Community Mental Health Journal

, Volume 48, Issue 5, pp 611–626 | Cite as

Examining Lifetime Episodes of Sadness, Help Seeking, and Perceived Treatment Helpfulness Among US Latino/as

Original Paper


This study investigated episodes of sadness, help seeking for episodes of sadness, and perceived treatment helpfulness among Latino/as. Specifically, we examined whether gender, ethnicity, and other socio-cultural variables predicted episodes of sadness, help seeking, and treatment helpfulness. Data were taken from the National Latino Asian American Study which included service use questions for episodes of sadness. We stratified the data by service provider and used multiple logistic regressions as analytic strategy. Latinas had higher rates of episodes of sadness than Latinos, and everyday discrimination was positively associated with sadness. Acculturation was associated with more help seeking. Puerto Ricans had the highest rates of help seeking, and Mexican–Americans the lowest. Discrimination was the strongest predictor of treatment helpfulness from any professional as individuals with discriminatory experiences found services less helpful. Interventions need to address cultural factors but more focus needs to be placed on policies that seek to eliminate inequalities.


Latino/as Episodes of sadness Help seeking Treatment helpfulness Latino/a group differences Socio-cultural factors 



This work was supported with funding from the University of Michigan Substance Abuse Research Center (UMSARC)/NIDA Pre-doctoral Training Grant # T32DA007267 –Substance Abuse Interdisciplinary Training Program (PI: Margaret Gnegy, Ph.D.) and from the Vivian A. and James L. Curtis School of Social Work Research and Training Center. We would like to thank Kathy Welch for her assistance with data analysis. Portions of this manuscript will be presented at The Inaugural APA Division45 Conference, Ann Arbor, MI, June 2010.


  1. Alarcón, R. D. (2008). Cultural considerations in the diagnosis and classification of depression: The Hispanic perspective. In T. P. Gullotta (Ed.), Depression in Latinos: Assessment, treatment, and prevention (pp. 93–113). New York, NY US: Springer Science + Business Media.Google Scholar
  2. Alegría, M., Canino, G., Woo, M., Duan, N., Vila, D., & Torres, M., et al. (2008a). Prevalence of mental illness in immigrant and non-immigrant US Latino groups. American Journal of Psychiatry, 165(3), 359–369.Google Scholar
  3. Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C., Takeuchi, D., et al. (2008b). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272.PubMedCrossRefGoogle Scholar
  4. Alegría, M., Mulvaney-Day, N., Woo, M., Torres, M., Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the national Latino and Asian American study. American Journal of Public Health, 97(1), 76–83.PubMedCrossRefGoogle Scholar
  5. Alegría, M., Vila, D., Woo, M., Canino, G., Takeuchi, D., Vera, M., et al. (2004). Cultural relevance and equivalence in the NLAAS instrument: Integrating etic and emic in the development of cross-cultural measures for a psychiatric epidemiology and services study of Latinos. International Journal of Methods in Psychiatric Research, 13(4), 270–288.PubMedCrossRefGoogle Scholar
  6. Andrade, L., Caraveo-Anduaga, J., Berglund, P., Bijl, R. V., De Graaf, R., Vollebergh, W., et al. (2003). The epidemiology of major depressive episodes: Results from the international consortium of psychiatric epidemiology (ICPE) surveys. International Journal of Methods in Psychiatric Research, 12(1), 3–21.PubMedCrossRefGoogle Scholar
  7. Berenzon-Gorn, S. (2006). Enfermedades y padeceres por los que se recurre a terapeutas tradicionales de la ciudad de México. Salud Pública De México, 48(1), 45–56.Google Scholar
  8. Borges, G., Medina-Mora, M., Benjet, C., Ruíz, J. Z., Breslau, J., & Posada, J., et al. (2008). Descriptive epidemiology of depression in Latin America and Hispanics in the United States. In T. P. Gullotta (Ed.), Depression in Latinos: Assessment, treatment, and prevention. (pp. 53–71). New York, NY, USA: Springer Science + Business Media.Google Scholar
  9. Cauce, A. M., & Domenech-Rodríguez, M. (2002). Latino families: Myths and realities. In A. M. Neal-Barnett (Ed.), Latino children and families in the United States: Current research and future directions (pp. 3–25). Westport, CT, USA: Praeger Publishers/Greenwood Publishing Group.Google Scholar
  10. Cervantes, R., & Padilla, A. (1991). The Hispanic stress inventory: A culturally relevant approach to psychosocial assessment. Psychological Assessment, 3, 438–447.CrossRefGoogle Scholar
  11. Culbertson, F. M. (1997). Depression and gender: An international review. American Psychologist, 52(1), 25–31.PubMedCrossRefGoogle Scholar
  12. Diala, C., Muntaner, C., Walrath, C., Nickerson, K. J., LaVeist, T. A., & Leaf, P. J. (2000). Racial differences in attitudes toward professional mental health care and in the use of services. The American Journal of Orthopsychiatry, 70(4), 455–464.PubMedCrossRefGoogle Scholar
  13. Diamant, A. L., Hays, R. D., Morales, L. S., Ford, W., Calmes, D., Asch, S., et al. (2004). Delays and unmet need for health care among adult primary care patients in a restructured urban public health system. American Journal of Public Health, 94(5), 783–789.PubMedCrossRefGoogle Scholar
  14. Escobar, J. I., & Vega, W. A. (2000). Mental health and immigration’s AAAs: Where are we and where do we go from here? Journal of Nervous and Mental Disease, 188(11), 736–740.PubMedCrossRefGoogle Scholar
  15. Espin, O. M. (1987). Psychological impact of migration on Latinas: Implications for psychotherapeutic practice. Psychology of Women Quarterly, 11(4), 489–503.CrossRefGoogle Scholar
  16. Felix-Ortiz, M. (1994). A multidimensional measure of cultural identity for Latino and Latina adolescents. Hispanic Journal of Behavioral Sciences, 16(2), 99–115.CrossRefGoogle Scholar
  17. Finch, B. K., Kolody, B., & Vega, W. A. (2000). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Behavior, 41(3), 295–313.PubMedCrossRefGoogle Scholar
  18. Gee, G. C., Ryan, A., Laflamme, D. J., & Holt, J. (2006). Self-reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 initiative: The added dimension of immigration. American Journal of Public Health, 96(10), 1821–1828.PubMedCrossRefGoogle Scholar
  19. Gore, S., & Mangione, T. W. (1983). Social roles, sex roles and psychological distress: Additive and interactive models of sex differences. Journal of Health and Social Behavior, 24(4), 300–312.PubMedCrossRefGoogle Scholar
  20. Guarnaccia, P. J., Pincay, I. M., Alegría, M., Shrout, P. E., Lewis-Fernández, R., & Canino, G. J. (2007). Assessing diversity among Latinos: Results from the NLAAS. Hispanic Journal of Behavioral Sciences, 29(4), 510–534.PubMedCrossRefGoogle Scholar
  21. Heeringa, S. G., Wagner, J., Torres, M., Duan, N., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the collaborative psychiatric epidemiology studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240.PubMedCrossRefGoogle Scholar
  22. Hough, R. L., Landsverk, J. A., Karno, M., & Burnam, M. A. (1987). Utilization of health and mental health services by Los Angeles Mexican Americans and non-Hispanic whites. Archives of General Psychiatry, 44(8), 702–709.PubMedCrossRefGoogle Scholar
  23. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: Results from the national comorbidity survey replication (NCS-R). Journal of the American Medical Association, 289(23), 3095–3105.PubMedCrossRefGoogle Scholar
  24. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 617–627.PubMedCrossRefGoogle Scholar
  25. Kessler, R. C., McGonagle, K. A., Zhao, S., & Nelson, C. B. (1994). Lifetime and 12-month prevalence of DSM-III—R psychiatric disorders in the United States: Results from the national comorbidity study. Archives of General Psychiatry, 51(1), 8–19.PubMedCrossRefGoogle Scholar
  26. Kessler, R. C., Mickelson, K. D., & Williams, D. R. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the united states. Journal of Health and Social Behavior, 40(3), 208–230.PubMedCrossRefGoogle Scholar
  27. Lagomasino, I. T., Dwight-Johnson, M., Miranda, J., Zhang, L., Liao, D., Duan, N., et al. (2005). Disparities in depression treatment for Latinos and site of care. Psychiatric Services, 56(12), 1517–1523.PubMedCrossRefGoogle Scholar
  28. Lara, M. A. (2008). Women and depression: The influence of gender in major depressive disorder. In T. P. Gullotta (Ed.), Depression in Latinos: Assessment, treatment, and prevention. (pp. 239–261). New York, NY, USA: Springer Science + Business Media.Google Scholar
  29. Lasser, K. E., Himmelstein, D. U., & Woolhandler, S. (2006). Access to care, health status, and health disparities in the United States and Canada: Results of a cross-national population-based survey. American Journal of Public Health, 96(7), 1300–1307.PubMedCrossRefGoogle Scholar
  30. Olson, D. H. (1986). Circumplex model VII: Validation studies and FACES III. Family Process, 25, 337–351.PubMedCrossRefGoogle Scholar
  31. Olson, D. H. (1989). In D. H. Olson, C. S. Russell, & D. H. Sprenkle (Eds.), Circumplex model of family systems VIII: Family assessment and intervention.Google Scholar
  32. Pennell, B., Bowers, A., Carr, D., Chardoul, S., Cheung, G., Dinkelmann, K., et al. (2004). The development and implementation of the National Comorbidity Survey Replication, the National Survey of American Life, and the National Latino and Asian American Survey. International Journal of Methods in Psychiatric Research, 13, 241–269.Google Scholar
  33. Phinney, J. S. (1990). Ethnic identity in adolescents and adults: Review of research. Psychological Bulletin, 108(3), 499–514.PubMedCrossRefGoogle Scholar
  34. Phinney, J. S., Horenczyk, G., Liebkind, K., & Vedder, P. (2001). Ethnic identity, immigration, and well-being: An interactional perspective. Journal of Social Issues, 57(3), 493–510.CrossRefGoogle Scholar
  35. Redmond, M. L., Galea, S., & Delva, J. (2009). Examining racial/ethnic minority treatment experiences with specialty behavioral health service providers. Community Mental Health Journal, 45(2), 85–96.PubMedCrossRefGoogle Scholar
  36. Repetti, R. L., Matthews, K. A., & Waldron, I. (1989). Employment and women’s health: Effects of paid employment on women’s mental and physical health. American Psychologist, 44(11), 1394–1401.CrossRefGoogle Scholar
  37. Rivera, F. I. (2007). Contextualizing the experience of young Latino adults: Acculturation, social support and depression. Journal of Immigrant and Minority Health, 9(3), 237–244.PubMedCrossRefGoogle Scholar
  38. Rivera, F. I., Guarnaccia, P. J., Mulvaney-Day, N., Lin, J. Y., Torres, M., & Alegría, M. (2008). Family cohesion and its relationship to psychological distress among Latino groups. Hispanic Journal of Behavioral Sciences, 30(3), 357–378.PubMedCrossRefGoogle Scholar
  39. Sarmiento, I. A., & Cardemil, E. V. (2009). Family functioning and depression in low-income Latino couples. Journal of Marital and Family Therapy, 35(4), 432–445.PubMedCrossRefGoogle Scholar
  40. U.S. Census Bureau. (2010). U.S. Census Bureau News: Facts for Features: Hispanic Heritage Month 2010. Retrieved April 1, 2011 from
  41. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., Alderete, E., Catalano, R., & Caraveo-Anduaga, J. (1998). Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry, 55(9), 771–778.PubMedCrossRefGoogle Scholar
  42. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. The American Journal of Psychiatry, 156(6), 928–934.PubMedGoogle Scholar
  43. Vega, W. A., & Sribney, W. M. (2008). Latino population demographics, risk factors, and depression: A case study of the Mexican American prevalence and services survey. In T. P. Gullotta (Ed.), Depression in Latinos: Assessment, treatment, and prevention. (pp. 29–52). New York, NY, USA: Springer Science + Business Media.Google Scholar
  44. Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 629–640.PubMedCrossRefGoogle Scholar
  45. Whaley, A. L. (2001). Cultural mistrust: An important psychological construct for diagnosis and treatment of African Americans. Professional Psychology: Research and Practice, 32(6), 555–562.CrossRefGoogle Scholar
  46. Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of Health Psychology, 2(3), 335–351.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Departments of Psychology and Women’s StudiesUniversity of Michigan Substance Abuse Research Center, University of MichiganAnn ArborUSA
  2. 2.School of Social WorkUniversity of Michigan Substance Abuse Research Center, University of MichiganAnn ArborUSA

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