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“It’s Like Being in a Labyrinth:” Hispanic Immigrants’ Perceptions of Depression and Attitudes Toward Treatments

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Abstract

This study aimed to describe Hispanic immigrants’ perceptions of depression and attitudes toward treatments and to examine how demographics, acculturation, clinical factors, and past service use were associated with their perceptions and attitudes. A convenience sample of 95 Hispanic immigrant patients was presented a vignette depicting an individual with major depression. Structured interviews that included standardized instruments and open-ended questions were used to query patients about their views of depression and its treatments. Findings showed that Hispanic immigrants perceived depression as a serious condition caused by interpersonal and social factors. Consistent with existing literature, most patients endorsed positive attitudes toward depression treatments yet reported apprehensions toward antidepressants. Demographic factors, acculturation, depressive symptoms, and past mental health service use were related to patients’ views of depression and attitudes toward care. This study emphasizes the need to incorporate Hispanic immigrants’ perceptions and attitudes into depression treatments.

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Acknowledgments

This study was supported by a dissertation grant from the National Institute of Mental Health (1R36MH072172-01). The authors would like to express their gratitude to Dr. Thomas Kernan and his staff at Grace Hill South for welcoming us into their clinic and providing us with a recruitment site for this study. An earlier version of this paper was presented at the Critical Research Issues in Latino Mental Health: Mental Disorders among Latinos: Biological and Psychological Influences on Diagnosis and Treatment, November 8, 2005, Princeton, NJ. The authors are grateful for the comments of Enola K. Proctor, Arlene R. Stiffmann, Wendy Auslander, Edward Spitznagel, Peter Guarnaccia, Bin Xie and Vanessa Noriega on earlier drafts of this paper.

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Authors and Affiliations

  1. School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, USA, 90089-0411,, USA

    Leopoldo J. Cabassa

  2. Department of Anthropology, Washington University, St. Louis, MO, USA

    Rebecca Lester

  3. George Warren Brown School of Social Work, Washington University, St. Louis, MO, USA

    Luis H. Zayas

Authors
  1. Leopoldo J. Cabassa
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  2. Rebecca Lester
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  3. Luis H. Zayas
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Corresponding author

Correspondence to Leopoldo J. Cabassa.

Appendix A. Vignette

Appendix A. Vignette

Vignette was adapted from the Mental Health Module of the 1996 General Social Survey [33].

Laura

Instructions: Now, I’m going to describe a person—let’s call her Laura. As you listen to what is happening to Laura, I want you to imagine yourself going through the same situation. Please listen as carefully as you can and try to put yourself in her situation. Later, I’ll ask you some questions about what you think and feel about Laura.

For the last two weeks Laura has been feeling down. She wakes up in the morning with a flat, heavy feeling that sticks with her all day long. She isn’t enjoying things the way she normally would. In fact, nothing seems to give her pleasure. Even when good things happen, they don’t seem to make Laura happy. She pushes on through her days, but it is really hard. The smallest tasks are difficult to accomplish. She finds it hard to concentrate on anything. She feels out of energy and out of steam. And even though Laura feels tired, when night comes she can’t get to sleep. Laura feels pretty worthless, and very discouraged. Laura’s family has noticed that she hasn’t been herself for about the last month, and that she has pulled away from them. Laura does not feel like talking.

Roberto

Instructions: Now, I’m going to describe a person—let’s call him Roberto. As you listen to what is happening to Roberto, I want you to imagine yourself going through the same situation. Please listen as carefully as you can and try to put yourself in his situation. Later, I’ll ask you some questions about what you think and feel about Roberto.

For the last two weeks Roberto has been feeling down. He wakes up in the morning with a flat, heavy feeling that sticks with him all day long. He isn’t enjoying things the way he normally would. In fact, nothing seems to give him pleasure. Even when good things happen, they don’t seem to make Roberto happy. He pushes on through his days, but it is really hard. The smallest tasks are difficult to accomplish. He finds it hard to concentrate on anything. He feels out of energy and out of steam. And even though Roberto feels tired, when night comes he can’t get to sleep. Roberto feels pretty worthless, and very discouraged. Roberto’s family has noticed that he hasn’t been himself for about the last month, and that he has pulled away from them. Roberto does not feel like talking.

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Cabassa, L.J., Lester, R. & Zayas, L.H. “It’s Like Being in a Labyrinth:” Hispanic Immigrants’ Perceptions of Depression and Attitudes Toward Treatments. J Immigrant Health 9, 1–16 (2007). https://doi.org/10.1007/s10903-006-9010-1

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