Evaluating the Impact of a Cognitive-Behavioral Intervention with Depressed Latinas

Abstract

A 12-session Cognitive-Behavioral Treatment (CBT) protocol for depression developed at San Francisco General Hospital was pilot tested with Latinas in New York City. Viability of the protocol and indication of treatment efficacy was sought as a rationale for more controlled investigation of the intervention on Latino urban populations in the Northeast. The pre-and post-treatment BDI scores for all five participants declined an average of 12 points (95% CI: [3, 21], p < 0.01). Given the lack of control group and small sample size, these findings must be interpreted with caution. Nevertheless, the significant before-after improvement is consistent with previous findings regarding this protocol, and the potential effectiveness of this particular treatment among this population warrants more rigorous examination. Furthermore, the feasibility of social workers evaluating the impact of their interventions is demonstrated.

The Effect of a Cognitive-Behavioral Intervention on Diet and Exercise Among Asian Americans and Pacific Islanders With Type 2 Diabetes

“…First, results may have been influenced by the short duration of the CBI treatment and the insufficient time for the cognitive-behavioral skills to be learned and applied to everyday life. Previous studies have shown that CBT was effective in improving treatment outcomes in 12 sessions (Cucciare, Sorrell, & Trafton, 2009;Gelman, López, & Foster, 2005;Gonzalez et al, 2010;Hinton et al, 2005;Organista, Muñoz, & González, 1994). Given that this study provided CBT over just 6 sessions and that other studies showed efficacy with CBT conducted over 12 sessions, results might suggest that the intervention may not have been long enough.…”

“…In previous research, CBT was effective in improving adherence to self-care behaviors among individuals with type 2 diabetes (Christie & Wilson, 2005;Foreyt & Poston, 1999;Gonzalez et al, 2010;Lustman et al, 1998;Snoek & Skinner, 2002;Surwit et al, 2002). Research also showed that CBT was effective in treating psychological diagnoses such as depression, anxiety, and post-traumatic stress disorder among Asian Americans and Pacific Islanders (Dai et al, 1999;Gelman et al, 2005;Voss Horrell, 2008).…”

“…Previous studies have shown that CBT conducted over two sessions was efficacious in yielding positive treatment outcomes (Cucciare et al, 2009;Gelman et al, 2005;Gonzalez et al, 2010;Hinton et al, 2005;Inouye et al, 2001;Organista et al, 1994;Safren et al, 2009). Inouye et al (2001) found that self-management training on stress reduction, cognitive restructuring, and coping skills conducted over a 12-week period improved the quality of life, overall mood, and coping strategies of individuals living with HIV/AIDS.…”

Efficacy of depression treatments for immigrant patients: results from a systematic review

“…Of the 15 studies, nine were quantitative [ 51 - 54 , 56 , 57 , 60 , 63 , 64 ], five employed mixed methods [ 50 , 55 , 58 , 59 , 62 ] and one case study presented qualitative data [ 61 ]. Nine studies reported on culturally sensitive/culturally adapted psychological treatments (Table 1 ).…”

“…There was a underrepresentation of men in the included studies; five of 15 studies specifically recruited only women [ 51 , 52 , 55 , 58 , 59 ], one study reported having no male participants [ 57 ] and two case studies did not describe gender as an inclusion criteria but only included female participants [ 50 , 61 ]. Women, on average, represented 81.2% of the study cohorts, though none of the remaining studies sought to exclude males.…”