Identification of and beliefs about depressive symptoms and preferred treatment approaches among community-living older african americans

Laura N. Gitlin, Nancy L. Chernett, Marie P. Dennis, Walter W. Hauck

Research output: Contribution to journalArticlepeer-review

Abstract

To examine older African American's recognition of and beliefs about depressive symptoms, preferred symptom management strategies, and factors associated with willingness to use mental health treatments. Differences between the depressed and nondepressed and men and women were examined. Design: Crosssectional survey. Setting: Home, senior center. Participants: A total of 153 senior centermembers (56 male, 97 female) 55 years and older. Measurements: Using a depression vignette, participants indicated if the person was depressed and their endorsement of items reflecting beliefs, stigma, symptommanagement, and willingness to use treatments (yes/no). A 9-item Patient Health Questionnaire assessed current symptomatology. Results: Overall, 24.2% reported depressive symptoms (=5); 88.2% correctly identified the person in the vignette as depressed. Most (=75%) endorsed active symptommanagement strategies, preference for treatment in physician and therapist offices, and willingness to take medications, seek therapy, see doctor, and attend support groups; less than 33% viewed depression as stigmatizing, whereas 48% viewed depression as normal aging. Logistic regressions revealed lower education, higher physical function, and feeling okay if community knew of depression diagnosis were associated with willingness to see physician if feeling depressed; being married and believing antidepressant medications are beneficial were related to willingness to use medications. Different associations emerged for depressed/nondepressed and men and women. Conclusions: Overall, this older African American sample had positive attitudes and beliefs and endorsed traditional treatment modalities suggesting that beliefs alone are unlikely barriers to underutilization of mental health services. Because different factors were associated with willingness to seek physician help and use medications and factors differed for depressed/ nondepressed and by sex, interventions should be tailored. (Am J Geriatr Psychiatry 2012; 20:973-984)

Original languageEnglish (US)
Pages (from-to)973-984
Number of pages12
JournalAmerican Journal of Geriatric Psychiatry
Volume20
Issue number11
DOIs
StatePublished - Nov 2012

Keywords

  • Depression
  • Depression beliefs
  • Health disparities

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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