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Latino Culture Hampers Depression Treatment

Latino Culture Hinders Depression Treatment  The stigma of mental illness, weak patient-physician communication and an underuse of medications combine to hinder Latinos’ recovery from depression.

A study appearing in the March-April issue of General Hospital Psychiatry confirms that cultural barriers impede appropriate mental health care.

Authors followed the recovery of 220 Latinos who screened positive for depression at two clinics in Los Angeles County over 30 months.

Overall, they found that nearly 70 percent of participants improved, albeit slowly, following a course of antidepressants and with the benefit of good physician-patient communication, but stigma remained an important barrier.

Most of the participants were underemployed, Spanish-speaking Latinas with limited education, who had access to health care insurance.

“Doctor-patient communication is often the primary tool for bridging the gap between patients’ perspectives and the biomedical model that underlies medication-based treatments for depression,” said lead author Alejandro Interian, Ph.D.

Previous studies affiliated with the Center for Multicultural Mental Health Research show that only 36 percent of depressed Latinos receive treatment compared with 60 percent of non-Latino whites. Latinos also are less likely to start on a course of antidepressants than whites and more likely to stop before the course runs out.

Sherrie Segovia, Ph.D., the mental health coordinator at the Hope Street Family Center/CHMC in Los Angeles, works predominantly with Latino immigrants. Her experience is consistent with Interian’s results.

“A high number of women receive prescriptions for antidepressants while complaining of headaches, backaches and stomach aches,” Segovia said.

“Once confronted with the possibility of mental illness, they are unwilling or afraid to take medication. Some of their beliefs are associated with religion and cultural mores, while others have concerns with the stigma of being ‘crazy’.”

Interian said that skilled physician-patient communication could allay these worries while respecting cultural concerns.

He recommended increasing the number of mental health professionals who speak other languages and understand different cultures, while ensuring that quality care is available to socially disadvantaged populations.

Segovia said, “The challenges from a clinician’s perspective are related to treatment that is culturally sensitive, as many Latinos also suffer from the effects of immigration, isolation and poverty.”

Source: Health Behavior News Service

Latino Culture Hampers Depression Treatment

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Latino Culture Hampers Depression Treatment. Psych Central. Retrieved on October 18, 2018, from https://psychcentral.com/news/2011/03/23/latino-culture-hampers-depression-treatment/24601.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.