Psychopathology, Treatment Outcome and Attitude Toward Mental Illness in Mexican American and European Patients

Lawson, Harry Hannon; Kahn, Marvin W.; Heiman, Elliott M.

doi:10.1177/002076408202800103

Cited by 17 publications

(5 citation statements)

References 9 publications

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“…78,88 -90 In one study, low-income Latinos faced difficulty in making clinic visits because of family burdens, multiple jobs, and transportation problems. 78 Other important factors that may contribute to poor adherence include cultural concerns around stigma of mental health services, 91 fears of the effects of medications, 71 and insurance problems. 92,93 Hispanics have the lowest rate of public or private health insurance in the United States and are more than twice as likely to be uninsured as majority whites (28.7% versus 11.9%).…”

Section: Adherence To Treatmentmentioning

confidence: 99%

Depression in US Hispanics: Diagnostic and Management Considerations in Family Practice

Lewis‐Fernández¹,

Das²,

Alfonso³

et al. 2005

The Journal of the American Board of Family Medicine

216

143

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US Hispanics, currently the largest minority group in the country, face disparities in the recognition and treatment of major depression. This article provides an evidence-based review of the prevalence, presentation, and management of major depression in primary care in this heterogeneous ethnic group. Under-recognition of depression in adult Hispanic Americans may be related to language differences, health literacy barriers, somatic presentations, and use of cultural idioms of distress. Hispanic patients are often agreeable to treatment but as a group may tend to prefer psychotherapy or combined counseling and medication to pharmacotherapy alone. Recent studies have found both psychological and pharmacologic treatment options are efficacious in this minority group. Treatment adherence should be actively monitored to help ensure its effectiveness. To help reduce the number of depressed Hispanic patients who pass through primary care undetected or inadequately treated, family physicians should make a concerted effort to increase their awareness of the presentation of major depression in this population and actively promote adherence to effective treatments.

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Section: Adherence To Treatmentmentioning

confidence: 99%

Depression in US Hispanics: Diagnostic and Management Considerations in Family Practice

Lewis‐Fernández¹,

Das²,

Alfonso³

et al. 2005

The Journal of the American Board of Family Medicine

216

143

View full text Add to dashboard Cite

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“…A significantly more negative view of hospitalization among Mexican-Americans than among European-Americans was reported by Lawson et al (1982) and partially supported by Escobar and colleagues’ (1986) findings of less overall use of inpatient services in Hispanics. Yet, underuse of inpatient mental health services by Hispanics may not be a uniform phenomenon, as indicated by Snowden and Cheung (1990).…”

Section: Reviewmentioning

confidence: 84%

“…Using a more general approach, Lawson et al (1982) evaluated ethnic differences in treatment response by assessing the changes in psychopathology exhibited by a group of Mexican-American and European-American patients at the time of discharge from the hospital. There were no ethnic differences in degree of psychopathology at admission or in response to treatment.…”

Section: Reviewmentioning

confidence: 99%

Schizophrenia Among Hispanics: Epidemiology, Phenomenology, Course, and Outcome

Dassori

Miller

Saldana

1995

Schizophrenia Bulletin

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A number of studies point to the influence of culture and ethnicity on the presentation and course of schizophrenia. In general, a relatively powerful influence of environmental factors is identified. This article reviews the literature on schizophrenia among Hispanics in the United States and uses the results of this review as a basis for identifying directions for future study. Research is divided into three major areas: epidemiology, phenomenology, and illness course and outcome. Ethnic comparisons suggest similar prevalence rates of schizophrenia. However, differences in illness phenomenology between certain subgroups of Hispanics are also observed. Moreover, culture can affect various aspects of the illness process, including illness definition, help- seeking behavior, response to treatment, and post-treatment adjustment. Proposed guidelines to direct future research ventures include (1) better delineation of the sociocultural attributes of the group under study, (2) validation of assessment instruments across ethnic groups, (3) use of innovative approaches to assess incidence and prevalence, (4) incorporation of qualitative methodology, (5) use of illness behavior models to provide a conceptual framework to guide investigations, and (6) integration of cross-cultural and biological studies.

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“…Depression in Latino immigrants with low acculturation often is characterized by somatic complaints with less awareness and identification of psychological symptoms (Organista, Organista, & Kurasaki, 2003). Stigmatizing attitudes about depression are also prevalent in Latinos (Lawson, Kahn, & Heiman, 1982). Latinos might feel reluctant to seek mental health services because of stigma that these services are only for people who are "crazy."…”

Section: Complicating Factorsmentioning

confidence: 99%

Behavioral Activation for Latinos With Depression

Kanter

Hurtado

Rusch

et al. 2008

Clinical Case Studies

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Latinos are the fastest-growing ethnic minority group in the United States and face great environmental challenges (e.g., unemployment, loss of social support networks, displacement, and disruption of the family) as well as prejudice and discrimination. These contextual factors are significant risk factors for Latino depression. A behavioral treatment for depression, behavioral activation (BA), may be particularly relevant in treating Latino depression because of its emphasis on contextual factors. This case study presents a cultural modification of BA for Latinos with depression. The treatment of a 25-year-old Latina illustrates a successful application. It suggests that, with some modifications, BA may be a suitable treatment for this population.

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Psychopathology, Treatment Outcome and Attitude Toward Mental Illness in Mexican American and European Patients

Cited by 17 publications

References 9 publications

Depression in US Hispanics: Diagnostic and Management Considerations in Family Practice

Depression in US Hispanics: Diagnostic and Management Considerations in Family Practice

Schizophrenia Among Hispanics: Epidemiology, Phenomenology, Course, and Outcome

Behavioral Activation for Latinos With Depression

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