Pathways to Depression Care: Help-Seeking Experiences of Low-Income Latinos with Diabetes and Depression

Hansen, Marissa C.; Cabassa, Leopoldo J.

doi:10.1007/s10903-012-9590-x

Cited by 41 publications

(74 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This screening may have introduced selection bias and artificially inflated the ideal of self-reliance and resilience we observed. However, our observations mirror prior reports of significance and perceived efficacy of self-reliance-based techniques in this population (25)(26)(27)(28). Secondly, we primarily included patients with prior PHQ-9 (serial) screening, reflective of subjects well incorporated into a health care system and under adequate care.…”

Section: Discussionmentioning

confidence: 59%

“…Most felt that one could overcome depression simply with one's own will to get better. Such attitudes of self-reliance and self-management of depression have been found to influence health-seeking behavior in other studies among Hispanics (25)(26)(27)(28).…”

Section: Discussionmentioning

confidence: 73%

“…A proactive approach, where providers as-sess and address the concerns and fears of patients, may increase acceptance of antidepressants (26,27,32). Selfempowerment techniques and approaches were the most preferred, culturally appropriate interventions.…”

Section: Discussionmentioning

confidence: 99%

“…The participants' readiness to discuss personal experiences despite the stigma and sensitivity around depression suggested their willingness to disclose it to providers, but providers needed to initiate such discussions. Several studies among Hispanics have indicated that the patient-provider relationship determines their mental health seeking behavior (25,27,30,35). "Respeto" (respect) is an important value in Hispanic culture, shaping differential behaviors toward others based on age, sex, social or economic status, and authority.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Perspectives of Vulnerable US Hispanics With Rheumatoid Arthritis on Depression: Awareness, Barriers to Disclosure, and Treatment Options

Withers

Moran

Nicassio

et al. 2015

Arthritis Care & Research

View full text Add to dashboard Cite

Objective: Despite the high prevalence of depression among vulnerable Hispanics with rheumatoid arthritis (RA), many do not disclose it or seek treatment. This study explored patient perceptions of depression, its association with their primary disease, barriers to disclosure, reasons for low utilization of mental health care resources, and culturally acceptable intervention approaches. Methods: Semistructured interviews were conducted with 46 participants with RA. Depression was evaluated using Patient Health Questionnaire 9 (PHQ-9). Results: Thirty-three percent of participants were moderately depressed at the time of the interview, based on PHQ-9 score >10; 12 of 46 patients (26%) stated they were depressed regardless of PHQ-9 score. Depression was perceived as a long-term, severe problem leading to suicide. It was associated with weakness and character flaws, contributing to stigma and reduced likelihood of disclosure. Antidepressants were not acceptable; self-reliance and interventions incorporating interpersonal connections were preferred. Systems-related barriers to disclosure included lack of verbal screening, language barriers, limited clinic visit time, and lack of continuity of care, restricting trust with providers. Conclusion: Rectifying misconceptions, as well as providing education regarding the association between RA and depression, the continuum of symptoms, and the range of experiences incurred are needed to facilitate earlier recognition and reduce stigma. Use, duration, and goals of antidepressant therapy should be clarified. Providers should strive to establish trust and conduct in-person depression screening to facilitate disclosure. Interventions with an interpersonal component, such as support groups or patient navigators, were preferred. Themes emphasizing coping strategies, stress reduction, positive thinking, self-efficacy, and resiliency are likely to be most acceptable.

show abstract

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Perspectives of Vulnerable US Hispanics With Rheumatoid Arthritis on Depression: Awareness, Barriers to Disclosure, and Treatment Options

Withers

Moran

Nicassio

et al. 2015

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…In a qualitative study that employed a series of focus groups and interviews, Hansen and Cabassa (2012) found among Spanish-speaking immigrant Latino individuals (n = 19) who had lived an average of 25 years in the United States, that structural barriers may have played a role in treatment seeking and adherence to treatment for depression.…”

Section: Such Variation In Research Withmentioning

confidence: 99%

Stigma of mental illness and multicultural counseling self-efficacy : investigating the implications of the multicultural training environment, mental health literacy, and empathy.

Tucker¹

View full text Add to dashboard Cite

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Misra

Jackson

Chong

et al. 2021

American J of Comm Psychol

158

View full text Add to dashboard Cite

Stigma is integral to understanding mental health disparities among racial and ethnic minority groups in the United States. We conducted a systematic review to identify empirical studies on cultural aspects of mental illness stigma (public, structural, affiliative, self) among three racial and ethnic minority groups (Asian Americans, Black Americans, Latinx Americans) from 1990 to 2019, yielding 97 articles. In comparison studies (N = 25), racial and ethnic minority groups often expressed greater public and/or self‐stigma than White American groups. In within‐group studies (N = 65; Asian American, n = 21; Black American, n = 18; Latinx American; n = 26), which were primarily qualitative (73%), four major cultural themes emerged: 1) service barriers including access and quality (structural stigma); 2) family experiences including concealment for family’s sake, fear of being a burden, and stigma extending to family (affiliative stigma); 3) lack of knowledge about mental illness and specific cultural beliefs (public stigma); and 4) negative emotional responses and coping (self‐stigma). These findings confirmed stigma has both similar and unique cultural aspects across groups. Despite this, few studies tested stigma reduction interventions (N = 7). These cultural insights can inform contextual change at the health systems and community levels to reduce stigma, and empowerment at the interpersonal and individual levels to resist stigma.

show abstract

Pathways to Depression Care: Help-Seeking Experiences of Low-Income Latinos with Diabetes and Depression

Cited by 41 publications

References 42 publications

Perspectives of Vulnerable US Hispanics With Rheumatoid Arthritis on Depression: Awareness, Barriers to Disclosure, and Treatment Options

Perspectives of Vulnerable US Hispanics With Rheumatoid Arthritis on Depression: Awareness, Barriers to Disclosure, and Treatment Options

Stigma of mental illness and multicultural counseling self-efficacy : investigating the implications of the multicultural training environment, mental health literacy, and empathy.

Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions

Contact Info

Product

Resources

About