Latinos are the fastest-growing ethnic minority group in the United States and face great environmental challenges (e.g., unemployment, loss of social support networks, displacement, and disruption of the family) as well as prejudice and discrimination. These contextual factors are significant risk factors for Latino depression. A behavioral treatment for depression, behavioral activation (BA), may be particularly relevant in treating Latino depression because of its emphasis on contextual factors. This case study presents a cultural modification of BA for Latinos with depression. The treatment of a 25-year-old Latina illustrates a successful application. It suggests that, with some modifications, BA may be a suitable treatment for this population.
Antshel, K.M. (2002). Integrating culture as a means of improving treatment adherence in the Latino population. Psychology, Health & Medicine, 7, 435-449.
2.
Baca, E., Saiz, J., Agüera, L., Caballero, L., Fernández-Liria, A., Ramos, J., et al. (1999). Validación de la versión española del PRIME-MD: Un procedimiento para el diagnóstico de trastornos mentales en atención primaria [Validation of the Spanish version of PRIME-MD: A procedure for diagnosing mental disorders in primary care]. Actas Españolas de Psiquiatría , 27, 375-383.
3.
Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
4.
Beck, A.T., Steer, R.A., & Brown, G.K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation
5.
Bein, A., Torres, S., & Kurilla, V. (2000). Service delivery issues in early termination of Latino clients. Journal of Human Behavior in the Social Environment , 3, 43-59.
6.
Berry, J.W. (1997). Immigration, acculturation, and adaptation. Applied Psychology: An International Review, 46, 5-68.
7.
Black, S.A., Markides, K.S., & Miller, T.Q. (1998). Correlates of depressive symptomatology among older community-dwelling Mexican Americans: The Hispanic EPESE. Journal of Gerontology, Series B: Psychological and Social Sciences, 53B, S198-S208.
8.
Bromberger, J.T., Harlow, S., Avis, N., Kravitz, H.M., & Cordal, A. (2004). Racial/ethnic differences in the prevalence of depressive symptoms among middle-aged women: The Study of Women's Health Across the Nation (SWAN). Journal of Public Health, 94, 1378-1384.
9.
Cuellar, I. (2002). Acculturation and mental health: Ecological transactional relations of adjustment. In I. Cuellar & F. Paniagua (Eds.), Handbook of multicultural health (pp. 45-62). Orlando, FL: Academic Press.
10.
Cuellar, I., Bastida, E., & Braccio, S.M. (2004). Residency in the United States, subjective well-being and depression in an older Mexican-origin sample. Journal of Aging and Health, 16, 447-466.
11.
Cuellar, I., & Roberts, R.E. (1997). Relations of depression, acculturation, and socioeconomic status in a Latino sample. Hispanic Journal of Behavioral Sciences, 19, 20-238.
12.
Dimidjian, S., Dobson, K.S., Kohlenberg, R.J., Gallop, R., Markley, D.K., Atkins, D.C., et al. (2006). Randomized trail of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.
13.
Gil, R.M., & Vazquez, C.I. (1996). The Maria paradox: How Latinas can merge old world traditions with new world self-esteem. New York: Putnam.
14.
Givens, J.L., Houston, T.K., Van Voorhees, B.W., Ford, D.E., & Cooper, L.A. (2007). Ethnicity and preferences for depression treatment . General Hospital Psychiatry, 29, 182-191.
15.
Gortner, E.T., Gollan, J.K., Dobson, K.S., & Jacobson, N.S. (1998). Cognitive-behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66, 377-384.
16.
Jacobson, N.S., Dobson, K.S., Truax, P.A., Addis, M.E., Koerner, K., Gollan, J.K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting & Clinical Psychology, 64, 295-304.
17.
Kanter, J.W., Mulick, P.S., Busch, A.M., Berlin, K.S., & Martell, C.R. (2007). The Behavioral Activation for Depression Scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment, 29, 191-202.
18.
Lawson, H., Kahn, M., & Heiman, E. (1982). Psychopathology, treatment outcome and attitude toward mental illness in Mexican American andEuropean patients. International Journal of Social Psychiatry, 28, 20-26.
19.
Lewinsohn, P.M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.), Psychology of depression: Contemporary theory and research (pp. 157-178). Oxford, UK: Wiley .
20.
Lewinsohn, P.M., Muñoz, R.F., Youngren, M., & Zeiss, A.M. (1978). Control your depression. Englewood Cliffs, NJ: Prentice Hall.
21.
Marín, G., Sabogal, F., Marín, B.V., & Otero-Sabogal, R. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183-205.
22.
Martell, C.R., Addis, M.E., & Jacobson, N.S. (2001). Depression in context: Strategies for guided action. New York: Norton.
23.
Munet-Vilaró, F., Folkman, S., & Gregorich, S. (1999). Depressive symptomatology in three Latino groups . Western Journal of Nursing Research, 21, 209-224.
24.
Muñoz, R., & Mendelson, T. (2005). Toward evidence-based interventions for diverse populations: The San Francisco general hospital prevention and treatment manuals . Journal of Consulting and Clinical Psychology, 73, 790-799.
25.
Organista, P.B., Organista, K.C., & Kurasaki, K. (2003). The relationship between acculturation and ethnic minority health. In K. M. Chun, P. B. Organista, & G. Marín (Eds.), Acculturation: Advances in theory, measurement and applied research (pp. 139-161). Washington, DC: American Psychological Association.
26.
Rickert, V.I., Wiemann, C.N., & Berenson, A.B. (2000). Ethnic differences in depressive symptomatology among young women. Obstetric Gynecology, 95, 5-60.
27.
Santiago-Rivera, A. L.,Arredondo, P., & Gallardo-Cooper, M. (Eds.). (2002). Counseling Latinos and la familia: A practical guide. Thousand Oaks, CA: Sage.
28.
Santiago-Rivera, A., Kanter, J.W., Benson, G., DeRose, T., Illes, R., & Reyes, W. (in press). Behavioral activation treatment approach for Latinos with depression. Psychotherapy: Theory, Research, Practice, Training .
29.
Santiago-Rivera, A.L., Kanter, J.W., Busch, A.M., & Rusch, L.C. (2007). Latinos diagnosed with depression: Characteristics and treatment issues in a community-based mental health center. Manuscript in preparation, University of Wisconsin-Milwaukee.
30.
Spitzer, R., Williams, J., Kroenke, K., & Linzer, M. (1994). Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study. Journal of the American Medical Association, 272, 1749-1756.
31.
Sue, D.W., & Sue, D. (1990). Counseling the culturally different: Theory and practice (2nd ed.). New York : John Wiley.
32.
U.S. Census Bureau (2004). The American Community-Hispanics: 2004. Retrieved February 1, 2007, from http://factfinder.census.gov
33.
Williams, J.B.W. (1998). A structured clinical interview guide for the Hamilton Depression Rating Scale. Archives of General Psychiatry , 45, 742-747.
