Examining Lifetime Episodes of Sadness, Help Seeking, and Perceived Treatment Helpfulness Among US Latino/as
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.
KeywordsLatino/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.
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- U.S. Census Bureau. (2010). U.S. Census Bureau News: Facts for Features: Hispanic Heritage Month 2010. Retrieved April 1, 2011 from http://www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/.
- 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