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Latino Men and Depression: An Exploratory Study of Help-Seeking Behavior

拉丁裔男性与抑郁症：寻求帮助行为的探索性研究

基本信息

批准号：
7837728
负责人：
Esteban Cardemil
金额：
$ 30.18万
依托单位：
CLARK UNIVERSITY (WORCESTER, MA)
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-05-08 至 2012-04-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Depression is one of the most prevalent and disabling psychiatric disorders, and evidence suggests that low-income Latinos may be at particularly high risk for experiencing the disorder. However, utilization of formal mental health services is very low in this population, especially among less acculturated or recent immigrants. Latino men may be especially at risk for underutilizing services, due to both their minority status and the impact of masculine gender norms that proscribe seeking help for problems in living. Given the rapidly increasing growth in the Latino population in the US, it is critical for researchers to clarify barriers to treatment utilization in Latino men. To date, no research has examined the cultural and gender-related variables that predict attitudes towards mental health treatment and treatment-seeking behavior in this population. We propose to conduct the first systematic investigation of the culture- and gender-based psychological variables underlying the underutilization of depression treatment by low-income, Latino men. The long-term goal of this research is to identify specific ways in which current treatments can be modified or enhanced to make them more appealing and relevant to Latino men, ultimately improving the use of care by these men. This study will utilize quantitative and qualitative methodology and will target a sample of low-income Latino men experiencing clinically significant symptoms of depression. The quantitative portion will consist of 120 Latino men (60 who are currently in treatment, and 60 who are not) who will complete interview and self-report assessments at two time points measuring a variety of predictors of treatment-seeking behavior, including attitudes toward mental health treatment, stigma, and perceived barriers to care. In addition, a central focus of the quantitative portion will be to measure culture- and gender-based psychological variables that we predict will be associated with the more proximal predictors of treatment-seeking behavior. The qualitative portion will consist of individual interviews with approximately 24 Latino men and will focus on understanding the processes by which decisions to seek treatment for depression are made, and the role that culture and gender play in the treatment-seeking process. The specific research aims of this investigation are: (1) To understand how low-income Latino men conceptualize depression, coping with depression, and depression treatment (2) To identify and understand the facilitative factors and barriers that low-income Latino men experience when considering seeking treatment for depression (3) To explore the ways that specific culturally-based and gender-based psychological variables influence depression treatment-seeking in low-income Latino men (4) To develop a preliminary model of how culture and gender-related variables influence the ways in which low-income Latino men interpret depressive symptoms and choose to seek or not seek treatment. Depression is one of the most prevalent and disabling psychiatric disorders, yet treatment utilization rates remain very low, especially among low-income minorities. Latino men are at a particularly heightened risk for not seeking mental health services when needed. This study is designed to clarify reasons why many low-income Latino men do not seek help when they are depressed, thus providing the groundwork for improved services for this high risk group.

描述（由申请人提供）：抑郁症是最普遍和致残的精神疾病之一，有证据表明，低收入的拉丁美洲人可能有特别高的风险经历这种疾病。然而，这一人口对正规心理健康服务的利用率非常低，特别是在文化适应程度较低或新近移民中。由于拉丁裔男子的少数民族地位和男性化性别规范禁止在生活问题上寻求帮助的影响，他们可能特别面临服务利用不足的风险。鉴于美国拉丁裔人口的快速增长，研究人员澄清拉丁裔男性使用治疗的障碍至关重要。到目前为止，还没有研究调查预测这一人群对心理健康治疗和寻求治疗行为的态度的文化和性别相关变量。我们建议对低收入拉丁裔男性未充分利用抑郁症治疗的文化和性别心理变量进行首次系统调查。这项研究的长期目标是确定可以修改或加强当前治疗的具体方法，使其对拉丁裔男性更具吸引力和相关性，最终改善这些男性对护理的使用。本研究将采用定量和定性的方法，并将针对有临床显著抑郁症状的低收入拉丁裔男性的样本。定量部分将包括120名拉丁裔男性（60名目前正在接受治疗，60名未接受治疗），他们将在两个时间点完成访谈和自我报告评估，测量寻求治疗行为的各种预测因素，包括对精神健康治疗的态度、耻辱和感知到的护理障碍。此外，定量部分的一个中心焦点将是测量基于文化和性别的心理变量，我们预测这些变量将与寻求治疗行为的更接近的预测因素相关联。定性部分将包括对大约24名拉丁裔男性的个人访谈，并将侧重于了解抑郁症寻求治疗的决定过程，以及文化和性别在寻求治疗过程中所起的作用。本次调查的具体研究目的是：