A qualitative analysis of the perception of stigma among Latinos receiving antidepressants.
OBJECTIVE
This study sought to describe the role of stigma in antidepressant adherence among Latinos.


METHODS
The study utilized data generated from six focus groups of Latino outpatients receiving antidepressants (N=30). By using a grounded theory approach, qualitative analysis focused specifically on the role of stigma in antidepressant treatment, as well as salient Latino values.


RESULTS
Perceptions of stigma were related to both the diagnosis of depression and use of antidepressant medication. Qualitative analyses showed that antidepressant use was seen as implying more severe illness, weakness or failure to cope with problems, and being under the effects of a drug. Reports of stigma were also related to social consequences. Also, the perceived negative attributes of antidepressant use were at odds with self-perceived cultural values.


CONCLUSIONS
Stigma was a prominent concern among Latinos receiving antidepressants, and stigma often affected adherence. Furthermore, culture is likely to play an important role in the communication of stigma and its associated complications.
Interian
Alejandro
A
Department of Psychiatry, University of Medicine and Dentistry, New Jersey (UMDNJ)-Robert Wood Johnson Medical School, Piscataway, NJ 08854-5635, USA. interial@umdnj.edu
Martinez
Igda E
IE
Guarnaccia
Peter J
PJ
Vega
William A
WA
Escobar
Javier I
JI
D000328:Adult; D000553:Ambulatory Care; D000928:Antidepressive Agents / Q000627:therapeutic use*; D003863:Depression / Q000188:drug therapy* / Q000208:ethnology; D005069:Evaluation Studies as Topic; D005260:Female; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009515:New Jersey; D013240:Stereotyping
D000928:Antidepressive Agents