PTSD in Latino Patients: Illness Beliefs, Treatment Preferences, and Implications for Care

Eisenman, David; Meredith, Lisa S.; Rhodes, Hilary J.; Green, Bonnie L.; Kaltman, Stacey; Cassells, Andrea; Tobin, Jonathan N.

doi:10.1007/s11606-008-0677-y

Cited by 42 publications

(47 citation statements)

References 59 publications

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“…The psychoeducation treatment was not associated with significant change in most outcomes measured relative to the waitlist control, except it did significantly decrease symptoms of depression and somatization at post-treatment. Although there are few studies to directly compare our results, our results seem consistent with a small body of literature that indicates psychoeducation treatments may be a beneficial treatment for symptoms of depression (Miranda et al, 2003) and somatization, particularly among ethnic and racial minorities who may have illness beliefs that may link mental and physical health (Eisenman et al, 2008). A recent study examining symptoms of distress in culturally diverse trauma survivors suggests sadness and somatic symptoms may be prevalent and viewed as related to trauma and its consequences (Eisenman et al, 2008).…”

Section: Discussionsupporting

confidence: 85%

“…Although there are few studies to directly compare our results, our results seem consistent with a small body of literature that indicates psychoeducation treatments may be a beneficial treatment for symptoms of depression (Miranda et al, 2003) and somatization, particularly among ethnic and racial minorities who may have illness beliefs that may link mental and physical health (Eisenman et al, 2008). A recent study examining symptoms of distress in culturally diverse trauma survivors suggests sadness and somatic symptoms may be prevalent and viewed as related to trauma and its consequences (Eisenman et al, 2008). One possible explanation for the decrease in depression and somatization symptoms in our treatment group may be that mental health literacy may have improved and contributed to a decrease in distress related to trauma (Ghafoori et al, 2014).…”

Section: Discussionsupporting

confidence: 85%

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A Randomized, Controlled Pilot Study of a Single-Session Psychoeducation Treatment for Urban, Culturally Diverse, Trauma-Exposed Adults

et al. 2016

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This randomized pilot study aimed to determine whether a single session of psychoeducation improved mental health outcomes, attitudes towards treatment, and service engagement among urban, impoverished, culturally diverse, trauma exposed adults. Sixty-seven individuals were randomly assigned to a single session psychoeducation treatment or a delayed treatment comparison control group. The control group was found to be superior to the treatment group at post-test with respect to symptoms of PTSD, anxiety, occupational and family disability. At follow-up all participants had completed the psychoeducation treatment, and a mixed effects model indicated significant improvements over time in symptoms of PTSD, anxiety, depression, somatization, and attitudes towards treatment. Ninety-eight percent of the participants reported the psychoeducation was helpful at follow-up. Participants also reported a 19.1% increase in mental health service utilization at follow-up compared to baseline. Implications for treatment and future research are discussed.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 85%

A Randomized, Controlled Pilot Study of a Single-Session Psychoeducation Treatment for Urban, Culturally Diverse, Trauma-Exposed Adults

et al. 2016

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“…A growing body of conceptual and research literature primarily focused on civilian Latinos with PTSD has demonstrated the importance of including cultural factors when considering assessment and treatment with this group [18,19,20,21,22,23,24,25,26]. For example, Latinos have been at greater risk for and more vulnerable to PTSD than non-Latino groups [20,27,28].…”

Section: Introductionmentioning

confidence: 99%

Latino Veterans with PTSD: A Systematic Review

Pittman

2014

Behavioral Sciences

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Latinos have a long history of military service with recent service including combat conditions and multiple deployments, which are highly associated with posttraumatic stress disorder (PTSD). Clinical acumen underscores the importance of culture in assessment and treatment, but there has been little scientific literature that investigates the unique needs of veteran Latinos with PTSD. The primary goal of this systematic review was to analyze the existing literature on Latino veterans with PTSD and to critically evaluate attention to cultural issues. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used to guide this review. Peer-reviewed, research reports written in English on Latino Veterans with PTSD since 1980 were included; 20 were assessment related, and nine were treatment related. All studies were quantitative. Only 13 studies mentioned culture as part of the context for Latino veterans, and only seven included cultural factors as part of the study design. Present findings highlight a lack of research focused on understanding cultural factors related to the assessment and treatment of Latino veterans with PTSD. Culturally-informed research on Latino veterans from current wars, Latina veterans and Latino veteran treatment outcomes are necessary to provide culturally-appropriate care to this growing veteran subgroup.

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“…The PCL has good reliability and validity with structured interviews for PTSD (Blanchard et al, 1996), and it has been used in studies of Latino immigrants (Eisenman et al, 2008; Fortuna et al, 2008; Kaltman et al, 2017, under review). Presumptive PTSD was defined by a score ≥ 30 (National Center for PTSD, 2014).…”

Section: Methodsmentioning

confidence: 99%

“…Research examining treatment preferences for depression among Latinos has generally found a strong preference for individual psychotherapy, while medications are viewed less favorably (Cabassa et al, 2007; Dwight-Johnson et al, 2000; Eisenman et al, 2008; Kaltman et al, 2014). Complementary and alternative medications, including herbal medicines, are frequently used for depression among underserved U.S. Latinos, and these therapies are among preferred treatment methods (Bazargan et al, 2008; Hirai et al, 2015; Sorrell, 2014).…”

mentioning

confidence: 99%

Knowledge and Preferences Regarding Antidepressant Medication Among Depressed Latino Patients in Primary Care

Green¹,

Watson²,

Kaltman³

et al. 2017

J Nerv Ment Dis

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US Latinos are less likely to utilize mental health services than non-Latino Whites, and to take antidepressant medication. This mixed-method study followed a subset (N=28) of a research sample of depressed Latino immigrant primary care patients with a telephone interview to study their knowledge about and experiences with antidepressant medications. Most (82%) reported taking medication for two months or more, and 75% reported feeling better, while over half reported side effects. Most (61%) agreed that antidepressants are generally safe, and helpful in treating depression (68%); however, many believed they could be addictive (39%). Fifty percent of patients who discontinued their medication did not inform their providers. Twelve of the 28 patients also participated in focus groups about interactions with providers and made suggestions for conveying information about antidepressants. Patients suggested videos as a format to disseminate medication information since they do not require written comprehension. Other patient recommendations are presented.

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PTSD in Latino Patients: Illness Beliefs, Treatment Preferences, and Implications for Care

Cited by 42 publications

References 59 publications

A Randomized, Controlled Pilot Study of a Single-Session Psychoeducation Treatment for Urban, Culturally Diverse, Trauma-Exposed Adults

A Randomized, Controlled Pilot Study of a Single-Session Psychoeducation Treatment for Urban, Culturally Diverse, Trauma-Exposed Adults

Latino Veterans with PTSD: A Systematic Review

Knowledge and Preferences Regarding Antidepressant Medication Among Depressed Latino Patients in Primary Care

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