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Subjective Versus Objective: An Exploratory Analysis of Latino Primary Care Patients With Self-Perceived Depression Who Do Not Fulfill Primary Care Evaluation of Mental Disorders Patient Health Questionnaire Criteria for Depression

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TypeOfResource
Text
TitleInfo
Title
Subjective Versus Objective: An Exploratory Analysis of Latino Primary Care Patients With Self-Perceived Depression Who Do Not Fulfill Primary Care Evaluation of Mental Disorders Patient Health Questionnaire Criteria for Depression
Name (type = personal); (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (valueURI = http://orcid.org/0000-0002-9656-784X)
NamePart (type = family)
Caplan
NamePart (type = given)
Susan
Affiliation
College of Nursing, Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = personal)
NamePart (type = family)
Alvidrez
NamePart (type = given)
Jennifer
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
University of California, San Francisco
Name (type = personal)
NamePart (type = family)
Paris
NamePart (type = given)
Manuel
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Yale University
Name (type = personal)
NamePart (type = family)
Escobar
NamePart (type = given)
Javier I.
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Psychiatry (Robert Wood Johnson Medical School, RWJMS), Rutgers University
Name (type = personal)
NamePart (type = family)
Dixon
NamePart (type = given)
Jane K.
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Yale University
Name (type = personal)
NamePart (type = family)
Desai
NamePart (type = given)
Mayur M.
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Yale University
Name (type = personal)
NamePart (type = family)
Whittemore
NamePart (type = given)
Robin
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Yale University
Name (type = personal)
NamePart (type = family)
Scahill
NamePart (type = given)
Lawrence D.
Role
RoleTerm (type = text); (authority = marcrt)
author
Affiliation
Yale University
Name (type = corporate); (authority = RutgersOrg-Department)
NamePart
College of Nursing
Name (type = corporate); (authority = RutgersOrg-School)
NamePart
School of Nursing (Newark and New Brunswick)
Name (type = corporate); (authority = RutgersOrg-Department)
NamePart
Psychiatry (Robert Wood Johnson Medical School, RWJMS)
Name (type = corporate); (authority = RutgersOrg-School)
NamePart
Robert Wood Johnson Medical School (RWJMS)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Unidentified version of a published work
Note (type = peerReview)
Peer reviewed
OriginInfo
DateIssued (encoding = w3cdtf); (qualifier = exact); (keyDate = yes)
2010
Abstract (type = Abstract)
Objective: Identification and treatment of depression may be difficult for primary care providers when there is a mismatch between the patient’s subjective experiences of illness and objective criteria. Cultural differences in presentation of symptoms among Latino immigrants may hinder access to care for treatment of depression. This article seeks to describe the self-perceptions and symptoms of Latino primary care patients who identify themselves as depressed but do not meet screening criteria for depression.

Method: A convenience sample of Latino immigrants (N = 177) in Corona, Queens, New York, was obtained from a primary care practice from August 2008 to December 2008. The sample was divided into 3 groups according to whether participants met Patient Health Questionnaire diagnostic criteria for depression and whether or not participants had a self-perceived mental health problem and self-identified their problem as “depression” from a checklist of cultural idioms of distress. Psychosocial, demographic, and treatment variables were compared between the 3 groups.

Results: Participants’ descriptions of symptoms had a predominantly somatic component. The most common complaints were ánimo bajo (low energy) and decaimiento (weakness). Participants with “subjective” depression had mean scores of somatic symptoms and depression severity that were significantly lower than the participants with “objective” depression and significantly higher than the group with no depression (P < .0001).

Conclusions: Latino immigrants who perceive that they need help with depression, but do not meet screening criteria for depression, still have significant distress and impairment. To avoid having these patients “fall through the cracks,” it is important to take into account culturally accepted expressions of distress and the meaning of illness for the individual.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Subject (authority = LCSH)
Topic
Depression, Mental
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2010
AssociatedObject
Name
The Primary Care Companion for CNS Disorders
Type
Journal
Relationship
Has part
Detail
1-12
Identifier (type = volume and issue)
12(5)
Reference (type = url)
https://dx.doi.org/10.4088/PCC.09m00899blu
RelatedItem (type = host)
TitleInfo
Title
Caplan, Susan
Identifier (type = local)
rucore30203200001
RelatedItem (type = host)
TitleInfo
Title
Escobar, Javier I.
Identifier (type = local)
rucore30204500001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3XD13SJ
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Rights

Copyright
Status
Copyright protected
Availability
Status
Restricted
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Type
Permissions research
DateTime (encoding = w3cdtf)
2016-05-27
AssociatedEntity
Role
Librarian
Name
Rhonda Marker
Detail
“Physicians Postgraduate Press, Inc., publisher of The Journal of Clinical Psychiatry and The Primary Care Companion for CNS Disorders, must retain exclusive and unfettered copyright of published materials either in print or electronic formats in perpetuity.”

“The journal will permit the inclusion of metadata from the published article in open access repositories. Metadata include the following: published title, byline, citation, doi, abstract, funding information, and affiliations.”

“The publisher’s copyright protection lasts the life of the author plus an additional seventy (70) years.”

Source: http://www.psychiatrist.com/pages/authors.aspx#openaccess
RightsDeclaration (AUTHORITY = local); (ID = local)
Physicians Postgraduate Press, Inc., publisher of The Journal of Clinical Psychiatry and The Primary Care Companion for CNS Disorders, must retain exclusive and unfettered copyright of published materials either in print or electronic formats in perpetuity.
RightsHolder (type = corporate)
Name
Physicians Postgraduate Press, Inc.
Role
Copyright holder
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
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