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.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31MH098512-01A1
Application #
8520593
Study Section
Special Emphasis Panel (ZMH1-ERB-X (02))
Program Officer
Hill, Lauren D
Project Start
2013-06-24
Project End
2016-06-23
Budget Start
2013-06-24
Budget End
2014-06-23
Support Year
1
Fiscal Year
2013
Total Cost
$35,702
Indirect Cost
Name
University of Maryland College Park
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
790934285
City
College Park
State
MD
Country
United States
Zip Code
20742