title: Surviving Depression: Clinical Qualitative Analysis of Long-Term Survival for Ethnically Diverse, Depressed Patients.
abstract: Depression is persistent and recurrent across ethnic groups. Few narrative analyses of long-term outcomes for ethnically diverse adults with depression exist. We combined 9 years of quantitative data, qualitative interviews at 10 years, clinician ratings of outcomes, and a community discussion group with the objective of describing long-term recovery and survival of diverse primary care patients after an episode of depression. Nearly half of participants were found to be depressed at some time over a 10-year period, and most cases across ethnic groups were judged to need further treatment. The ethnically diverse community members that analyzed the transcripts emphasized assets that participants showed in surviving multiple life stresses. Different sex and ethnic/racial groups had different characteristics of engaging in care, with Latino women in particular raising concerns about care engagement, coping with stress, and long-term outcomes.
authors.affiliation: *Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles; †West Los Angeles VA Healthcare Center, Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC); ‡Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California Los Angeles; §Healthy African American Families II, Los Angeles; and ∥RAND Corporation, Santa Monica, CA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Miranda
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bromley
authors.forename: Adriana
authors.initials: A
authors.lastname: Izquierdo
authors.forename: Felica
authors.initials: F
authors.lastname: Jones
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wells
mesh_terms: D000328:Adult; D001741:Black or African American / Q000208:ethnology*; D000368:Aged; D003865:Major Depressive Disorder / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D044465:White People / Q000208:ethnology*