title: Problem-solving treatment for depression among Mexican Americans in primary care.
abstract: The need to identify and improve access to evidence-based treatments for depressive disorders and other mental health problems is a public health priority, particularly in relation to racial/ethnic minorities and other underserved groups. One hundred forty-six Mexican American primary care patients who met diagnostic criteria for major depressive disorder, dysthymic disorder, or depressive disorder not otherwise specified (NOS) were offered eight sessions of an evidence-based behavioral treatment, problem-solving treatment for primary care (PST-PC). Among participants who agreed to treatment (N=117), depressive symptom scores decreased over time; a minority of participants completed four or more sessions of PST-PC (N=55), and those participants had greater decreases in depressive symptom severity than participants who completed three or fewer PST-PC sessions (N=62) (Hopkins Symptom Checklist-20 scores declined on average 0.86+/-0.97 and 0.40+/-0.66 points for these groups, respectively, p<.05). More work is needed to enhance the engagement in treatments for depression, especially among Latinos in primary care.
authors.affiliation: College of Health and Human Services, University of North Carolina at Charlotte, Department of Psychology, Charlotte, NC 28223-0001, USA. kbschmal@uncc.edu
authors.forename: Karen B
authors.initials: KB
authors.lastname: Schmaling
authors.forename: Dolores V
authors.initials: DV
authors.lastname: Hernandez
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D003866:Depressive Disorder / Q000208:ethnology* / Q000628:therapy*; D019317:Evidence-Based Medicine; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D010349:Patient Compliance; D017060:Patient Satisfaction; D012720:Severity of Illness Index; D012959:Socioeconomic Factors