Distressed women’s clinic patients:

Alvidrez, Jennifer; Azocar, Francisca

doi:10.1016/s0163-8343(99)00038-9

Cited by 146 publications

(34 citation statements)

References 21 publications

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“…Ethnic minority and low-income women often use women’s health clinics for their physical and mental health care (Alvidrez and Azocar, 1999; Miranda et al, 1998; Scholle et al, 2003; Weisman et al, 1995), yet are unlikely to receive adequate depression and pain treatment when they present to these settings (Green et al, 2004; Miranda and Cooper, 2004). Women’s health clinics serving low-income minority women, therefore, present an excellent setting for identifying and treating patients with depression and chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Interpersonal Psychotherapy for Women With Comorbid Depression and Chronic Pain

Poleshuck¹,

Talbot²,

Zlotnick³

et al. 2010

Journal of Nervous &Amp; Mental Disease

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Chronic pain is prevalent among patients with depression, and a risk factor for poor depression treatment outcomes. No known psychotherapy approaches have been developed to target the needs of patients with comorbid depression and chronic pain. This study’s goals were to evaluate feasibility, acceptability and initial effects of Interpersonal Psychotherapy adapted for women with depression and chronic pain. Seventeen women with major depression and chronic pelvic pain received 8-sessions individual treatment, Interpersonal Treatment for Depression and Pain (IPT-P). Participants were recruited from a women’s health clinic, were predominantly low-income and minority, and generally did not initially self-identify as depressed. Large effect sizes with significant improvements were found for depression severity and social adjustment; pain interference remained unchanged. Most enrolled patients reported a high level of satisfaction with IPT-P. This pilot study provides preliminary support for the use of IPT-P for patients with comorbid depression and chronic pain.

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Section: Introductionmentioning

confidence: 99%

Interpersonal Psychotherapy for Women With Comorbid Depression and Chronic Pain

Poleshuck¹,

Talbot²,

Zlotnick³

et al. 2010

Journal of Nervous &Amp; Mental Disease

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“…Understanding how stigma affects Latinos and persons from other U.S. racial-ethnic minority groups is a priority for reducing disparities in care (14,15) Latina, black, and immigrant women are more likely to endorse stigma concerns pertaining to depression treatment (12,16,17). Among Latinos, use of antidepressants is likely to be interpreted as a sign of severe depression, being “crazy” or weak, or as a sign of illicit drug use (18).…”

mentioning

confidence: 99%

Stigma and Depression Treatment Utilization Among Latinos: Utility of Four Stigma Measures

Interian¹,

Ang²,

Gara³

et al. 2010

Psychiatric Services

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Objectives Stigma associated with mental illness is an important yet understudied issue among Latinos. This study examined the psychometric properties of four stigma measures with a sample of Spanish-speaking Latino primary care patients. The study evaluated the scale for Perceived Discrimination Devaluation (PDD), Stigma Concerns About Mental Health Care (SCMHC), the Latino Scale for Antidepressant Stigma (LSAS), and the Social Distance (SD) scale. Methods Participants (N=200) were low-income Latinos who were screened for depression with the Patient Health Questionnaire (PHQ-2) and asked about their depression treatment history, and they completed the four stigma measures at two time points. The four stigma measures were examined for internal consistency, convergent validity, construct validity, and criterion-related validity. Results The factor-analytic results generally provided support for the construct validity of the measures. The four stigma measures also demonstrated internal consistency between two time points. Patients who reported greater social distance from individuals with depression were more likely to have been receiving treatment for emotional care in the past three months (OR=.70, p<.05). Also, Latinos who scored high on the SCMHC (OR=.64, p<.05) and LSAS (OR=.77, p<.05) were less likely to have been taking antidepressant medications. Conclusions The SCMHC, LSAS, and SD scales received support for their reliability and construct validity. Results also showed some support for their criterion-related validity. A more mixed picture emerged for the PDD. Stigma ratings were associated with depression treatment utilization. Stigma ratings changed over time and were associated with treatment experiences.

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“…These perceptions of treatment effectiveness might be because of variation in social and cultural perspectives (Givens et al, 2007; Karasz & Watkins, 2006; Lin et al). Depression treatment preferences have been identified in high-risk women, including perinatal Latinas (Alvidrez & Azocar, 1999; Givens et al; Nadeem et al, 2008; Sleath et al); however, there are no data about the order in which women would approach their treatment preferences.…”

Section: Treatment Approachesmentioning

confidence: 99%

“…These three types of barriers have been shown to prevent or limit access to mental health care among Latinos as well as Latinas. Structural barriers refer to those at the health care or organizational level; these include provider unavailability or responsiveness, language barriers, and lack of information about services, particularly in Spanish (Ahmed et al, 2008; Alvidrez & Azocar, 1999; Anderson et al, 2006; Guarnaccia & Marinez, 2002; Lagomasino et al, 2005). …”

Section: Barriers To Treatment Seekingmentioning

confidence: 99%

“…Instrumental barriers are most commonly related to limited or no mental health insurance coverage, few financial resources, and lack of transportation and child care (Ahmed et al, 2008; Alvidrez & Azocar, 1999; Anderson et al, 2006; Guarnaccia & Marinez, 2002; Kouyoumdjian, Zamboanga, & Hansen, 2003). Social barriers include (among others) stigma of mental illness, a preference for family and other informal support networks over formal care, lack of awareness and recognition of mental health problems, the perceived failure of previous treatment, concerns about efficacy and safety (regarding pharmaceutical treatment), self-reliant attitudes, and lack of trust (Ahmed et al; Alvidrez & Azocar; Chaudron et al, 2005; Guarnaccia & Marinez; Kouyoumdjian et al, 2003; Lewis-Fernández et al, 2005).…”

Section: Barriers To Treatment Seekingmentioning

confidence: 99%

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Perinatal Depression Treatment Preferences Among Latina Mothers

2014

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The study described here was designed to determine treatment preferences among Latinas to identify treatment options that meet their needs and increase their engagement. Focus group interviews were conducted with 22 prenatal and postpartum Latinas at risk for depression. The group interviews were conducted in Spanish and English using a standardized interview protocol. Focus group transcripts were analyzed to identify themes regarding perinatal depression coping strategies, preferred approaches to treating perinatal depression, and recommendations for engaging perinatal Latinas in treatment. The results suggest that Latinas’ treatment preferences consist of a pathway (i.e., hierarchical) approach that begins with the use of one’s own resources, followed by the use of formal support systems (e.g., home-visiting nurse), and supplemented with the use of behavioral therapy. Antidepressant use was judged to be acceptable only in severe cases or after delivery. The data indicate that to increase health-seeking behaviors among perinatal Latinas, practitioners should first build trust.

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Distressed women’s clinic patients:

Cited by 146 publications

References 21 publications

Interpersonal Psychotherapy for Women With Comorbid Depression and Chronic Pain

Interpersonal Psychotherapy for Women With Comorbid Depression and Chronic Pain

Stigma and Depression Treatment Utilization Among Latinos: Utility of Four Stigma Measures

Perinatal Depression Treatment Preferences Among Latina Mothers

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