Evaluating Behavioral Activation Efficacy in Depressed Spanish-Speaking Latinos
Status: | Completed |
---|---|
Conditions: | Depression, Depression |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/21/2016 |
Start Date: | August 2013 |
End Date: | October 2014 |
Following a small, open-label pilot study that yielded very promising results of BATD, the
current study will consist of a larger, randomized control trial (n=60) that will compare
BATD to Supportive Counseling in outcomes of depression, contact with positive reinforcement
in the environment, treatment satisfaction, therapeutic alliance, and perceived stigma. In
addition, participants' adherence rates to each of the therapies and their maintenance of
clinical gains at a 1-month follow-up, will be examined.
current study will consist of a larger, randomized control trial (n=60) that will compare
BATD to Supportive Counseling in outcomes of depression, contact with positive reinforcement
in the environment, treatment satisfaction, therapeutic alliance, and perceived stigma. In
addition, participants' adherence rates to each of the therapies and their maintenance of
clinical gains at a 1-month follow-up, will be examined.
Major Depressive Disorder (MDD) is highly prevalent and widely-impairing across racial and
ethnic groups. Higher rates of MDD have been observed among Latinos with limited
English-language proficiency relative to the general population. Although MDD is a highly
treatable condition, barriers to treatment access and delivery have been implicated in
precluding this group from utilizing and receiving mental health services. Fortunately,
Latinos tend to endorse positive attitudes toward psychosocial treatments for depression by
applying the valued belief of "poner de su parte" or being able to do their part in one's
recovery, a concept that is highly consistent with the framework of behavioral treatments
for depression.
The Behavioral Activation Treatment for Depression (BATD), based on reinforcement theory,
may be well-equipped to address disparities associated with higher depression prevalence
rates and receipt of care among Latinos with limited English-language proficiency. Following
a small, open-label pilot study that yielded very promising results of BATD, the current
study will consist of a larger, randomized control trial (N = 60) that will compare BATD to
Supportive Counseling in outcomes of depression, activity level, and contact with positive
reinforcement in the environment.
Initial eligibility will be determined via a telephone screener, which will include
questions from the Mood Disorders, Substance Use and Dependence, and Psychotic Disorders
modules of the Structured Clinical Interview for DSM-IV-TR (SCID-IV; First, Spitzer, Gibbon
& Williams, 2002).
Inclusion criteria consist of the following: 1) be a minimum of 18 years of age, 2) be of
Latino descent, 3) report limited English language proficiency, 4) meet current MDD
criteria, 5) have completed the 4th grade or higher either in their country of origin or in
the US, 6) not have current substance abuse or dependence, 7) have no Bipolar or Psychotic
Disorders, and 9) not be currently receiving psychotherapy, and 10) if currently taking
antidepressants, demonstrate pharmacological stability as indicated by 3 or more consecutive
months of use. Excluded individuals will be referred to mental health resources within the
community.
ethnic groups. Higher rates of MDD have been observed among Latinos with limited
English-language proficiency relative to the general population. Although MDD is a highly
treatable condition, barriers to treatment access and delivery have been implicated in
precluding this group from utilizing and receiving mental health services. Fortunately,
Latinos tend to endorse positive attitudes toward psychosocial treatments for depression by
applying the valued belief of "poner de su parte" or being able to do their part in one's
recovery, a concept that is highly consistent with the framework of behavioral treatments
for depression.
The Behavioral Activation Treatment for Depression (BATD), based on reinforcement theory,
may be well-equipped to address disparities associated with higher depression prevalence
rates and receipt of care among Latinos with limited English-language proficiency. Following
a small, open-label pilot study that yielded very promising results of BATD, the current
study will consist of a larger, randomized control trial (N = 60) that will compare BATD to
Supportive Counseling in outcomes of depression, activity level, and contact with positive
reinforcement in the environment.
Initial eligibility will be determined via a telephone screener, which will include
questions from the Mood Disorders, Substance Use and Dependence, and Psychotic Disorders
modules of the Structured Clinical Interview for DSM-IV-TR (SCID-IV; First, Spitzer, Gibbon
& Williams, 2002).
Inclusion criteria consist of the following: 1) be a minimum of 18 years of age, 2) be of
Latino descent, 3) report limited English language proficiency, 4) meet current MDD
criteria, 5) have completed the 4th grade or higher either in their country of origin or in
the US, 6) not have current substance abuse or dependence, 7) have no Bipolar or Psychotic
Disorders, and 9) not be currently receiving psychotherapy, and 10) if currently taking
antidepressants, demonstrate pharmacological stability as indicated by 3 or more consecutive
months of use. Excluded individuals will be referred to mental health resources within the
community.
Inclusion Criteria:
- be a minimum of 18 years of age
- be of Latino descent
- report limited English language proficiency
- meet current MDD criteria
- have completed the 4th grade or higher either in their country of origin or in the US
- not have current substance abuse or dependence
- have no Bipolar or Psychotic Disorders
- not be currently receiving psychotherapy
- if currently taking antidepressants, demonstrate pharmacological stability as
indicated by 3 or more consecutive months of use.
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