@article{ref1,
title="Improvement in depressive symptoms among Hispanic/Latinos receiving a culturally tailored impact and problem-solving intervention in a community health center",
journal="Community mental health journal",
year="2014",
author="Camacho, Alvaro and González, Patricia and Castañeda, Sheila F. and Simmons, Alan and Buelna, Christina and Lemus, Hector and Talavera, Gregory A.",
volume="51",
number="4",
pages="385-392",
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. <br><br>RESULTS suggest that a culturally-tailored problem solving approach can significantly reduce depressive symptoms among Hispanic/Latino low-income patients.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-014-9750-7",
url="http://dx.doi.org/10.1007/s10597-014-9750-7"
}