title: Group cognitive-behavioral therapy for depression in Spanish: culture-sensitive manualized treatment in practice.
abstract: The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (addresses physical health and depression). They illustrated the use of the culture-sensitive treatment manuals by way of the member characteristics and clinical process of a Spanish-language CBT group for depression. They highlighted the challenges and satisfactions of working with a Spanish-speaking population in the public sector, and focused on how culture and socioeconomic status influence patients, and how to adapt treatment to these factors. Last, they demonstrated how technological advances integrate with culture-sensitive, evidence-based treatments to better serve this population and reduce disparities.
authors.affiliation: University of California, San Francisco, San Francisco, CA 94110, USA. adrian.aguilera@ucsf.edu
authors.forename: Adrian
authors.initials: A
authors.lastname: Aguilera
authors.forename: Monica J
authors.initials: MJ
authors.lastname: Garza
authors.forename: Ricardo F
authors.initials: RF
authors.lastname: Muñoz
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D003466:Cultural Characteristics; D054521:Cultural Competency / Q000523:psychology*; D018864:Cultural Diversity; D003866:Depressive Disorder / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D003865:Major Depressive Disorder / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D055317:Evidence-Based Practice; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology; D010352:Patient Dropouts / Q000523:psychology; D011615:Psychotherapy, Group / Q000379:methods*; D012945:Social Values; D013001:Somatoform Disorders / Q000208:ethnology / Q000523:psychology / Q000628:therapy