Culturally adapted psychotherapeutic interventions have been developed to treat Latino depression and anxiety. Evidence is lacking regarding the overall effectiveness and generalizability of these adapted interventions. This study conducted a systematic review and meta-analysis of psychotherapeutic interventions for Latino depression or anxiety.
Method:
A search of nine electronic databases and manual review of reference lists were conducted. Thirteen studies of randomized controlled trials were eligible and included for meta-analysis using robust variance estimation in meta-regression.
Results:
An overall small treatment effect that is statistically significant was identified for Latino depression or anxiety of d = 0.334, 95% confidence interval [0.049, 0.619], p < .05.
Discussion and Implications:
More research is needed to determine the effectiveness of culturally adapted psychotherapeutic interventions for Latino depression or anxiety.
References marked with an asterisk indicate articles included in meta-analysis.
2.
AisenbergE.Dwight-JohnsonM.O’BrienM.LudmanE. J.GolinelliD. (2012). Building a community-academic partnership: Implementing a community-based trial of telephone cognitive behavioral therapy for rural Latinos. Depression Research and Treatment, 2012, 257858. https://doi.org/10.1155/2012/257858
3.
AlegriaM.CaninoG.ShroutP. E.WooM.DuanN.VilaD.TorresM.ChenC.MengX. L. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. The American Journal of Psychiatry, 165, 359–369. https://doi.org/10.1176/appi.ajp.2007.07040704
4.
AntoniadesJ.MazzaD.BrijnathB. (2014). Efficacy of depression treatments for immigrant patients: Results from a systematic review. BMC Psychiatry, 14, 176. https://doi.org/10.1186/1471-244X-14-176
5.
*AshingK.RosalesM. (2014). A telephonic-based trial to reduce depressive symptoms among Latina breast cancer survivors. Psycho-Oncology, 23, 507–515. https://doi.org/10.1002/pon.3441
6.
BarreraM.JrCastroF. G.StryckerL. A.ToobertD. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), 196–205. https://doi.org/10.1037/a0027085
7.
*BedoyaI.TraegerI.TrinhI.ChangI.BrillI.HailsI.HaganP. N.FlahertyK.YeungI. (2014). Impact of a culturally focused psychiatric consultation on depressive symptoms among Latinos in primary care. Psychiatric Services, 65, 1256–1262.
8.
*BeeberL. S.Holditch-DavisD.PerreiraK.SchwartzT. A.LewisV.BlanchardH.CanusoR.GoldmanB. D. (2010). Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers. Research in Nursing & Health, 33, 60–76. https://doi.org/10.1002/nur.20363
9.
BernalG.Jiménez-ChafeyM. I.Domenech RodríguezM. M. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research and Practice, 40, 361–368. https://doi.org/10.1037/a0016401
10.
CabassaL.BaumannA. (2013). A two-way street: Bridging implementation science and cultural adaptations of mental health treatments. Implementation Science, 8(1), 90–90. https://doi.org/10.1186/1748-5908-8-90
11.
CabassaL. J.ZayasL. H.HansenM. C. (2006). Latino adults’ access to mental health care: A review of epidemiological studies. Administration and Policy in Mental Health and Mental Health Services Research, 33, 316–330. https://doi.org/10.1007/s10488-006-0040-8
CooperH.HedgesL. V.ValentineJ. C. (Eds.). (2009). The handbook of research synthesis and meta-analysis. Russell Sage Foundation.
17.
DelgadoM. (2007). Social work with Latinos: A cultural assets paradigm. Oxford University Press.
18.
*EllK.ArandaM. P.WuS.OhH.LeeP.-J.GutermanJ. (2017). Promotora assisted depression and self-care management among predominantly Latinos with concurrent chronic illness: Safety net care system clinical trial results. Contemporary Clinical Trials, 61, 1–9. https://doi.org/10.1016/j.cct.2017.07.001
19.
EscobarK. M.GoreyK. M. (2018). Cognitive behavioral interventions for depression among Hispanic people: Promising meta-analytic evidence for deep cultural adaptations. Social Work in Mental Health, 16, 743–755. https://doi.org/10.1080/15332985.2018.1476284
20.
*FeldmanJ. M.MatteL.InterianA.LehrerP. M.LuS.SchecknerB.SteinbergD. M.OkenT.KotayA.SinhaS.ShimC. (2016). Psychological treatment of comorbid asthma and panic disorder in Latino adults: Results from a randomized controlled trial. Behaviour Research and Therapy, 87, 142–154. https://doi.org/10.1016/j.brat.2016.09.007
21.
*Gallagher-ThompsonD.GrayH. L.DupartT.JimenezD.ThompsonL. W. (2008). Effectiveness of cognitive/behavioral small group intervention for reduction of depression and stress in non-Hispanic White and Hispanic/Latino women dementia family caregivers: Outcomes and mediators of change. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26, 286–303. https://doi.org/10.1007/s10942-008-0087-4
22.
GhioL.GotelliS.MarcenaroM.AmoreM.NattaW. (2013). Duration of untreated illness and outcomes in unipolar depression: A systematic review and meta-analysis. Journal of Affective Disorders, 152, 45–51. https://doi.org/10.1016/j.jad.2013.10.002
23.
*GonyeaJ.LopezM.ValasquezE. (2016). The effectiveness of a culturally sensitive cognitive behavioral group intervention for Latino Alzheimer’s caregivers. The Gerontologist, 56, 292–302. https://doi.org/10.1093/geront/gnu045
24.
HedgesL. V. (1981). Distribution theory for Glass’s estimator of effect size and related estimators. Journal of Educational Statistics, 6, 107–128.
25.
HedgesL. V.TiptonE.JohnsonM. C. (2010). Robust variance estimation in meta-regression with dependent effect size estimates. Research Synthesis Methods, 1, 39–65.
26.
Hernandez RoblesE.MaynardB. R.Salas-WrightC. P.TodicJ. (2018). Culturally adapted substance use interventions for Latino adolescents: A systematic review and meta-analysis. Research on Social Work Practice, 28, 789–801. https://doi.org/10.1177/1049731516676601
27.
HigginsJ. P. T.GreenS. (2011). Cochrane handbook for systematic reviews of interventions(Version 5.1.0) [updated March 2011]. The Cochrane Collaboration. https://handbook.cochrane.org
28.
*HintonD. E.HofmannS. G.RiveraE.OttoM. W.PollackM. H. (2011). Culturally adapted CBT (CA-CBT) for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation. Behaviour Research and Therapy, 49, 275–280. https://doi.org/10.1016/j.brat.2011.01.005
29.
JaniJ. S.OrtizL.ArandaM. P. (2009). Latino outcome studies in social work: A review of the literature. Research on Social Work Practice, 19, 179–194. https://doi.org/10.1177/1049731508315974
30.
KanterJ. W.Santiago-RiveraA. L.RuschL. C.BuschA. M.WestP. (2010). Initial outcomes of a culturally adapted behavioral activation for Latinas diagnosed with depression at a community clinic. Behavior Modification, 34, 120–144. https://doi.org/10.1177/0145445509359682
31.
*KanterJ. W.Santiago-RiveraA. L.SantosM. M.NagyG.LópezM.HurtadoG. D.WestP. (2015). A randomized hybrid efficacy and effectiveness trial of behavioral activation for Latinos with depression. Behavior Therapy, 46, 177–192. https://doi.org/10.1016/j.beth.2014.09.011
32.
KesslerR. C.BerglundP.DemlerO.JinR.MerikangasK. R.WaltersE. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.
33.
KesslerR. C.MerikangasK. R. (2004). The national comorbidity survey replication (NCS-R): Background and aims. International Journal of Methods in Psychiatric Research, 13, 60–68. https://doi.org/10.1002/mpr.166
34.
La RocheM. J.BatistaC.D’AngeloE. (2011). A culturally competent relaxation intervention for Latino/as: Assessing a culturally specific match model. American Journal of Orthopsychiatry, 81, 535–542. https://doi.org/10.1111/j.1939-0025.2011.01124.x
35.
*LeH.PerryD. F.StuartE. A. (2011). Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. Journal of Consulting and Clinical Psychology, 79, 135–141. https://doi.org/10.1037/a0022492
36.
*MarcusB. H.HartmanS. J.LarsenB. A.PekmeziD.DunsigerS. I.LinkeS.MarquezB.GansK. M.BockB. C.Mendoza-VasconezA. S.NobleM. L.RojasC. (2016). Pasos Hacia La Salud: A randomized controlled trial of an internet-delivered physical activity intervention for Latinas. The International Journal of Behavioral Nutrition and Physical Activity, 13, 62. https://doi.org/10.1186/s12966-016-0385-7
37.
MarsigliaF. F.BoothJ. M. (2015). Cultural adaptation of interventions in real practice settings. Research on Social Work Practice, 25, 423–432. https://doi.org/10.1177/1049731514535989
OlkinI.GleserL. (2009). Stochastically dependent effect sizes. InCooperH.HedgesL. V.ValentineJ. C. (Eds.), The handbook of research synthesis and meta-analysis (pp. 357–376). Russell Sage Foundation.
*PinaA. A.ZerrA. A.VillaltaI. K.GonzalesN. A. (2012). Indicated prevention and early intervention for childhood anxiety: A randomized trial with Caucasian and Hispanic/Latino youth. Journal of Consulting and Clinical Psychology, 80, 940–946. https://doi.org/10.1037/a0029460
42.
Pineros-LeanoM.LiechtyJ. M.PiedraL. M. (2017). Latino immigrants, depressive symptoms, and cognitive behavioral therapy: A systematic review. Journal of Affective Disorders, 208, 567–576. https://doi.org/10.1016/j.jad.2016.10.025
43.
RuizP. (2002). Hispanic access to health/mental health services. The Psychiatric Quarterly, 73, 85.
44.
*SimoniJ.WiebeJ. S.SaucedaJ. A.HugD.SanchezG.LongoriaV.BedoyaC. A.SafrenS. A. (2013). A preliminary RCT of CBT-AD for adherence and depression among HIV-positive Latinos on the U.S.-Mexico border: The Nuevo Dia study. AIDS Behavior, 17, 2816–2829. https://doi.org/10.1007/s10461-013-5038-5
45.
Tanner-SmithE. E.TiptonE. (2014). Robust variance estimation with dependent effect sizes: Practical considerations including a software tutorial in Stata and SPSS. Research Synthesis Methods, 5, 13–30.
46.
TiptonE. (2015). Small sample adjustment for robust variance estimation with meta-regression. Psychological Methods, 20, 375–393.
47.
ValdezL. A.FloresM.RuizJ.OrenE.CarvajalS.GarciaD. O. (2018). Gender and cultural adaptations for diversity: A systematic review of alcohol and substance abuse interventions for Latino males. Substance Use & Misuse, 53, 1608–1623. https://doi.org/10.1080/10826084.2017.1417999
48.
Van den NoortgateW.López-LópezJ. A.Marín-MartínezF.Sánchez-MecaJ. (2013). Three-level meta-analysis of dependent effect sizes. Behavior Research Methods, 45, 576–594.
49.
Van LoonA.Van SchaikA.DekkerJ.BeekmanA. (2013). Bridging the gap for ethnic minority adult outpatients with depression and anxiety disorders by culturally adapted treatments. Journal of Affective Disorders, 147, 9–16. https://doi.org/10.1016/j.jad.2012.12.014
50.
VeveaJ. L.WoodsC. M. (2005). Publication bias in research synthesis: Sensitivity analysis using A priori weight functions. Psychological Methods, 10, 428–443. https://doi.org/10.1037/1082-989X.10.4.428
51.
VillatoroA. P.MoralesE. S.MaysV. M. (2014). Family culture in mental health help-seeking and utilization in a nationally representative sample of Latinos in the United States: The NLAAS. The American Journal of Orthopsychiatry, 84, 353–363. https://doi.org/10.1037/h0099844
52.
Wassertheil-SmollerS.ArredondoE.CaiJ.CastanedaS. F.ChocaJ. P.GalloL.JungM.LaVangeL. M.Lee-ReyE. T.MosleyT.JrPenedoF. J.SantistabanD. A.ZeeP. C. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology, 24, 822–830. https://doi.org/10.1016/j.annepidem.2014.09.003
53.
ZhangA.FranklinC.JingS.BornheimerL. A.HangA. H.HimleJ. A.KongD.JiQ. (2019). The effectiveness of four empirically supported psychotherapies for primary care depression and anxiety: A systematic review and meta-analysis. Journal of Affective Disorder, 245, 1168–1186. https://doi.org/10.1016/j.jad.2018.12.008
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