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Depression interventions among racial and ethnic minority older adults: A systematic review across 20 years

TitleDepression interventions among racial and ethnic minority older adults: A systematic review across 20 years
Publication TypeJournal Article
Year of Publication2012
AuthorsFuentes, D, Aranda, MP
JournalThe American Journal of Geriatric PsychiatryThe American Journal of Geriatric Psychiatry
Volume20
Pagination915-931
Date PublishedNov
ISBN Number1064-7481<br/>1545-7214
Accession NumberPeer Reviewed Journal: 2013-01557-002
Keywords*Intervention, *Major Depression, *Minority Groups, *Racial and Ethnic Groups, *Treatment, Alaska Natives, American Indians, Asians, Blacks, depression interventions, racial and ethnic minority, older adults, geriatric depression treatment, African Americans, Hispanics, Latinos, Asians, Pacific Islanders, American Indians, Alaska Natives, Geriatrics, Health & Mental Health Treatment & Prevention [3300], Human Adulthood (18 yrs & older) Aged (65 yrs & older), Latinos/Latinas, pacific islanders
AbstractWhile there is strong evidence in support of geriatric depression treatments, much less is available with regard to older U.S. racial and ethnic minorities. The objectives of this review are to identify and appraise depression treatment studies tested with samples of U.S. racial and ethnic minority older adults. We include an appraisal of sociocultural adaptations made to the depression treatments in studies meeting our final criteria. Systematic search methods were utilized to identify research published between 1990 and 2010 that describe depression treatment outcomes for older adults by racial/ethnic group, or for samples of older adults who are primarily (i.e., >50%) racial/ethnic minorities. Twenty-three unduplicated articles included older adults and seven met all inclusion criteria. Favorable depression treatment effects were observed for older minorities across five studies that took place in different types of settings and with varying levels of sociocultural adaptations. The effectiveness of depression care remains mixed, although collaborative or integrated care shows promise for African Americans and Latinos. The degree to which the findings generalize to non-English-speaking, low acculturated, and low-income older persons, and to other older minority groups (i.e., Asian and Pacific Islanders, and American Indian and Alaska Natives), remains unclear. Given the high disease burden among older minorities with depression, it is imperative to provide timely, accessible, and effective depression treatments. Increasing their participation in behavioral health research should be a national priority. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract).