A randomized hybrid efficacy and effectiveness trial of behavioral activation for Latinos with depression.

Autor: Kanter JW; University of Wisconsin-Milwaukee. Electronic address: jonkan@uw.edu., Santiago-Rivera AL; The Chicago School of Professional Psychology., Santos MM; University of Wisconsin-Milwaukee., Nagy G; University of Wisconsin-Milwaukee., López M; University of Wisconsin-Milwaukee., Hurtado GD; Sixteenth Street Community Health Centers, Milwaukee., West P; Sixteenth Street Community Health Centers, Milwaukee.
Jazyk: angličtina
Zdroj: Behavior therapy [Behav Ther] 2015 Mar; Vol. 46 (2), pp. 177-92. Date of Electronic Publication: 2014 Sep 28.
DOI: 10.1016/j.beth.2014.09.011
Abstrakt: Depression presents a significant public health burden for Latinos, the largest and fastest-growing minority group in the United States. The current study performed a randomized controlled trial of Behavioral Activation (BA) for Latinos (BAL, n=21), with relatively minor modifications, compared to treatment as usual (TAU, n=22) in a community mental health clinic setting with a sample of depressed, Spanish-speaking Latinos. TAU was a strong comparison condition, taking place at the same clinic, under the same guidelines and clinic protocols, with similar levels of ongoing consultation, and using the same pool of therapists as BAL. Results indicated that BAL performed well with respect to treatment engagement and retention. Regarding acute treatment outcomes, an interaction emerged between number of sessions attended and condition. Specifically, only BAL clients who were engaged in treatment and attended more sessions demonstrated significant reductions in depression and improvements in quality of life and mental health functioning. Results are discussed in terms of the balance of efficacy and effectiveness issues addressed in this trial.
(Copyright © 2014. Published by Elsevier Ltd.)
Databáze: MEDLINE
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