Venciendo la Depresión: A Pilot Study of Telehealth-Delivered Behavioral Activation for Depressed Spanish-Speaking Latinxs

IF 3.4 2区 心理学 Q2 PSYCHIATRY Behavior Therapy Pub Date : 2024-01-01 DOI:10.1016/j.beth.2023.05.011
Francisco A. Reinosa Segovia, Lorraine T. Benuto
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Abstract

Latinxs are substantially impacted by depression. The research literature has documented barriers (e.g., stigma, limited English proficiency, and lack of transportation) contributing to the underutilization of behavioral health services among Spanish-speaking Latinxs (SSLs). Telehealth can be broadly defined as the provision of healthcare information and services through the use of telecommunications technology. Behavioral Activation (BA) has well established empirical support for reducing symptoms of depression among ethnic minority groups. The unprecedent challenges associated with accessing in-person behavioral health services during the COVID-19 pandemic have underscored the need to examine alternate methods for treatment delivery. Thus, the proposed study aimed to conduct a feasibility study to determine the viability of telehealth-delivered BA for SSLs. Twenty-five SSL participants met eligibility criteria and were enrolled in the intervention and 17 participants completed treatment. The majority of participants experienced significant improvements in depressive symptoms and positive affect. These treatment gains were sustained at one-month follow-up. The present study offers promising preliminary data to support the acceptability and feasibility of telehealth-delivered BA, with the potential to lessen barriers to care by offering readily accessible behavioral health services for depressed individuals in underserved communities.

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Venciendo la Depresión:针对讲西班牙语的拉美裔抑郁症患者的远程医疗行为激活试点研究
拉美裔受到抑郁症的严重影响。研究文献记录了导致讲西班牙语的拉美人(SSLs)未充分利用行为健康服务的障碍(如耻辱感、英语水平有限和缺乏交通工具)。远程医疗可广义地定义为通过使用电信技术提供医疗保健信息和服务。行为激活疗法(BA)在减轻少数族裔群体抑郁症状方面已获得了充分的经验支持。在 COVID-19 大流行期间,人们在获得面对面的行为健康服务方面遇到了前所未有的挑战,这凸显了研究其他治疗方法的必要性。因此,本研究旨在开展一项可行性研究,以确定为 SSL 提供远程医疗 BA 的可行性。25 名 SSL 参与者符合资格标准并被纳入干预,17 名参与者完成了治疗。大多数参与者的抑郁症状和积极情绪都有了明显改善。这些治疗效果在一个月的随访中得以持续。本研究提供了很有希望的初步数据,支持远程医疗提供的心理咨询的可接受性和可行性,并有可能通过为服务不足社区的抑郁症患者提供便捷的行为健康服务来减少治疗障碍。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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