Perinatal depression treatment preferences among Latina mothers.
The study described here was designed to determine treatment preferences among Latinas to identify treatment options that meet their needs and increase their engagement. Focus group interviews were conducted with 22 prenatal and postpartum Latinas at risk for depression. The group interviews were conducted in Spanish and English using a standardized interview protocol. Focus group transcripts were analyzed to identify themes regarding perinatal depression coping strategies, preferred approaches to treating perinatal depression, and recommendations for engaging perinatal Latinas in treatment. The results suggest that Latinas' treatment preferences consist of a pathway (i.e., hierarchical) approach that begins with the use of one's own resources, followed by the use of formal support systems (e.g., home-visiting nurse), and supplemented with the use of behavioral therapy. Antidepressant use was judged to be acceptable only in severe cases or after delivery. The data indicate that to increase health-seeking behaviors among perinatal Latinas, practitioners should first build trust.
1University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Sandraluz
S
Lara-Cinisomo
Katherine L
KL
Wisner
Rachel M
RM
Burns
Diego
D
Chaves-Gnecco
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D003863:Depression / Q000523:psychology* / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D009035:Mothers / Q000523:psychology*; D057240:Patient Preference; D010414:Pennsylvania; D011181:Postnatal Care; D011247:Pregnancy; D011295:Prenatal Care; D012307:Risk Factors; D012944:Social Support
D000928:Antidepressive Agents
Latino / Hispanic people; depression; focus groups; mothers, mothering; perinatal health