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Pilot of the brief behavioral activation treatment for depression in latinos with limited english proficiency: preliminary evaluation of efficacy and acceptability.

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Pilot of the brief behavioral activation treatment for depression in latinos with limited english proficiency: preliminary evaluation of efficacy and acceptability.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Collado, Anahi Castillo, Soraida D. Maero, Fabian Lejuez, C. W. Macpherson, Laura
Description	Author Affiliation: Collado A ( University of Maryland, College Park. Electronic address: acollado@umd.edu.); Castillo SD ( University of Maryland, College Park.); Maero F ( Fundación Foro, Buenos Aires.); Lejuez CW ( University of Maryland, College Park.); Macpherson L ( University of Maryland, College Park. Electronic address: lmacpher@umd.edu.)
Abstract	Latinos with limited English proficiency (LEP) experience multiple barriers to accessing efficacious mental health treatments. Using a stage model of behavior therapy research, this Stage I investigation evaluated the Brief Behavioral Activation Treatment for Depression (BATD), an intervention that may be well equipped to address existing treatment barriers. A sample of 10 Latinos with LEP and depressive symptomatology participated in a 10-session, direct (i.e., literal) Spanish-language translation of BATD, with no other cultural modifications. Participants were assessed at each session for depressive symptomatology and for the proposed BATD mechanisms: activity engagement and environmental reward. One month after treatment, participants were reassessed and interviewed to elicit feedback about BATD. Hierarchical linear model analyses were used to measure BATD outcomes. Results showed depressive symptomatology decreased (p<.001), while both activation (p=.04) and environmental reward (p=.02) increased over the course of BATD. Increases in activation corresponded concurrently with decreases in depression (p=.01), while environmental reward preceded decreases in depressive symptomatology (all p's ≤ .04). Follow-up analyses revealed sustained clinical gains in depression and activation, and an increase in environmental reward at follow-up. Participant interviews conducted 1 month after treatment conclusion indicated that BATD is an acceptable treatment for our sample of interest. Despite the limitations inherent in a study restricted to a sample of 10, preliminary outcomes of this Stage I research suggest that members of this otherwise underserved group showed improvements in depressive symptomatology and are willing to participate in and adhere to BATD. The study's positive outcomes suggest that a Stage II randomized clinical trial is a logical next step.
File Format	HTM / HTML
ISSN	00057894
e-ISSN	18781888
DOI	10.1016/j.beth.2013.10.001
Journal	Behavior Therapy
Issue Number	1
Volume Number	45
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Therapeutics Discipline Behavioral Sciences Behavior Therapy Depressive Disorder Therapy Hispanic Americans Patient Acceptance Of Health Care Psychology Pilot Projects
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology

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