Racial and Ethnic Differences in Receipt of Antidepressants and Psychotherapy by Veterans With Chronic Depression

Quiñones, Ana; Thielke, Stephen; Beaver, Kristine; Trivedi, Ranak; Williams, Emily C.; Fan, Vincent S.

doi:10.1176/appi.ps.201300057

Cited by 44 publications

(42 citation statements)

References 33 publications

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“…[24][25][26][27] Contrary to our second hypothesis, inclusion of access factors in the model did not significantly impact the odds of pharmacotherapy retention among African American and Latino Veterans. These findings are consistent with reduced mental health treatment retention rates among minorities found in other studies, including Veterans.…”

Section: Discussioncontrasting

confidence: 81%

“…[16][17][18][19] Unfortunately, many Veterans with PTSD who need mental health care do not receive sufficient treatment to clinically benefit. [23][24][25][26][27][28][29][30] Among racial/ethnic minority Veterans with PTSD, lower treatment retention rates have been similarly observed [28,31] ; however, whether such variation reflects healthcare disparities depends on whether the factor(s) underlying the variation are "admissible" or not. [23][24][25][26][27][28][29][30] Among racial/ethnic minority Veterans with PTSD, lower treatment retention rates have been similarly observed [28,31] ; however, whether such variation reflects healthcare disparities depends on whether the factor(s) underlying the variation are "admissible" or not.…”

mentioning

confidence: 99%

“…osteoporosis treatment among women) or variation in beliefs about and preferences for treatment. Given evidence of disparities in other populations, we hypothesized that Veterans of minority race/ethnicity who have PTSD and are seeking VA mental health services would experience disparities as observed elsewhere, [23,25,26,[34][35][36] resulting in reduced treatment retention rates. Limitations in existing studies include reliance on administrative databases, focus on specialty programs, and lack of information regarding treatment need or patient beliefs about treatments.…”

mentioning

confidence: 99%

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Are There Racial/Ethnic Disparities in Va PTSD Treatment Retention?

et al. 2014

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Section: Discussioncontrasting

confidence: 81%

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confidence: 99%

mentioning

confidence: 99%

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Are There Racial/Ethnic Disparities in Va PTSD Treatment Retention?

et al. 2014

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“…The finding that ethnicity had no impact on the outcomes of antidepressant users in this study was consistent with findings in the literature [41]. Those with normal PHQ-9 scores had significantly fewer recent mental health visits and significantly less recent illicit drug use than did those who did not achieve normal scores.…”

Section: Discussionsupporting

confidence: 91%

Predicting Factors of Depression, Antidepressant Use and Positive Response to Antidepressants in Perinatal and Postpartum Women

Shaya

2017

CPEMH

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Background:In the United States, there is a disparity in knowledge of nationwide depression prevalence, the antidepressant use and the antidepressant responses during perinatal/postpartum periods.Objective:This study investigated the predicting factors of depression, antidepressant use and positive antidepressant response during the perinatal/postpartum periods.Method:The 2007-2012 National Health and Nutrition Examination Surveys (NHANES) were combined to identify adult pregnant women, those within the 18-month postpartum period (n=492) and their depression statuses via demographics, health care accessibility, antidepressant use and illicit drug use information. The characteristics of different study groups were compared (depression versus no-depression groups, antidepressant users versus non-antidepressant users, and antidepressant responders versus antidepressant non-responders). Multivariable logistic regression analysis was used to predict factors of perinatal depression (PND)/ postpartum depression (PPD), antidepressant use and antidepressant positive response in PND/PPD.Results:PND/PPD individuals had higher rates of mental health visits. No predicting factor for developing PND/PPD was shown. Antidepressant users were significantly older with insurance and recent health checkups/ mental visits. Being below the poverty level and having some health care accessibility are predictors for being on antidepressants. Recent non-illicit drug use is a predictor for PND/PPD symptom improvement while on antidepressants.Conclusion:The group of those with social-economic disadvantages was more likely to be on antidepressants for PND/PPD. Illicit drug users were less likely to show improvement with antidepressants. The safety and efficacy of antidepressant use during this period is controversial. More studies need to focus on the barriers involving antidepressant treatments, the safety and outcomes of antidepressants for PND/PPD management.

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“…System barriers to mental health treatment for Latinos include cost of care/lack of health insurance coverage, limited time with providers, low knowledge about resources, and lack of linguistic and culturally competent services (Anastasia and Bridges, 2015; Kessler et al, 2001; Rubenstein et al, 1999; Ruiz et al, 2013; SAMSHA, 2015; Shattell et al, 2008; Uebelacker et al, 2012; USDHHS, 2001; Vargas et al, 2015). Latinos are less likely to receive care that meets best practice guidelines (Alexandre et al, 2009; Cabassa et al, 2006; Lagomasino et al, 2005; Quinones et al, 2014), and are more likely to drop out early or discontinue care (La Roche, 2002; Lanouette et al, 2006; Sue, 1998; USDHHS, 1999), highlighting the need to understand characteristics of acceptable and accessible interventions.…”

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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Racial and Ethnic Differences in Receipt of Antidepressants and Psychotherapy by Veterans With Chronic Depression

Cited by 44 publications

References 33 publications

Are There Racial/Ethnic Disparities in Va PTSD Treatment Retention?

Are There Racial/Ethnic Disparities in Va PTSD Treatment Retention?

Predicting Factors of Depression, Antidepressant Use and Positive Response to Antidepressants in Perinatal and Postpartum Women

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

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