title: Improvement in Depressive Symptoms Among Hispanic/Latinos Receiving a Culturally Tailored IMPACT and Problem-Solving Intervention in a Community Health Center.
abstract: The present study investigated whether a culturally-tailored problem-solving intervention delivered by a trained depression care specialist (DCS) would improve depressive symptoms over a 6 month period among Hispanic/Latino patients in a federally-qualified community health center by the California-Mexico border. Participants included 189 low income Hispanic/Latino patients of Mexican heritage. Based on the improving mood-promoting access to collaborative treatment (IMPACT) evidence-based treatment, patients received evidence-based problem-solving therapy. The Patient Health Questionnaire-9 (PHQ-9) was administered to assess changes in self-reported depressive symptoms between baseline and monthly for a 6-month follow up period. The majority of participants were female (72.5%) with a mean age of 52.5 (SD = 11.7). The mean PHQ-9 at baseline was 16.9 (SD = 4.0) and at the 6-month follow-up, the average PHQ-9 decreased to 9.9 (SD = 5.7). A linear mixed model analysis showed significant improvement in PHQ-9 scores over a 6 month period (F = 124.1; p < 0.001) after controlling for age, gender, smoking and diabetes. There was a significant three way interaction between time, gender and smoking (p = 0.01) showing that the depressive symptoms among male smokers did not improve as much as non-smoking males and females. Results suggest that a culturally-tailored problem solving approach can significantly reduce depressive symptoms among Hispanic/Latino low-income patients.
authors.affiliation: Department of Family, Preventive Medicine, University of California, San Diego, La Jolla, CA, USA, acamacho@ucsd.edu.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Camacho
authors.forename: Patricia
authors.initials: P
authors.lastname: González
authors.forename: Sheila F
authors.initials: SF
authors.lastname: Castañeda
authors.forename: Alan
authors.initials: A
authors.lastname: Simmons
authors.forename: Christina
authors.initials: C
authors.lastname: Buelna
authors.forename: Hector
authors.initials: H
authors.lastname: Lemus
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Talavera
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002140:California; D003156:Community Mental Health Services / Q000379:methods*; D065246:Culturally Competent Care / Q000379:methods*; D003863:Depression / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
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