Cognitive Behavioral Group Therapy For Depressed Latinas

描述（由申请人提供）：与美国的非拉丁裔白人相比，拉丁裔的抑郁水平更高，并且对于文化适应程度更高的拉丁裔人来说更高。抑郁症在拉丁美洲女性中的发病率高于男性。然而，尽管抑郁症的症状更高，但拉丁美洲人获得的心理健康服务比白人少，即使他们说英语并有保险。接受过治疗技术培训的护士在社区环境中可能是有效的，在社区环境中，低收入的拉丁裔妇女更容易获得治疗。 本提案培训方面的目标是获得知识，进行分析，并参与评估和实施以下内容：a）与拉丁美洲人口心理健康干预有关的文化问题; B）认知行为疗法; c）动机访谈; d）文化上适合拉丁美洲人的诊断访谈。研究的具体目的是描述护士主导的，以社区为基础的认知行为团体治疗（CBGT）的可行性60低收入，第二代妇女的中美洲和墨西哥血统谁有重大或轻微的抑郁症或心境恶劣。可行性的描述将包括治疗的动机和障碍（通过定性方法获得），以及妇女准备处理抑郁症状的阶段，由罗得岛大学变化评估（URICA）量表测量。最后，将进行一项试点研究，以描述护士领导的CBGT在降低抑郁症8周以上的有效性，并描述成功治疗抑郁症的女性内在力量因素的关系。内在力量因素将通过改良的Wagnild & Young复原力量表、改良的Pearlin & Schoolman掌握量表和改良的Burns生活满意度测量来测量。该设计是一个单组，准实验，前，后，重复测量研究。分析包括配对t检验;单样本配对非参数Wilcoxon符号秩检验;单样本比例检验;和简单线性回归。关于动机和障碍的定性数据将用扎根理论技术进行分析。

DESCRIPTION (provided by applicant): Levels of depression are higher among Latinos compared to non-Latino whites in the US, and higher for more acculturated Latinos. Depression is higher in Latino women than men. However, despite higher symptoms of depression, Latinos receive fewer mental health services than whites even if they speak English and have insurance. Nurses trained in therapeutic techniques may be effective in community settings where treatment may be more accessible to low income Latina women. The goals of the training aspect of this proposal are to gain knowledge, perform analyses, and engage in evaluation and implementation of the following: a) cultural issues related to mental health interventions with Latino populations; b) cognitive behavioral therapy; c) motivational interviews; and d) culturally appropriate diagnostic interviews for Latinos. The specific aims for research are to describe the feasibility of nurse-led, community-based cognitive behavioral group therapy (CBGT) for 60 low income, second-generation women of Central American and Mexican descent who have major or minor depression or dysthymia. Descriptors of feasibility will include motivators and barriers to therapy (obtained through qualitative methodology) as well as women's stages of readiness to deal with depressive symptoms, measured by the University of Rhode Island Change Assessment (URICA) scale. Lastly, a pilot study will be done to describe the effectiveness of nurse-led CBGT in lowering depression over 8 weeks and to describe the relationship of women's intrinsic strength factors for successful treatment of depression. The intrinsic strength factors will be measured by the modified Wagnild & Young Resilience scale; the modified Pearlin & Schooler Mastery scale; and the modified Burns Life Satisfaction measure. The design is a one-group, quasi-experimental, pre-post, repeated measures study. The analysis includes paired t-tests; one-sample paired, non-parametric Wilcoxon Signed Rank test; one-sample test for proportions; and simple linear regression. Qualitative data on motivations and barriers will be analyzed with Grounded Theory techniques.