Author ORCID Identifier
http://orcid.org/0000-0003-1209-3892 : Keren Escobar
Document Type
Article
Publication Date
2018
Publication Title
Social Work in Mental Health
Volume
16
First Page
743
Keywords
Cognitive behavioral therapy, culturally adapted interventions, depression, Hispanic, Latina/o, meta-analysis, social work interventions
Last Page
755
Abstract
Depressive disorders are common among Hispanic people. Evidence-informed guidelines indicate cognitive behavioral interventions (CBI), but they were developed primarily with non-Hispanic White people. Narrative studies of clients and workers along systematic review evidence suggested that well-defines cultural adaptations of CBIs would likely improve outcomes among Hispanics people with diverse mental health problems. We advanced the meta-analytic hypothesis that CBIs incorporating so-called “deep structure” cultural adaptations will be more effective than otherwise similar, but more superficially, “surface structure” or non-adapted interventions with depressed Hispanic people. This meta-analysis synthesized evidence from nine typically randomized trials in the United States with one subsample from the Commonwealth of Puerto Rico. Most clients were young women, living in poverty and suffering a reactive depressive episode. We found statistical and practical support for our hypothesis. In most practice contexts, CBI success rates were between 15% and 30% better than those typically observed with other usual practices. Moreover, these effects were maintained at 6- to 12-month follow-up. Given the size and growth of the Hispanic American population, their prevalent experience of depression, and the size of the intervention effects, these synthesized findings seem of potentially great human, clinical, and policy significance.
DOI
10.1080/15332985.2018.1476284
Funding Reference Number
This work was supported by the Ontario Graduate Scholarship.
Recommended Citation
Escobar, Keren M. and Gorey, Kevin M.. (2018). Cognitive behavioral interventions for depression among Hispanic people: promising meta-analytic evidence for deep cultural adaptations. Social Work in Mental Health, 16, 743-755.
https://scholar.uwindsor.ca/socialworkpub/112
Included in
Chicana/o Studies Commons, Clinical and Medical Social Work Commons, Clinical Psychology Commons, Cognitive Behavioral Therapy Commons, Counseling Commons, Ethnic Studies Commons, Latina/o Studies Commons, Mental Disorders Commons, Multicultural Psychology Commons, Psychiatric and Mental Health Commons, Psychological Phenomena and Processes Commons, Social Work Commons