CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressed patients treated by psychiatrists, given that these patients tend to have favorable responses in general.

This study examined the relationship between coping styles and hemispheric asymmetry, on the basis of prior evidence of reduced posterior right hemisphere (RH) activity in depression, and the relationship between ruminative coping and depression. Two samples of undergraduates (N = 170) completed chimeric faces tasks and 2 measures of coping styles, the self-report Responses Styles Questionnaire and a behavioral choice task. In women but not in men, self-reported rumination was associated with a decreased RH bias on the emotion-based chimeric task. In both genders, choosing to engage in an emotional task was associated with increased RH involvement. Results indicate that although brooding and dwelling on the negative may be associated with decreased RH involvement, openness to emotion may be associated with increased RH involvement.

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Introduction A tremendous burden is placed on frontotemporal degeneration (FTD) caregivers who sacrifice their own self‐care to manage the functional impairments of their loved one, contributing to high levels of stress and depression. Health coaching provides support for coping with stress while fostering self‐care behaviors. We report on preliminary evidence for efficacy of a virtual health coach intervention aimed at increasing self‐care. Methods Thirty‐one caregivers of persons with behavioral variant FTD (bvFTD) were assigned randomly to an intervention group, which included 10 coaching sessions over 6 months plus targeted health information or the control group receiving standard care augmented with the health information. Caregiver self‐care (primary outcome), stress, depression, coping, and patient behavioral symptoms were collected at enrollment and 3 and 6 months. Change over time was evaluated between the intervention and control groups using linear mixed‐effects models. Results There was a significant group‐by‐time interaction for self‐care monitoring ( t 58 = 2.37, p = 0.02 and self‐care confidence ( t 58 = 2.32, p = 0.02) on the Self‐Care Inventory, demonstrating that caregivers who received the intervention improved their self‐care over time. Behavioral symptoms were reduced in bvFTD patients whose caregivers received the intervention ( t 54 = –2.15, p = 0.03). Discussion This randomized controlled trial (RCT) shows promise for health coaching as a way to increase support that is urgently needed to reduce poor outcomes in FTD caregivers.