Cognitions and depressive symptoms among ethnic minority adolescents.

Kennard, Betsy D.; Stewart, Sunita M.; Hughes, Jennifer L.; Patel, Puja; Emslie, Graham J.

doi:10.1037/1099-9809.12.3.578

Cited by 42 publications

(37 citation statements)

References 54 publications

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“…For example, Reinemann and Teeter Ellison (2004) found that negative cognitions mediated the relationship between negative life events and depressive symptoms in a sample of urban, ethnic minority middle-school children, the majority of whom were African American. Similarly, Kennard, Stewart, Hughes, Patel, and Emslie (2006) demonstrated that a variety of cognitive variables, (i.e., self-efficacy, negative cognitive errors, and hopelessness) were associated with depressive symptoms in a diverse sample of adolescents. O’Donnell, Moreau, Cardemil, and Pollastri (2010) reported that explanatory style moderated the relationship between interparental conflict and depressive symptoms.…”

mentioning

confidence: 90%

Depressive Symptoms in Low-Income, Urban Adolescents: Cognitive and Contextual Factors

Cardemil

O’Donnell

Esposito‐Smythers

et al. 2014

Journal of Prevention & Intervention in the Community

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This study examined the relationships among cognitive variables, family immigration history, negative life events, and depressive symptoms in a sample of 306 low-income, urban fifth- and sixth-grade children. Explanatory style and negative automatic thoughts were the cognitive variables examined. There were two key findings. First, children who were immigrants reported significantly more depressive symptoms, more negative life events, and more negative automatic thoughts than children who were not immigrants. Second, both explanatory style and negative automatic thoughts were significantly associated with depressive symptoms above and beyond the effects of child immigration history and negative life events. Finally, negative automatic thoughts mediated the relationship between child immigration history and depressive symptoms. We discuss the clinical and research implications of these findings.

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confidence: 90%

Depressive Symptoms in Low-Income, Urban Adolescents: Cognitive and Contextual Factors

Cardemil

O’Donnell

Esposito‐Smythers

et al. 2014

Journal of Prevention & Intervention in the Community

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“…We also hypothesized there would be no signifi cant differences in outcomes between the intervention groups. Based on previous research, 15,[17][18][19][20][21][22][23][24][25][26] we also explored whether HIOH patients who had a greater number of depressive symptoms would experience greater improvements in these outcomes at 1 year than would those with fewer depressive symptoms. …”

mentioning

confidence: 99%

Home-Based, Peer-Led Chronic Illness Self-Management Training: Findings From a 1-Year Randomized Controlled Trial

Jerant¹,

Moore-Hill²,

Franks

2009

The Annals of Family Medicine

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PURPOSE Studies suggest peer-led self-management training improves chronic illness outcomes by enhancing illness management self-effi cacy. Limitations of most studies, however, include use of multiple outcome measures without predesignated primary outcomes and lack of randomized follow-up beyond 6 months. We conducted a 1-year randomized controlled trial of Homing in on Health (HIOH), a Chronic Disease Self-Management Program variant, addressing these limitations. METHODSWe randomized outpatients (N = 415) aged 40 years and older and who had 1 or more of 6 common chronic illnesses, plus functional impairment, to HIOH delivered in homes or by telephone for 6 weeks or to usual care. Primary outcomes were the Medical Outcomes Study 36-ltem short-form health survey's physical component (PCS-36) and mental component (MCS-36) summary scores. Secondary outcomes included the EuroQol EQ-5D and visual analog scale (EQ VAS), hospitalizations, and health care expenditures. RESULTSCompared with usual care, HIOH delivered in the home led to significantly higher illness management self-effi cacy at 6 weeks (effect size = 0.27; 95% CI, 0.10-0.43) and at 6 months (0.17; 95% CI, 0.01-0.33), but not at 1 year. In-home HIOH had no signifi cant effects on PCS-36 or MCS-36 scores and led to improvement in only 1 secondary outcome, the EQ VAS (1-year effect size = 0.40; CI, 0.14-0.66). HIOH delivered by telephone had no signifi cant effects on any outcomes.CONCLUSIONS Despite leading to improvements in self-effi cacy comparable to those in other CDSMP studies, in-home HIOH had a limited sustained effect on only 1 secondary health status measure and no effect on utilization. These fi ndings question the cost-effectiveness of peer-led illness self-management training from the health system perspective.

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“…Kennard et al (2006) reported similar levels of cognitive symptoms in different cultures in community youth. However, the association between cognitions and depressive symptoms were stronger for White than for ethnic minority youth.…”

Section: Patient Variablesmentioning

confidence: 50%

Treatment of Culturally Diverse Children and Adolescents with Depression

Stewart

Simmons²,

Habibpour

2012

Journal of Child and Adolescent Psychopharmacology

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This article is written for the practitioners treating depression in ethnic minority youth. It will review the context in which services are delivered to these youth: Researchers have recognized persistent ethnic differences in terms of utilization of services and unmet need. Furthermore, when ethnic minority youth do receive pediatric mental health care, the services that they receive may differ from those given to White patients. The reasons for these discrepancies have been examined in numerous studies, and have included contextual variables (economics, availability, and accessibility of services), patient variables (differences in prevalence or manifestation of the disorder, cultural beliefs and attitudes, preferential use of alternative or informal services, health literacy, and adherence), and provider variables (referral bias and patient-provider communication). Information about the differences between White and minority youth in the pharmacodynamics and pharmacokinetics of the antidepressant response is still limited. There are significant challenges for developing evidence-based guidelines that inform practice with these youth, hinging on both the underrepresentation of ethnic minority groups in clinical trials, and the great variability in biological and cultural characteristics of individuals in ethnic minority categories. Awareness on the part of the practitioner of the cultural variables that influence help-seeking and ongoing utilization of mental health services may aid in the engagement, effective treatment, and retention of ethnic minority children and adolescents with depression. However, given the great heterogeneity that exists within any cultural grouping, clinicians will need to integrate information about cultural patterns with that obtained from the individual patient and family to inform optimal practices for each patient. This article is written to enhance awareness on the part of the practitioner as to the variables that influence psychiatric care for depression in culturally diverse youth. The mental health needs of minority youth are not well served: They are treated less frequently, and when they are treated, the services they receive are less frequently adequate. The reasons that have been proposed for the disparities in their care, particularly with regard to diagnosis and treatment for depression, will be reviewed. They include contextual factors (such as economics, insurance, and other variables affecting the availability of services) patient and family factors (such as prevalence, symptom presentation, and values and beliefs that influence whether patients are referred to and avail themselves of services), and provider factors (such as referral bias and patient-provider communication, which affect whether patients engage and stay in treatment). The implications for the practitioner treating ethnic minority youth with depression will be discussed. Culture, as used in this article, refers to the common values, beliefs, and social behaviors of individuals with a shared heritage. S...

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Cognitions and depressive symptoms among ethnic minority adolescents.

Cited by 42 publications

References 54 publications

Depressive Symptoms in Low-Income, Urban Adolescents: Cognitive and Contextual Factors

Depressive Symptoms in Low-Income, Urban Adolescents: Cognitive and Contextual Factors

Home-Based, Peer-Led Chronic Illness Self-Management Training: Findings From a 1-Year Randomized Controlled Trial

Treatment of Culturally Diverse Children and Adolescents with Depression

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