Descriptions of depression and depression treatment in older Hispanic immigrants in a geriatric collaborative care program

Aging Ment Health. 2018 Aug;22(8):1050-1056. doi: 10.1080/13607863.2017.1332159. Epub 2017 May 29.

Abstract

Objectives: To explore experiences with depression and depression treatment among older Hispanic immigrants participating in a collaborative care program of psychotherapy and antidepressant medication.

Method: Semi-structured, in-depth interviews were conducted with 14 older Spanish-speaking Hispanic immigrants with major depression who participated in a collaborative care program within a public sector specialty geriatric clinic in Los Angeles, CA.

Results: Findings revealed that participants used various idioms to describe their experiences with depression, and that depression had a strong impact on functioning. Other findings indicated that depression was caused by various psychosocial problems, antidepressants were helpful in reducing depression, and that bilingual psychotherapists provided a welcoming and safe environment to express emotions and find solutions to problems.

Conclusion: Results revealed participants' experiences with depression and the impact of participating in a collaborative care intervention for depression. Findings from this project should be used to inform future geriatric interventions for older Hispanic immigrants in the USA.

Keywords: Depression; collaborative care; immigrants; older Hispanics/Latinos.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antidepressive Agents / therapeutic use*
  • Combined Modality Therapy
  • Delivery of Health Care, Integrated
  • Depressive Disorder, Major / drug therapy
  • Depressive Disorder, Major / psychology*
  • Depressive Disorder, Major / therapy*
  • Emigrants and Immigrants / psychology*
  • Female
  • Hispanic or Latino / psychology*
  • Humans
  • Los Angeles
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Psychotherapy / methods*
  • Qualitative Research

Substances

  • Antidepressive Agents