Wang, L.-F. (2006).
Development and validation of a collectivist coping styles inventory. Journal of Counseling
Psychology, 53, 107-125.
Jung, E., Hecht, M. L., & Wadsworth, B. C. (2007). The role of identity in international students'
psychological well-being in the United States: A model of depression level, identity gaps,
discrimination, and acculturation. International Journal of Intercultural Relations, 31, 605-624.
Kagan, H., & Cohen, J. (1990). Cultural adjustment of international students. [Article]. Psychological
Science, 1, 133-137.
Kashima, E. S., & Loh, E. (2006). International students' acculturation: Effects of international,
conational, and local ties and need for closure. International Journal of Intercultural Relations,
30, 471-485.
Khawaja, N. G., & Dempsey, J. (2007). Psychological distress in international university students: An
Australian study. Australian Journal of Guidance and Counselling, 17, 13-27.
Khawaja, N. G., & Dempsey, J. (2008). A comparison of international and domestic tertiary students in
Australia. Australian Journal of Guidance and Counselling, 18, 30-46.
Khoo, P. L. S., & Abu-Rasain, M. H. (1994). Counselling foreign students: A review of strategies.
Counselling Psychology Quarterly, 7, 117-132.
Kilinc, A., & Granello, P. F. (2003). Overall life satisfaction and help-seeking attitudes of Turkish
college students in the United States: Implications for college counselors. Journal of College
Counseling, 6, 56-68.
Kim, B. S. K., Atkinson, D. R., & Yang, P. H. (1999). The Asian American Values Scale:
Development, factor analysis, validation and reliability. Journal of Counseling Psychology, 46,
342-352.
Kim, B. S. K., Li, L. C., & Ng, G. F. (2005). The Asian American Values Scale-Multidimensional:
Development, reliability, and validity. Cultural Diversity and Ethnic Minority Psychology, 11,
187-201.
Klomegah, R. Y. (2006). Social factors relating to alienation experienced by international students in
the United States. College Student Journal, 40, 303-315.
Komiya, N., & Eells, G. T. (2001). Predictors of attitudes toward seeking counseling among
international students. Journal of College Counseling, 4, 153-160.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
37
Lee, J.-S., Koeske, G. F., & Sales, E. (2004). Social support buffering of acculturative stress: A study
of mental health symptoms among Korean international students. International Journal of
Intercultural Relations, 28, 399-414.
Lee, J. J., & Rice, C. (2007). Welcome to America? International student perceptions of discrimination.
Higher Education, 53, 381-409.
Lee, W. M. L., & Mixson, R. J. (1995). Asian and Caucasian client perceptions of the effectiveness of
counseling. Journal of Multicultural Counseling & Development, 23, 48-64.
Li, A., & Gasser, M. B. (2005). Predicting Asian international students' sociocultural adjustment: A
test of two mediation models. International Journal of Intercultural Relations, 29, 561-576.
Li, R. Y., & Kaye, M. (1998). Understanding overseas students' concerns and problems. Journal of
Higher Education Policy and Management, 20, 41-50.
Liberman, K. (1994). Asian student perspectives on American university instruction. International
Journal of Intercultural Relations, 18, 173-192.
Lin, S.-P., & Betz, N. E. (2009). Factors related to the social self-efficacy of Chinese international
students. The Counseling Psychologist, 37, 451-471.
Lu, L. (1990). Adaptation to British universities: Homesickness and mental health of Chinese students.
Counselling Psychology Quarterly, 3, 225-232.
Mak, A. S., & Buckingham, K. (2007). Beyond communication courses: Are there benefits in adding
skills-based ExcelL sociocultural training. International Journal of Intercultural Relations, 31,
277-291.
Mak, A. S., Westwood, M. J., Barker, M. C., & Ishiyama, F. I. (1999). Developing sociocultural
competencies for success among international students: The ExcelL programme. Journal of
International Education, 9, 33-38.
McLachlan, D. A., & Justice, J. (2009). A grounded theory of international student well-being. Journal
of Theory Construction & Testing, 13, 27-32.
Misra, R., & Castillo, L. G. (2004). Academic stress among college students: Comparison of American
and international students. International Journal of Stress Management, 11, 132-148.
Misra, R., Crist, M., & Burant, C. J. (2003). Relationships among life stress, social support, academic
stressors, and reactions to stressors of international students in the United States. International
Journal of Stress Management, 10, 137-157.
Mori, S. (2000). Addressing the mental health concerns of international students. Journal of
Counseling and Development, 78, 137-144.
NAFSA. (2010). International students contribute $18.8 billion to U.S. economy. Retrieved January
30, 2011, from http://www.nafsa.org/publicpolicy/default.aspx?id=23158
Nash, D. (1991). The cause of sojourner adaptation: A new test of the U-curve hypothesis. Human
Organization, 50, 283-286.
Navas, M., Garcia, M. C., Sanchez, J., Rojas, A. J., Pumares, P., & Fernandez, J. S. (2005). Relative
Acculturation Extended Model (RAEM): New contributions with regard to the study of
acculturation. International Journal of Intercultural Relations, 29, 21-37.
Nilsson, J., Berkel, L., Flores, L., & Lucas, M. (2004). Utilization rate and presenting concerns of
international students at a university counseling center. Journal of College Student
Psychotherapy, 19(2), 49-59.
O'Loughlin, T. (January 2010). Indian man's burnt remains found on rural Australian road, London:
guardian.co.uk. Retrieved from http://www.guardian.co.uk/world/2010/jan/06/indian-student-
australia-melbourne
38
O'Malley, N. (January 2010). Killing reveals another kind of race problem, The Sydney Morning
Herald. Retrieved from http://www.smh.com.au/national/killing-reveals-another-kind-of-race-
problem-20100107-lwu9.html
OECD. (2010). Education at a glance 2010: OECD indicators. OECD Publishing.
Pan, J. Y., Wong, D. F., Joubert, L., & Chan, C. L. (2007). Acculturative stressor and meaning of life
as predictors of negative affect in acculturation: A cross-cultural comparative study between
Chinese international students in Australia and Hong Kong. The Australian and New Zealand
Journal of Psychiatry, 41, 740-750.
Parr, G., & Bradley, L. (1991). Directors' perceptions of the concerns and feelings of international
students. College Student Journal, 25, 370-376.
Pedersen, P. B. (1991). Counseling international students. The Counseling Psychologist, 19, 10-58.
Piontkowski, U., Rohmann, A., & Florack, A. (2002). Concordance of acculturation attitudes and
perceived threat. Group Processes & Intergroup Relations, 5, 221-232.
Poyrazli, S., Arbona, C., Bullington, R., & Pisecco, S. (2001). Adjustment issues of Turkish college
students studying in the United States. College Student Journal, 35, 52-63.
Poyrazli, S., Arbona, C., Nora, A., McPherson, R., & Pisecco, S. (2002). Relation between
assertiveness, academic self-efficacy, and psychosocial adjustment among international
graduate students. Journal of College Student Development, 43, 632-642.
Poyrazli, S., & Grahame, K. M. (2007). Barriers to adjustment: Needs of international students within a
semi-urban campus community. Journal of Instructional Psychology, 34, 28-45.
Poyrazli, S., & Kavanaugh, P. R. (2006). Marital status, ethnicity, academic achievement, and
adjustment strains: The case of graduate international students. College Student Journal, 40,
767-780.
Poyrazli, S., Kavanaugh, P. R., Baker, A., & Al-Timimi, N. (2004). Social support and demographic
correlates of acculturative stress in international students. Journal of College Counseling, 7, 73-
82.
Poyrazli, S., & Lopez, M. D. (2007). An exploratory study of perceived discrimination and
homesickness: A comparison of international students and American students. The Journal of
Psychology, 141, 263-280.
Pritchard, R. M. O., & Skinner, B. (2002). Cross-cultural partnerships between home and international
students. Journal of Studies in International Education, 6, 323-354.
Quintrell, N., & Westwood, M. J. (1994). The influence of a peer-pairing program on international
students' first year experience and use of student services. Higher Education Research and
Development, 13, 49-58.
Rajapaksa, S., & Dundes, L. (2002). It's a long way home: International student adjustment to living in
the United States. Journal of College Student Retention: Research, Theory and Practice, 4, 15-
28.
Rasmi, S., Safdar, S., & Lewis, J. R. (2009). A longitudinal examination of the MIDA Model with
international students. In A. Chybicka, S. Safdar & A. Kwiatkowska (Eds.), Culture and gender
an intimate relations. Gdansk, Poland: Gdanskie Wydawnictwo Psychologiczne.
Roberts, R., Golding, J., Towell, T., & Weinreib, I. (1999). The effects of economic circumstances on
British students' mental and physical health. Journal of American College Health, 48, 103-109.
Russell, J., Thomson, G., & Rosenthal, D. (2008). International student use of university health and
counselling services. Higher Education, 56, 59-75.
Safdar, S., Lay, C., & Struthers, W. (2003). The process of acculturation and basic goals: Testing a
multidimensional individual difference acculturation model with Iranian immigrants in Canada.
Applied Psychology, 52, 555-579.
39
Sakurai, T., McCall-Wolf, F., & Kashima, E. S. (2010). Building intercultural links: The impact of a
multicultural intervention programme on social ties of international students in Australia.
International Journal of Intercultural Relations, 34, 176-185.
Sawir, E., Marginson, S., Deumert, A., Nyland, C., & Ramia, G. (2008). Loneliness and international
students: An Australian study. Journal of Studies in International Education, 12, 148-180.
Schwartz, S. J., Unger, J. B., Zamboanga, B. L., & Szapocznik, J. (2010). Rethinking the concept of
acculturation: Implications for theory and research. American Psychologist, 65, 237-251.
Searle, W., & Ward, C. (1990). The prediction of psychological and sociocultural adjustment during
cross-cultural transitions. International Journal of Intercultural Relations, 14, 449-464.
Sherry, C., Bhat, R., Beaver, B., & Ling, A. (2004). Students as customers: The expectations and
perceptions of local and international students. Retrieved April 26, 2011, from
http://www.herdsa.org.au/wp-content/uploads/conference/2004/PDF/P017-jt.pdf
Shigaki, I. S., & Smith, S. A. (1997). A cultural sharing model: American buddies for international
students. International Education, 27, 5-21.
Stoynoff, S. (1997). Factors associated with international student's academic achievement. Journal of
Instructional Psychology, 24, 56-68.
Sumer, S., Poyrazli, S., & Grahame, K. (2008). Predictors of depression and anxiety among
international students. Journal of Counseling & Development, 86, 429-437.
Townsend, P., & Poh, H. J. (2008). An exploratory study of international students studying and living
in a regional area. Journal of Marketing for Higher Education, 18, 240-263.
Triandis, H. C. (1999). Cross-cultural psychology. Asian Journal of Social Psychology, 2, 127-143.
Trice, A. (2003). Faculty perceptions of graduate international students: The benefits and challenges.
Journal of Studies in International Education, 7, 379-403.
UK Council for International Student Affairs. (2010). International students in the UK: Facts, figures,
and fiction. Retrieved 30 January, 2011, from
http://www.ukcisa.org.uk/files/pdf/about/international_education_facts_figures.pdf
Wang, C.-C. D. C., & Mallinckrodt, B. (2006). Acculturation, attachment, and psychosocial adjustment
of Chinese/Taiwanese international students. Journal of Counseling Psychology, 53(4), 422-
433.
Ward, C., Bochner, S., & Furnham, A. (2001). The psychology of culture shock (2nd ed.). London:
Routledge.
Ward, C., & Kennedy, A. (1992). Locus of control, mood disturbance and social difficulty during
cross-cultural transitions. International Journal of Intercultural Relations, 16, 175-194.
Ward, C., & Kennedy, A. (1993a). Psychological and socio-cultural adjustment during cross-cultural
transitions: A comparison of secondary students at home and abroad. International Journal of
Psychology, 28, 129-147.
Ward, C., & Kennedy, A. (1993b). Where's the culture in cross-cultural transition? Comparative studies
of sojourner adjustment. Journal of Cross-Cultural Psychology, 24, 221-249.
Wei, M., Heppner, P. P., Mallen, M. J., Ku, T.-Y., Liao, K. Y.-H., & Wu, T.-F. (2007). Acculturative
stress, perfectionism, years in the United States, and depression among Chinese international
students. Journal of Counseling Psychology, 54, 385-394.
Wei, M., Ku, T.-Y., Russell, D. W., Mallinckrodt, B., & Liao, K. Y.-H. (2008). Moderating effects of
three coping strategies and self-esteem on perceived discrimination and depressive symptoms:
A minority stress model for Asian international students. Journal of Counseling Psychology, 55,
451-462.
40
Westwood, M. J., & Barker, M. (1990). Academic achievement and social adaptation among
international students: A comparison groups study of the peer-pairing program. International
Journal of Intercultural Relations, 14, 251-263.
Williams, C. L., & Berry, J. W. (1991). Primary prevention of acculturative stress among refugee.
American Psychologist, 46, 632-641.
Wilton, L., & Constantine, M. G. (2003). Length of residence, cultural adjustment difficulties, and
psychological distress symptoms in Asian and Latin America international college students.
Journal of College Counseling, 6, 177-186.
Yang, B., & Clum, G. A. (1994). Life stress, social support, and problem-solving skills predictive of
depressive symptoms, hopelessness, and suicide ideation in an Asian student population: A test
of a model. Suicide and Life Threatening Behavior, 24, 127-139.
Yang, B., & Clum, G. A. (1995). Measures of life stress and social support specific to an Asian student
population. Journal of Psychopathology and Behavioral Assessment, 17, 51-67.
Yeh, C. J., & Inose, M. (2003). International students' reported English fluency, social support
satisfaction, and social connectedness as predictors of acculturative stress. Counselling
Psychology Quarterly, 2003, 15-28.
Yi, J. K., Lin, J.-C. G., & Kishimoto, Y. (2003). Utilization of counseling services by international
students. Journal of Instructional Psychology, 30, 333-342.
Ying, Y.-W., & Han, M. (2006). The contribution of personality, acculturative stressors, and social
affiliation to adjustment: A longitudinal study of Taiwanese students in the United States.
International Journal of Intercultural Relations, 30, 623-635.
Ying, Y.-W., & Liese, L. H. (1990). Initial adaptation of Taiwan foreign students to the U.S.: The
impact of pre-arrival variables. American Journal of Community Psychology, 18, 825-845.
Ying, Y.-W., & Liese, L. H. (1991). Emotional well-being of Taiwan students in the U.S.: An
examination of pre- to post-arrival differential. International Journal of Intercultural Relations,
15, 345-366.
Ying, Y.-W., & Liese, L. H. (1994). Initial adjustment of Taiwanese students to the United States: The
impact of postarrival variables. Journal of Cross-Cultural Psychology, 25, 466-477.
Zhang, J., & Goodson, P. (2011). Predictors of international students’ psychosocial adjustment to life in
the United States: A systematic review. International Journal of Intercultural Relations, 35,
139-162.
Zhang, N., & Dixon, D. N. (2003). Acculturation and attitudes of Asian international students toward
seeking psychological help. Journal of Multicultural Counseling & Development, 31, 205-222.
Zhang, Z., & Brunton, M. (2007). Differences in living and learning: Chinese international students in
New Zealand. Journal of Studies in International Education, 11, 124-140.
Zheng, X., & Berry, J. W. (1991). Psychological adaptation of Chinese sojourners in Canada.
International Journal of Psychology, 26, 451-470.
Zhou, Y., Jindal-Snape, D., Topping, K., & Todman, J. (2008). Theoretical models of culture shock
and adaptation in international students in higher education. Studies in Higher Education, 33,
63-75.