Articlebronze2007

A Qualitative Analysis of the Perception of Stigma Among Latinos Receiving Antidepressants

Alejandro Interian · Igda E. Martínez · Peter J. Guarnaccia · William Armando Vega · Javier I. Escobar

150 citations0/0 files storedPsychiatric Services

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Mental Health Treatment and Access Medication Adherence and Compliance Cultural Competency in Health Care

Abstract

OBJECTIVE: This study sought to describe the role of stigma in antidepressant adherence among Latinos. METHODS: The study utilized data generated from six focus groups of Latino outpatients receiving antidepressants (N=30). By using a grounded theory approach, qualitative analysis focused specifically on the role of stigma in antidepressant treatment, as well as salient Latino values. RESULTS: Perceptions of stigma were related to both the diagnosis of depression and use of antidepressant medication. Qualitative analyses showed that antidepressant use was seen as implying more severe illness, weakness or failure to cope with problems, and being under the effects of a drug. Reports of stigma were also related to social consequences. Also, the perceived negative attributes of antidepressant use were at odds with self-perceived cultural values. CONCLUSIONS: Stigma was a prominent concern among Latinos receiving antidepressants, and stigma often affected adherence. Furthermore, culture is likely to play an important role in the communication of stigma and its associated complications.

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References

1990Basics of qualitative research 2001Conceptualizing Stigma 2001Perceived Stigma as a Predictor of Treatment Discontinuation in Young and Older Outpatients With Depression 1992Adequacy and Duration of Antidepressant Treatment in Primary Care 2007Does Stigma Keep Poor Young Immigrant and U.S.-Born Black and Latina Women From Seeking Mental Health Care?2006Continuity of Antidepressant Treatment for Adults With Depression in the United States 2007Continuity of Antidepressant Treatment for Adults With Depression in the United States 2001Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research.

Cited by

2009Addressing stigma of depression in Latino primary care patients 2018Perceived and Personal Mental Health Stigma in Latino and African American College Students 2010Stigma and Depression Treatment Utilization Among Latinos: Utility of Four Stigma Measures 2015Mental Health Stigma and Self-Concealment as Predictors of Help-Seeking Attitudes among Latina/o College Students in the United States 2015Racial and Ethnic Disparity in Major Depressive Disorder

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