Major Depressive Disorder (MDD) is highly prevalent and widely-impairing across racial and ethnic groups. Higher rates of MDD have been observed among Latinos with limited English-language proficiency relative to the general population. Although MDD is a highly treatable condition, barriers to treatment access and delivery have been implicated in precluding this group from utilizing and receiving mental health services. Fortunately, Latinos tend to endorse positive attitudes toward psychosocial treatments for depression by applying the valued belief of """"""""poner de su parte"""""""" or being able to do their part in one's recovery, a concept that is highly consistent with the framework of behavioral treatments for depression. The Behavioral Activation Treatment for Depression (BATD), based on reinforcement theory, may be well-equipped to address disparities associated with higher depression prevalence rates and receipt of care among Latinos with limited English-language proficiency. BATD's idiographic nature leads to a concentration on individuals'personal values, contributing to cultural-sensitivity. It is an efficient, straightforward, and cost-effective treatent that has shown efficacy in numerous samples. It can be adapted to accommodate the Latino community's """"""""poner de su parte"""""""" mentality. It also explains depression as a result of environmental factors, not internal processes, which may serve to decrease stigma. Following a small, open-label pilot study that yielded very promising results of BATD, the current study will consist of a larger, randomized control trial (n=60) that will compare BATD to Supportive Counseling in outcomes of depression, contact with positive reinforcement in the environment, treatment satisfaction, therapeutic alliance, and perceived stigma. In addition, participants'adherence rates to each of the therapies and their maintenance of clinical gains at a 3-month follow-up, will be examined.

Public Health Relevance

The project will compare a Behavioral Activation Treatment for Depression (BATD) to Supportive Counseling in treating depressed Latinos with limited English-language proficiency, a group in which high rates of depression have been observed. BATD targets common barriers to obtaining depression care in this group.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Predoctoral Individual National Research Service Award (F31)
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Special Emphasis Panel (ZMH1-ERB-X (02))
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Hill, Lauren D
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University of Maryland College Park
Schools of Arts and Sciences
College Park
United States
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Collado, Anahí; Calderón, Marilyn; MacPherson, Laura et al. (2016) The efficacy of behavioral activation treatment among depressed Spanish-speaking Latinos. J Consult Clin Psychol 84:651-7
Collado, Anahí; Lim, Aaron C; MacPherson, Laura (2016) A systematic review of depression psychotherapies among Latinos. Clin Psychol Rev 45:193-209
Collado, Anahi; Castillo, Soraida D; Maero, Fabian et al. (2014) Pilot of the brief behavioral activation treatment for depression in latinos with limited english proficiency: preliminary evaluation of efficacy and acceptability. Behav Ther 45:102-15
Collado, Anahi; Long, Katherine E; MacPherson, Laura et al. (2014) The efficacy of a behavioral activation intervention among depressed US Latinos with limited English language proficiency: study protocol for a randomized controlled trial. Trials 15:231