Six-Month Prevalence of Specific Psychiatric Disorders Among Mexican Americans and Non-Hispanic Whites in Los Angeles

Burnam, M. Audrey; Hough, Richard L.; Escobar, Javier I.; Karno, Marvin; Timbers, Dianne M.; Telles, Cynthia A.; Locke, Ben Z.

doi:10.1001/archpsyc.1987.01800200013003

Cited by 237 publications

(38 citation statements)

References 54 publications

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“…This hypothesis is concordant with a growing literature that identifies multiple mechanisms by which stress becomes embodied in poorer physical health (Folkman & Moskowitz, 2004). A number of studies have reported that Mexican Americans have lower prevalence of affective disorders compared with non-Hispanic White Americans (Burnam et al, 1987;Moscicki, Locke, Rae, & Boyd, 1989;Vega et al, 1998). Our own research with older Mexican Americans suggests that positive affect predicts a number of beneficial health outcomes, including greater functional independence and mobility and survival (Ostir et al, 2000).…”

Section: Discussionsupporting

confidence: 80%

Onset of Frailty in Older Adults and the Protective Role of Positive Affect.

Ostir

Ottenbacher

Markides

2004

Psychology and Aging

166

143

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The aim of this study was to examine the longitudinal association between positive affect and onset of frailty for 1,558 initially nonfrail older Mexican Americans from the Hispanic Established Populations for Epidemiological Studies of the Elderly database. The incidence of frailty increased 7.9% during the 7-year follow-up period. High positive affect was found to significantly lower the risk of frailty. Each unit increase in baseline positive affect score was associated with a 3% decreased risk of frailty after adjusting for relevant risk factors. Findings add to a growing positive psychology literature by showing that positive affect is protective against the functional and physical decline associated with frailty.

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Section: Discussionsupporting

confidence: 80%

Onset of Frailty in Older Adults and the Protective Role of Positive Affect.

Ostir

Ottenbacher

Markides

2004

Psychology and Aging

166

143

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“…An early epidemiologic study found that Mexican immigrants have a significantly lower rate of major depression than US-born Mexican Americans. 21 In this study, which was conducted in Spanish and English, there was a nonsignificant trend toward increased risk of major depression in the more acculturated groups. Possible explanations include that Mexican American immigrants tend to experience a lower sense of deprivation than US-born Mexican Americans, immigrants retain a stronger family orientation or other cultural values than US-born persons that tend to protect them from depression, or that immigration tends to select for mental health.…”

Section: National and Community Studiesmentioning

confidence: 58%

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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“…This instrument used data from primary care and mental health subsamples of the Los Angeles Epidemiologic Catchment Area Study, 42 and the Psychiatric Screening Questionnaires for Primary Care Patients. 43 • Ever married an alcoholic. A "yes" response to the question: "Have you ever been married to someone (or lived with someone as if you were married) who was a problem drinker or an alcoholic?"…”

Section: Behavioral and Social Outcomesmentioning

confidence: 99%