Evidence map›Paper›PMID 21596201›Full record

ArticleGeneral hospital psychiatry

The long-term trajectory of depression among Latinos in primary care and its relationship to depression care disparities.

Alejandro Interian, Alfonso Ang, Michael A Gara, Michael A Rodriguez, William A Vega

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05746767 (SUPERA), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05746767 naenrolling by invitationnot on this map

SUPERA: Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Safety-Net Patients in Primary Care

TypeinterventionalSponsorUniversity of California, IrvineRan2024 to 2028Enrolled426ConditionsDepression, AnxietyArmsSupported dCBT, Unsupported dCBT
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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  10. Age of Immigration and Depressive Symptoms Among Young Adult Latinx Immigrants: A Test of Explanatory Models.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023
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  17. Remission in Depression and Associated Factors at Different Assessment Times in Primary Care in Chile.Clinical practice and epidemiology in mental health : CP & EMH · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Alejandro InterianDepartment of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Lyons, NJ 08854, USA. alejandro.interian@va.gov
Alfonso Ang
Michael A Gara
Michael A Rodriguez
William A Vega
Rutgers, The State University of New Jersey · USUniversity of California, Los Angeles · USUniversity of Southern California · US

Funding

Antidepressant Adherence Among HispanicsK23MH074860 · NIMH · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI INTERIAN, ALEJANDRO · 2005 to 2009
$823k
NIMH NIH HHS K23 MH074860NIMH NIH HHS K23-MH074860
6 · The paper itself

Abstract

objectiveLower use of medication treatment, poorer doctor-patient communication (DPC) and depression stigma are key contributors to mental healthcare disparities among Latinos with depression. The current study investigated the relationship between these key variables and the long-term trajectory of depression in primary care among Latinos.

methodParticipants (N=220) were Latinos presenting to primary care who screened positive for depression. A repeated measures design was used to assess participants at baseline and 6, 25 and 30 months. Repeated measures included depression (Patient Health Questionnaire-9), self-reported quality of DPC and stigma pertaining to antidepressants. Using growth curve modeling, participants' depressive symptom trajectories were examined for a 30-month period. Self-reported utilization of antidepressants, DPC and antidepressant stigma were examined as predictors of the depressive symptom trajectory. In addition, rates of depression improvement/remission and recurrence/relapse were examined.

resultsImprovement/remission was experienced by 69.4% of participants during a 30-month period. Among those who improved/remitted at 6 or 25 months, 63.4% maintained that improvement/remission by 30 months. The long-term trajectory of depressive symptoms demonstrated a significant positive association with antidepressant stigma and significant negative associations with use of antidepressant treatment and quality DPC.

conclusionsWhile relapse/recurrence is common, most Latinos in this study experienced improvement in depression over 30 months. For many, there is a considerable time to reach improvement/remission. Also, these findings confirm the significance of antidepressant underutilization, DPC and stigma in the long-term outcome of depression among Latinos in primary care.

Indexed as

Healthcare DisparitiesPrimary Health CareAdolescentAdultAgedAntidepressive AgentsDepressionFemaleHispanic or LatinoHumansLos AngelesMaleMiddle AgedSurveys and QuestionnairesYoung AdultAntidepressive Agents

Identifiers

PMID21596201
PMCPMC3197230
OpenAlexW2104704188

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.