Ada M Wilkinson-Lee, Alexandra M. Armenta, Velia Leybas Nuño, Martha Moore-Monroy, Allison Hopkins, Francisco A. R. García
{"title":"Engaging Promotora-Led Community-Based Participatory Research: An Introduction to a Crossover Design Focusing on Reproductive and Mental Health Needs of a Latina Community","authors":"Ada M Wilkinson-Lee, Alexandra M. Armenta, Velia Leybas Nuño, Martha Moore-Monroy, Allison Hopkins, Francisco A. R. García","doi":"10.1037/lat0000119","DOIUrl":"https://doi.org/10.1037/lat0000119","url":null,"abstract":"Literature emphasizes the need to engage Latino/as in research. However, exactly how to accomplish the engagement while maintaining scientific rigor is a challenge that investigators face. We contribute to the literature by demonstrating the implementation of a crossover design embedded within a community-based participatory research (CBPR) approach. The goal of the study was to disseminate priority health education, which aligned with U.S. Preventive Services Task Force screening guidelines, to Latinas 18 to 65 years of age living in Pima County, Arizona. The use of CBPR was to ensure engagement and increase ownership of the study by the Latina community. To this end, the article discusses the integration of CBPR throughout the crossover study to reach the outcomes of increased knowledge in health education related to sexually transmitted infections and depression that promoted informed health care decisions and increased screening. La literatura acentúa la necesidad de atraer Latinos/as a estudios de investigaciones. Sin embargo, el desafío que encuentran los investigadores es de que manera exacta lograr atraerles y aun mantener el rigor científico. Nosotros contribuimos a esta literatura demostrando la implementación de un diseño cruzado estrechamente ligado al enfoque de investigaciones basadas en participación comunitaria (CBPR). El objetivo del estudio, el cual está en regla con las guías de evaluaciones de salud de United States Preventive Services Task Force (USPSTF), es de diseminar de manera prioritaria educación de salud a Latinas de entre 18 a 65 años de edad que viven en el condado de Pima, en Arizona. El uso de investigaciones basadas en participación comunitaria (CBPR) es de asegurar un compromiso y aumentar el sentimiento de posesión de este estudio por parte de la comunidad Latina. Con este propósito, este documento discute la integración de CBPR atreves de un estudio cruzado para alcanzar el objetivo de aumentar el conocimiento de educación sobre la salud relacionado con infecciones de transmisión sexual y depresión así promoviendo decisiones de salud educadas y aumentar el uso de evaluaciones de salud.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"31 1","pages":"291–303"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88241085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zoe E. Taylor, Blake L. Jones, Laura Y. Anaya, Carly D. Evich
{"title":"Effortful Control as a Mediator Between Contextual Stressors and Adjustment in Midwestern Latino Youth","authors":"Zoe E. Taylor, Blake L. Jones, Laura Y. Anaya, Carly D. Evich","doi":"10.1037/lat0000091","DOIUrl":"https://doi.org/10.1037/lat0000091","url":null,"abstract":"The challenges of transitioning into adolescence may be exacerbated for Latino youth whom, on average, often experience additional unique stressors such as discrimination and poverty. However, self-regulation traits, such as effortful control, could protect youth against the negative effects of stressors. Using a resilience framework, we examined the relations of multicultural stressors on depressive and externalizing problems in Latino youth, and tested if effortful control counteracted these relations. We hypothesized that stressors would positively predict depressive and externalizing problems, but that effortful control would compensate against these risks. Latino families with a fifth-grade child (N = 57, mean age = 10.5, 57.9% female, 83% two-parent) living in the Midwest were recruited utilizing community resources. Data were cross-sectionally analyzed using structural equation modeling in Mplus. Stressors were positively associated with depressive and externalizing problems, whereas effortful control had negative direct effects on maladjustment. Results suggest that effortful control may help counteract contextual risks commonly experienced by Latino youth. Los retos de la transición a la adolescencia pueden ser exacerbados para los jóvenes Latinos que, en promedio, tienen experiencias adicionales de estresores únicos tales como la discriminación y la pobreza. Sin embargo, características de la regulación de la emoción, tal como el control esforzado de la atención, pueden proteger a los jóvenes de los efectos negativos del estrés. Objetivos: Usando un marco de resistencia, examinamos las relaciones de los estresores multiculturales con los síntomas depresivos y externalizantes en jóvenes Latinos, y probamos si el control esforzado contrariara estas relaciones. Nuestra hipótesis fue que estresores predecirían positivamente síntomas depresivos, pero que el control esforzado compensaría contra estos riesgos. Métodos: Familias Latinas con hijo/a en el quinto grado (N = 57, edad media = 10.5, 54% niñas, 83% con ambos padres) viviendo en el Medio Oeste fueron reclutadas utilizando recursos de la comunidad. Los datos fueron analizados transversalmente usando modelos de ecuaciones estructurales en MPlus. Resultados: Estresores fueron positivamente asociados con síntomas depresivos y externalizantes mientras que el control esforzado tuvo efectos directos negativos sobre la inadaptación. Conclusiones: Los resultados sugieren que el control esforzado puede ayudar a proteger a jóvenes Latinos contra riesgos contextuales comunes.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"3 1","pages":"248–257"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90568307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yacihuilca Moní, Marisa Mealy, José Carlos del Ama, J. Conway
{"title":"Bidimensional Acculturation and Academic Success Among Latina/o College Students","authors":"Yacihuilca Moní, Marisa Mealy, José Carlos del Ama, J. Conway","doi":"10.1037/lat0000098","DOIUrl":"https://doi.org/10.1037/lat0000098","url":null,"abstract":"Two studies examine the effect of bidimensional acculturation on academic outcomes among Latina/o college students. Findings suggest that, contrary to previous studies, academic outcomes are not related to immigrant generational status. However, students who adopt the integration acculturation strategy are more likely to have a positive school attitude, while students who use the assimilation strategy are more likely to have a negative school attitude. Students who use the integration strategy also score higher on school effort and educational values than students who use the assimilation strategy. High levels of school effort and educational values are related to both a higher grade point average (GPA) and a more positive school attitude. Conversely, low levels of parental involvement are associated with positive academic outcomes. Students who were thinking of dropping out of college scored lower on school attitude, school effort, and educational values than their counterparts. However, there was no difference in the GPA of the two groups of students. Previous studies on this topic have focused almost exclusively on unidimensional acculturation and school-age children or adolescents. Thus, these studies provide insight into the way that bidimensional acculturation affects academic variables such as GPA, school attitude, parental involvement, school effort, educational values, and bilingualism within a Latina/o college sample. The findings from these studies emphasize the importance of focusing on the values and beliefs of both the host and heritage cultures. Dos estudios examinan el efecto de la aculturación bidimensional sobre el rendimiento académico entre estudiantes universitarios latina/os. Los resultados sugieren que, en contra de estudios anteriores, los rendimientos académicos no están relacionados con el estatus generacional de los inmigrantes. Sin embargo, los estudiantes que adoptan la estrategia de aculturación de integración tienen más probabilidades de tener una actitud escolar positiva, mientras que los estudiantes que utilizan la estrategia de asimilación tienen más probabilidades de tener una actitud escolar negativa. Los estudiantes que usan la estrategia de integración también muestran unos índices superiores en el esfuerzo escolar y en los valores educativos que los estudiantes que usan la estrategia de asimilación. Los altos niveles de esfuerzo escolar y los valores educativos están relacionados con un promedio de calificaciones más alto y una actitud escolar más positiva. En cambio la baja participación de los padres está asociada con rendimientos académicos positivos. Los estudiantes que pensaban abandonar la universidad mostraron niveles inferiores de actitud escolar, esfuerzo escolar y valores educativos al resto de los encuestados. Sin embargo, no hubo diferencias en el promedio de calificaciones entre los dos grupos de estudiantes. Los estudios anteriores en este tema se han concentrado casi exclusivamente en la acult","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"40 1","pages":"220–234"},"PeriodicalIF":0.0,"publicationDate":"2018-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81138962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Religiosity and Well-Being Among Mexican-Born and U.S.-Born Mexicans: A Qualitative Investigation","authors":"Oswaldo Moreno, E. Cardemil","doi":"10.1037/lat0000099","DOIUrl":"https://doi.org/10.1037/lat0000099","url":null,"abstract":"In this study, 40 Latinas/os of Mexican origin (20 Mexican-born and 20 U.S.-born) from the Southwest United States participated in in-person qualitative interviews centered on two interrelated aims. The first aim was to better understand participants’ perceptions regarding their religiosity, as well as their view of the relationship between religiosity and their well-being. The second aim explored generational influences on participants’ descriptions of religiosity. Using thematic analysis, we found generational differences in how participants described their religiosity. Specifically, Mexican-born immigrants perceived that their religiosity was informed by their social connections, having more life stressors, and traditional upbringing. U.S.-born Mexican Americans, however, perceived themselves as being less interested in social connections and having fewer life stressors relative to than Mexican-born immigrants. These perceptions seemed to contribute to a reduced interest in religion. In addition, participants also viewed religiosity as helping their psychological well-being. This was generally seen with Mexican-born immigrants who described that social support, a religious locus of control, and adherence to religion-specific morals and guidelines were aspects of religiosity commonly connected to their well-being. Clinical and research implications are discussed. En este estudio, 40 latinas/os de origen mexicano (20 nacidos en México y 20 nacidos en los Estados Unidos) del suroeste de los Estados Unidos participaron en una entrevista cualitativa centrado sobre dos metas principales. La primera meta intenta mejor entender las percepciones de los participantes con respecto a su religiosidad, tanto como sus perspectivas sobre la relación entre la religion y su bienestar. La segunda meta explora las diferencias de estatus de generaciones en las descripciones de religiosidad. Usando el análisis temático, encontramos que hay diferencias generacionales en como los participantes describieron su religiosidad. Específicamente, los inmigrantes nacidos en México percibieron que su religiosidad era informada por conexiones sociales, por tener más estrés en la vida, y por la crianza tradicional. Los estadounidenses de origen mexicano nacidos en Estados Unidos, sin embargo, se percibieron como menos interesados en conexiones sociales y con menos estresantes de la vida que los inmigrantes nacidos en México. Estas percepciones parecían contribuir a menor interés por la religiosidad. Además, los participantes también vieron la religiosidad como una ayuda para su bienestar psicológico. Esto se vió generalmente con los inmigrantes nacidos en México que describieron que el apoyo social, el locus de control religioso, y la adherencia a morales y directrices específicas de la religión fueron aspectos de la religiosidad comúnmente relacionado a su bienestar. Implicaciones clínicas y para la investigación se discuten.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"1 1","pages":"235–247"},"PeriodicalIF":0.0,"publicationDate":"2017-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78937243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to special issue on evidence-based treatments with Latinas/os: Attending to heterogeneity.","authors":"E. Cardemil","doi":"10.1037/LAT0000103","DOIUrl":"https://doi.org/10.1037/LAT0000103","url":null,"abstract":"A pesar del crecimiento en la investigación que demuestra la eficacia de la psicoterapia, y especialmente la psicoterapia basada en la evidencia (PBE), siguen habiendo lagunas significativas en nuestro conocimiento con respecto a su eficacia con Latinas/ os. En particular, se sabe muy poco acerca de los contextos específicos en los que los PBE podrían ser efectivos (o no) con Latino/as. Una explicación parcial de estas deficiencias en nuestro conocimiento se debe al hecho de que la mayoría de los manuales de los PBEs no cuidan adecuadamente la variabilidad intragrupal que existe entre Latinas/os, y en su lugar toman un enfoque que todos son iguales. En esta “Edición Especial de Psicoterapias Basadas en Evidencia para Latino/as” presentamos los trabajos de cinco equipos de investigación que enfatizan la heterogeneidad de los Latino/as en sus esfuerzos para desarrollar y evaluar sus intervenciones. Es importante notar que ellos lo hacen de maneras diferentes. Algunos de los equipos realizan adaptaciones mínimas a intervenciones ya establecidas, porque esas intervenciones ya han obtenidos resultados positivos con muestras Latino/as. Otros hacen adaptaciones más extensivos para incorporar consideraciones culturales relevantes en el desarrollo de sus intervenciones. En conjunto, estas cinco investigaciones representan una diversidad de enfoques que pueden servir como guías en el área de cómo identificar qué tipos de PBE funcionan con cuales Latino/a y con cuales características.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"40 1","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79804531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Stein, Andrea L. Kulish, Christianna S. Williams, Yesenia Mejia, Juan I. Prandoni, K. Thomas
{"title":"Latina/o Parent Activation in Children’s Mental Health Treatment: The Role of Demographic and Psychological Factors","authors":"G. Stein, Andrea L. Kulish, Christianna S. Williams, Yesenia Mejia, Juan I. Prandoni, K. Thomas","doi":"10.1037/lat0000094","DOIUrl":"https://doi.org/10.1037/lat0000094","url":null,"abstract":"Patient activation has recently emerged as a critical component of effective health care (Hibbard & Greene, 2013), but Latina/o populations demonstrate lower levels of activation compared to non-Latina/o Whites (Cunningham, Hibbard, & Gibbons, 2011). The current study examined demographic and psychological factors associated with immigrant Latina/o parent activation in parents seeking mental health services for their children. Additionally, the study tested whether psychological factors (parental depressive symptoms, parenting stress, perceived severity of child psychopathology) were associated with the effectiveness of an activation intervention among immigrant Latina/o parents (MEPREPA— short for “me preparo”/I prepare [MEtas, PReguntar, Escuchar, Preguntar para Aclarar/goals, questioning, listening, questioning to clarify]). Results demonstrated that parenting stress and perceived severity of child psychopathology were associated with lower levels of parent activation. Additionally, although there was a treatment effect for all parents, stratified group analyses suggested that parents with higher depressive symptoms and greater parenting stress benefited more from the MEPREPA intervention compared to controls. Stratified analyses also showed that the intervention had a greater positive impact on parent activation in health care among parents whose children had more severe symptoms. Clinical and research implications are discussed. La activación del paciente ha emergido recientemente como un componente vital en la asistencia médica efectiva (Hibbard & Greene, 2013), pero las poblaciones Latinas suelen demostrar niveles más bajos de activación en comparación con poblaciones blancas no-Latinas (Cunningham, Hibbard, & Gibbons, 2011). Este estudio examinó factores demográficos y psicológicos asociados con la activación en padres Latinos emigrantes con hijos en tratamiento de salud mental. Adicionalmente, el estudio investigó si factores psicológicos (síntomas depresivos de los padres, estrés parental, la severidad percibida de la patología del niño) fueron asociados con la efectividad de una intervención de activación para padres Latinos emigrantes (MEPREPA). Los resultados demostraron que el estrés parental y la severidad percibida de la patología del niño fueron asociados con niveles más bajos de activación del paciente. Adicionalmente, a pesar de que se encontró un efecto del tratamiento para todos los padres en el estudio, análisis estratificados de los grupos sugirieron que padres con síntomas depresivos mayores y un mayor estrés parental recibieron un mayor beneficio de la intervención en comparación con los padres en el grupo de control. Los análisis estratificados también demostraron que la intervención tuvo un mayor impacto positivo en la activación de los padres de niños con síntomas más graves. Se discuten implicaciones clínicas y de investigación en base de estos resultados.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"7 1","pages":"290–305"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88347745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María M Santos, Gabriela A Nagy, Gabriela Diéguez Hurtado, Paul West, Azara L Santiago-Rivera, Han-Joo Lee, Jonathan W Kanter
{"title":"Acculturative Stress as a Moderator of Treatment Engagement and Retention in Behavioral Activation and Treatment as Usual for Latinos With Depression.","authors":"María M Santos, Gabriela A Nagy, Gabriela Diéguez Hurtado, Paul West, Azara L Santiago-Rivera, Han-Joo Lee, Jonathan W Kanter","doi":"10.1037/lat0000074","DOIUrl":"10.1037/lat0000074","url":null,"abstract":"<p><p>Depression presents a significant public health burden for Latinos in the United States. Behavioral Activation for Latinos (BAL) has emerged as a promising treatment strategy for depressed Latinos. BAL has been shown to more successfully engage and retain clients in treatment compared with treatment-as-usual (TAU) when measured as session attendance. Cultural moderators of session attendance were explored using data obtained from a trial in which BAL was compared with TAU. Variables examined included familism and dimensions of acculturation and acculturative stress. The sample was comprised of Spanish-speaking Latinos who sought services at a community health center in a major urban center. Results suggested that a form of acculturative stress, pressure against acculturation (PAA) or stress that stems from conflict or criticism for preferring American over Latino practices, may moderate the relationship between treatment condition and number of sessions attended. Specifically, the number of sessions attended by a client receiving a given treatment may depend on the client's level of PAA. This finding suggests that PAA may represent an obstacle to retention for TAU. It may also suggest that BAL may not exacerbate or may successfully address this obstacle. Factors that may account for the impact of PAA on the relationship between treatment condition and number of sessions attended, and that may mediate this relationship, are discussed. Future research is needed to determine whether the current preliminary findings are robust.</p>","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"31 1","pages":"275-289"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87675067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Acevedo-Polakovich, Veronica A. Kassab, K. Boress, Kathryn A. V. Clements, S. Stout, Mario Alfaro, Jodi Brookins-Fisher, Aileen Guerra-Morales
{"title":"When Context Matters: Adaptation for High-Risk U.S. Latina/o Subgroups","authors":"I. Acevedo-Polakovich, Veronica A. Kassab, K. Boress, Kathryn A. V. Clements, S. Stout, Mario Alfaro, Jodi Brookins-Fisher, Aileen Guerra-Morales","doi":"10.1037/lat0000100","DOIUrl":"https://doi.org/10.1037/lat0000100","url":null,"abstract":"When membership in specific U.S. Latina/o subgroups is associated with differences in constructs related to an intervention’s targets or key components, adaptation must respond to Latina/o cultural constructs and to subgroup contextual factors. In the present study, we examined the feasibility of delivering an intervention to reduce sexually risky behavior in U.S. Latina/o youth adapted in response to the contexts faced by gang-involved Latina/o youth. Our secondary goal was to examine the effectiveness and satisfaction outcomes associated with the adapted intervention. Results suggest that the adapted version can be faithfully implemented, and that—compared the standard intervention—the adaptation has comparable effectiveness and higher participant satisfaction. We discuss the future development and evaluation of the intervention, and the usefulness of cultural adaptation in response to the needs of high-risk Latina/o subgroups. Cuando la pertenencia a grupos específicos de latinos en los Estados Unidos de America (E.U.A) se asocia con diferencias en constructos relacionados a los objetivos o componentes clave de una intervención, la adaptación debe responder a constructos culturales latinoamericanos y a factores contextuales a nivel subgrupo. En esta investigación, examinamos la factibilidad de proporcionar una intervención para reducir el comportamiento sexual riesgoso en adolescentes latinos de E.U.A. adaptada en respuesta a los contextos encarados por los jóvenes involucrados con pandillas. Nuestra meta secundaria fue examinar los resultados de efectividad y satisfacción asociados con la intervención adaptada. Los resultados sugieren que la versión adaptada puede ser fielmente implementada, y que—comparada con la intervención estándar—la adaptación tiene una efectividad comparable y mayor satisfacción de los participantes. Discutimos el futuro desarrollo y evaluación de la intervención, y la utilidad de la adaptación cultural en respuesta a las necesidades de grupos latinos con alto riesgo.","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"85 1","pages":"306–322"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88779199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jazmin A. Reyes-Portillo, E. McGlinchey, Paula Yanes-Lukin, J. Turner, L. Mufson
{"title":"Mediators of Interpersonal Psychotherapy for Depressed Adolescents on Outcomes in Latinos: The Role of Peer and Family Interpersonal Functioning","authors":"Jazmin A. Reyes-Portillo, E. McGlinchey, Paula Yanes-Lukin, J. Turner, L. Mufson","doi":"10.1037/lat0000096","DOIUrl":"https://doi.org/10.1037/lat0000096","url":null,"abstract":"Peer and family interpersonal functioning were examined as mediators of the impact of Interpersonal Psychotherapy for Depressed Adolescents (IPT-A; Mufson, Dorta, Moreau, & Weissman, 2004) on depression and suicidal ideation among Latino youth. Only youth self-identifying as Latino (n = 50) were included in the analyses. The majority were female (86%) with a mean age of 14.58 (SD = 1.91). The current sample was drawn from the intent to treat sample of a clinical trial examining the effectiveness of IPT-A as compared with treatment as usual (TAU; Mufson, Dorta, Wickramaratne et al., 2004). Youth were randomly assigned to receive IPT-A or TAU delivered by school-based mental health clinicians. Assessments, completed at baseline and at Weeks 4, 8, and 12 (or at early termination), included self-report measures of depression and interpersonal functioning as well as clinician-administered measures of depression. Multilevel modeling indicated that IPT-A led to greater improvement in interpersonal functioning with family and peers. Improved family and peer interpersonal functioning emerged as significant partial mediators of the relationship between IPT-A and depression. Only improved family interpersonal functioning emerged as a significant partial mediator of the relationship between IPT-A and suicidal ideation. However, this indirect effect was small, suggesting that most of the benefit of IPT-A for suicidal ideation appears to proceed through a pathway other than family interpersonal functioning. These results suggest that the impact of IPT-A on depressive symptoms is partially mediated by family and peer interpersonal functioning and contributes to our understanding of the mechanisms of IPT-A. Examinar el funcionamiento interpersonal con compañeros y con familiares como mediadores de los efectos de la psicoterapia interpersonal para adolescentes deprimidos (IPT-A; Mufson, Dorta, Moreau, & Weissman, 2004) en jóvenes latinos con depresión e ideación suicida. Solamente los jóvenes que se identificaron como latinos (n = 50) se incluyeron en los análisis. La mayoría fue feminina (86%) con edad media de 14.58 (SD = 1.91). La muestra actual se extrajo de la muestra del tipo intención de tratar de un ensayo clínico examinando la eficacia de IPT-A en comparación con el tratamiento habitual (TAU; Mufson, Dorta, Wickramaratne et al., 2004). Los jóvenes fueron asignados aleatoriamente para recibir IPT-A o TAU proporcionado por terapeutas dentro de los programas escolares de salud mental. Las evaluaciones, completadas al comienzo del estudio (punto de referencia) y en las semanas 4, 8, y 12 (o terminación anticipada), incluyeron autoinformes de depresión y de funcionamiento interpersonal como también encuestas completadas por los terapeutas sobre síntomas de depresión. Los modelos multinivel indicaron que los jóvenes que recibieron IPT-A tuvieron mayor mejoría en el funcionamiento interpersonal con compañeros y con familiares. La mejoría del funcionamiento inte","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"26 1","pages":"248–260"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87406405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of Substance Use Disorders Among Latinos in the United States: An Empirical Review Update","authors":"Bianca T. Villalobos, Ana J. Bridges","doi":"10.1037/lat0000097","DOIUrl":"https://doi.org/10.1037/lat0000097","url":null,"abstract":"In 2001, the Department of Health and Human Services released the Surgeon General’s Report on Mental Health: Culture, Race and Ethnicity. This landmark report identified gaps in addressing the mental health needs of underserved populations and highlighted Latinos with substance use disorders as a vulnerable population. The current article provides readers with an update on the characteristics of Latinos in the United States and a review of the epidemiological research conducted since 2001 that has advanced our knowledge of the prevalence of substance use disorders and co-occurring mental illness among Latinos. Four epidemiological surveys are reviewed: the National Comorbidity Survey—Replication, the National Latino and Asian American Study, the Hispanic Americans Baseline Alcohol Survey, and the National Epidemiological Survey on Alcohol and Related Conditions. Compared with 15 years ago, these studies reveal: (a) Latinos’ prevalence rate of substance use disorders continues to be equal to or less than that of Whites; (b) Latino men continue to have higher prevalence rates of alcohol and drug use disorders compared with Latina women; and (c) nativity remains a strong predictor of alcohol and drug use disorders, with U.S.-born Latinos demonstrating higher rates of SUDs. On the whole, results from the 2001 report accurately reflect the current state of alcohol and drug use disorders among Latinos in the United States. We recommend future national surveys include measurement of sociocultural predictors beyond nativity and gender and consider changes in immigration patterns and language use to better understand risk and protective factors among this vulnerable population. En el 2001, el Departamento de Salud y Servicios Humanos de Estados Unidos publicó el Informe del Cirujano General sobre la Salud Mental: Cultura, Raza y Orígen Étnico. En este informe monumental se identificó brechas en abordar las necesidades de salud mental de las poblaciones marginadas, y destacó los Latinos con trastornos de uso de sustancias (SUDs) como una población vulnerable. Este documento ofrece una actualización de las características de los Latinos en los Estados Unidos y una revisión de las investigaciones epidemiológicas llevadas a cabo desde el año 2001 que han avanzado el conocimiento de la prevalencia de SUDs y la coocurriencia de enfermedades mentales en Latinos. Se revisan cuatro estudios epidemiológicos: la Replicación del Estudio Nacional de Comorbilidad (National Comorbidity Survey-Replication), el Estudio Nacional Latino y Asiático Americano (National Latino and Asian American Study), la Encuesta de Línea de Base de Alcohol en Hispanos Americanos (Hispanic Americans Baseline Alcohol Survey), y la Encuesta Nacional Epidemiológica sobre Alcohol y Condiciones Relacionadas (National Epidemiologic Survey on Alcohol and Related Conditions). En comparación con hace 15 años, estos estudios revelan: (1) la prevalencia de Latinos con SUDs sigue siendo igual o menor qu","PeriodicalId":94085,"journal":{"name":"Journal of Latina/o psychology","volume":"12 1","pages":"204–219"},"PeriodicalIF":0.0,"publicationDate":"2017-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73492331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}