Journal of General Internal Medicine

, Volume 16, Issue 9, pp 634–638 | Cite as

How important is intrinsic spirituality in depression care?

A comparison of white and african-american primary care patients
  • Lisa A. Cooper
  • Charlotte Brown
  • Hong Thi Vu
  • Daniel E. Ford
  • Neil R. Powe
Populations At Risk


We used a cross-sectional survey to compare the views of African-American and white adult primary care patients (N=76) regarding the importance of various aspects of depression care. Patients were asked to rate the importance of 126 aspects of depression care (derived from attitudinal domains identified in focus groups) on a 5-point Likert scale. The 30 most important items came from 9 domains: 1) health professionals’ interpersonal skills, 2) primary care provider recognition of depression, 3) treatment effectiveness, 4) treatment problems, 5) patient understanding about treatment, 6) intrinsic spirituality, 7) financial access, 8) life experiences, and 9) social support. African-American and white patients rated most aspects of depression care as similarly important, except that the odds of rating spirituality as extremely important for depression care were 3 times higher for African Americans than the odds for whites.

Key words

depression spirituality patient attitudes African Americans 


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Copyright information

© Blackwell Science Inc 2001

Authors and Affiliations

  • Lisa A. Cooper
    • 1
    • 2
  • Charlotte Brown
    • 3
  • Hong Thi Vu
    • 1
  • Daniel E. Ford
    • 1
    • 2
  • Neil R. Powe
    • 1
    • 2
  1. 1.the Department of MedicineThe Johns Hopkins University School of MedicineBaltimore
  2. 2.the Department of Health Policy and ManagementThe Johns Hopkins University School of Hygiene and Public HealthBaltimore
  3. 3.The Western Psychiatric Institute and Clinic and the Department of PsychiatryUniversity of Pittsburgh School of MedicinePittsburgh
  4. 4.Welch Center for Prevention, Epidemiology, and Clinical ResearchBaltimore

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