Group cognitive‐behavioral therapy for depression in Spanish: culture‐sensitive manualized treatment in practice

Aguilera, Adrián; Garza, Monica; Muñoz, Ricardo F.

doi:10.1002/jclp.20706

Cited by 75 publications

(41 citation statements)

References 16 publications

(17 reference statements)

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“…In the context of rural health care, the application of cognitive behavioral techniques through brief clinical encounters or clinical outreach programs have been demonstrated to improve self‐efficacy and contribute to better mental health 39‐41 . Although there is little precedent of applying cognitive behavioral techniques with farmworkers, there is a literature suggesting their effectiveness with Latinos 42,43 …”

Section: Discussionmentioning

confidence: 99%

Correlates of Mental Health Among Latino Farmworkers in North Carolina

Crain

Grzywacz

Schwantes

et al. 2011

The Journal of Rural Health

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Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine personal and situational correlates of poor mental health among Latino farmworkers. Structured interview data were obtained from farmworkers (N=69) in six counties in eastern and western North Carolina. Results indicated that a substantial number of farmworkers have poor mental health, as indicated by elevated depressive symptoms (52.2%) and anxiety (16.4%). Results also indicated that each mental health outcome had different predictors. Addressing the mental health issues of farmworkers requires a comprehensive, multifaceted approach.

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Section: Discussionmentioning

confidence: 99%

Correlates of Mental Health Among Latino Farmworkers in North Carolina

Crain

Grzywacz

Schwantes

et al. 2011

The Journal of Rural Health

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“…There is evidence that many Hispanics/Latinos[as] continue to speak Spanish at home or as their primary language (DuBard & Gizlice, 2008). As such, there maybe language barrier that prevents utilization of mental health services or contributes to early attrition from therapy (Aguilera, Garza, & Munoz, 2010). A second issue is that of the variety of cultures that are Hispanic/Latino[a].…”

Section: Hispanic/latino[a] Summarymentioning

confidence: 99%

Treating ethnic minority adults with anxiety disorders: Current status and future recommendations

Carter

Mitchell

Sbrocco

2012

Journal of Anxiety Disorders

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The past three decades have witnessed an increase in the number of empirical investigations examining the phenomenology of anxiety and related conditions. There has also been an increase in efforts to understand differences that may exist between ethnic groups in the expression of the anxiety disorders. In addition, there is now substantial evidence that a variety of treatment approaches (most notably behavioral and cognitive behavioral) are efficacious in remediating anxiety. However, there continues to be comparatively few treatment outcome studies investigating the efficacy of anxiety treatments among minority populations. In this paper, we review the extant treatment outcome research for African American, Hispanic/Latino[a] American, Asian American, and Native Americans suffering with one of the anxiety disorders. We discuss some of the specific problems with the research in this area, and then provide specific recommendations for conducting treatment outcome research with minority populations in the future.

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“…Studies which have examined differences in engagement between Latinos and non-Latino Whites have mostly focused on depression; these studies have found higher attrition rates in both pharmacological and psychosocial interventions for Latinos when compared to non-Latino Whites (Arnow et al, 2007; Organista et al, 1994). Additionally, problems with medication compliance, CBT attendance, and completion of CBT homework assignments among Latinos have been reported (Aguilera, Garza, & Muñoz, 2010; Ayalon, Areán, & Alvidrez, 2005; Miranda & Cooper, 2004). To our knowledge, no studies have examined engagement outcomes for Latino adults participating in a CBT intervention for anxiety disorders.…”

mentioning

confidence: 99%

Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.

Chavira

Golinelli

Sherbourne

et al. 2014

Journal of Consulting and Clinical Psychology

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Objective In the current study, we compare measures of treatment outcome and engagement for Latino and non-Latino White patients receiving a cognitive-behavioral therapy (CBT) program delivered in primary care. Method Participants were 18–65 years old and recruited from 17 clinics at four different sites to participate in a randomized controlled trial for anxiety disorders, which compared the CALM intervention (consisting of CBT, medication, or both) to usual care. Of those participants who were randomized to the intervention arm and selected CBT (either alone or in combination with medication), 85 were Latino and 251 were non-Latino White; the majority of the Latino participants received the CBT intervention in English (n = 77). Blinded assessments of clinical improvement and functioning were administered at baseline, and at 6, 12, and 18 months after baseline. Measures of engagement, including attendance, homework adherence, understanding of CBT principles, and commitment to treatment were assessed weekly during the CBT intervention. Results Findings from propensity weighted linear and logistic regression models revealed no statistically significant differences between Latinos and non-Latino Whites on symptom measures of clinical improvement and functioning at almost all time points. There were significant differences on two of seven engagement outcomes, namely number of sessions attended and patients’ understanding of CBT principles. Conclusions These findings suggest that CBT can be an effective treatment approach for Latinos who are primarily English speaking and likely more acculturated, although continued attention should be directed toward engaging Latinos in such interventions.

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Group cognitive‐behavioral therapy for depression in Spanish: culture‐sensitive manualized treatment in practice

Cited by 75 publications

References 16 publications

Correlates of Mental Health Among Latino Farmworkers in North Carolina

Correlates of Mental Health Among Latino Farmworkers in North Carolina

Treating ethnic minority adults with anxiety disorders: Current status and future recommendations

Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.

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