Patient primary language in a culturally focused intervention for Latino Americans with depression

Laura Curren, Ilana Huz, Madison McKee, Lara Traeger, C. Andres Bedoya, Trina E. Chang, Paolo Cassano, Maurizio Fava, Jonathan Alpert, Albert Yeung, Stephen E. Gilman, Nhi Ha Trinh

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Abstract

BACKGROUND: This study examined whether a culturally focused psychiatric consultation program (CFP) for Latino Americans was equally effective in reducing depressive symptoms in English-speaking and Spanish-speaking patients. METHODS: The CFP utilizes the Engagement Interview Protocol (EIP), a semi-standardized protocol eliciting patient narratives about illness beliefs. The sample included 118 Latino American patients presenting with depressive symptoms. Patient-preferred primary language was examined as a moderator for the effect of CFP participation vs usual care on change in depressive symptoms. RESULTS: Multiple regression analysis revealed that the interaction effect of primary language and treatment arm on depressive symptoms, as measured by the Quick Inventory of Depressive Symptomatology-Self Report was not statistically significant at 6-month follow-up (B = -2.89, t = -1.35, P = .180). CONCLUSIONS: The findings suggest that the CFP was equally effective in both Spanish and English-speaking Latino Americans. The trend in the results toward greater reduction in depressive symptoms in primary Spanish-speaking Latino Americans as compared with primary English-speaking Latino Americans suggests the importance of receiving language-concordant care.

Original languageEnglish (US)
Pages (from-to)84-90
Number of pages7
JournalAnnals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
Volume30
Issue number2
StatePublished - May 1 2018

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ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Curren, L., Huz, I., McKee, M., Traeger, L., Bedoya, C. A., Chang, T. E., Cassano, P., Fava, M., Alpert, J., Yeung, A., Gilman, S. E., & Trinh, N. H. (2018). Patient primary language in a culturally focused intervention for Latino Americans with depression. Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 30(2), 84-90.