Barriers to treatment engagement for depression among Latinas
Abstract
In spite of successful treatment options for depression, the majority of Americans with severe depression do not receive treatment. Latinos are even less likely to engage in treatment than non-Hispanic Whites. The purpose of this study is to explore barriers to treatment engagement and, more specifically, how childhood adversity and gender-based violence (GBV) contribute to a lack of perceived support for treatment engagement. Experiences of GBV and childhood adversity can call into question deeply held family, cultural, and religious values, and affect the perceived quality of the therapeutic relationship and attitudes about depression treatment. A qualitative descriptive methodology was used to understand the experiences of a sample of 12 Latinas who were part of a diabetes prevention study (n = 67) and had been referred for treatment because of elevated symptoms of depression. Results indicate that the often-cited barriers to mental health care (i.e., language barriers, economic considerations, and lack of illness recognition) did not serve as deterrents for Latinas in this study. Participants recognized that they were depressed and agreed with the assessment of depression. However, none of the women followed up on the recommendation to seek care. What has emerged from this study is how cultural values, such as familismo and marianismo, and the lack of responsiveness from family and religious leaders in the context of exposure to GBV and childhood adversity created signifi…
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Treatment initiation and retention rates among our participants were low.
“However, similar to other studies among poor and ethnic minority populations, treatment initiation and retention rates among our participants were low (Aguilera et al., 2010; Blanco et al., 2007; Caplan & Whittemore, 2013; Santiago et al., 2013).”
From Randomized pilot trial of cognitive-behavioral therapy and acceptance-based behavioral therapy in the treatment of Spanish-speaking Latino primary care patients with generalized anxiety disorder (2021) · cites this paper as Caplan & Whittemore, 2013
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Reflections of Low-Income, Second-Generation Latinas About Experiences in Depression Therapy
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Integrated Depression Care Among Latinos
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- Authors
- Caplan, S., & Whittemore, R.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Yale University (US)
- Corresponding author
- Caplan, Susan
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2013-06
- Volume
- 34
- Issue
- 6
- Pages
- 412-424
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W2155593516
- Cited by
- 44
- References
- 89
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 8 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 5
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- depression, treatment engagement, Hispanic women, barriers to mental health care, childhood adversity, gender-based violence, familismo, marianismo, cultural values, family support, religious leaders, shared decision-making, mental health screening, diabetes prevention
- MeSH terms
- Adult, Child, Child Abuse, Child Abuse, Sexual, Communication Barriers, Cultural Characteristics, Depressive Disorder, Diabetes Mellitus, Type 2, Female, Gender Identity, Hispanic or Latino, Humans, Life Change Events, Middle Aged, Patient Acceptance of Health Care, Risk Factors, Social Support, Spouse Abuse, Treatment Outcome, Qualitative Research, Nurses, Community Health
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