Causal beliefs and treatment preferences for the symptoms of depression among chronically ill African Americans, Latino, and White patients

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Causal beliefs and treatment preferences for the symptoms of depression among chronically ill African Americans, Latino, and White patients

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dc.contributor.advisor Pomeroy, Elizabeth, 1955-
dc.creator Noël, La Tonya Mayon, 1974-
dc.date.accessioned 2008-08-29T00:09:02Z
dc.date.available 2008-08-29T00:09:02Z
dc.date.created 2007-05
dc.date.issued 2008-08-29T00:09:02Z
dc.identifier.uri http://hdl.handle.net/2152/3768
dc.description.abstract The focus of the research study is to explore chronically ill African American, Latino, and White patients' causal attributions of symptoms of depression and factors that predict depression care treatment preferences among these groups. Research has demonstrated that perception of illness impacts what treatments a person will deem appropriate for their mental health problems and from whom they will seek treatment. Research also indicates that certain ethnic groups are more likely to seek treatment for their symptoms of depression in the primary care setting. Yet, it is unclear how they actually perceive their symptoms and what best predicts the treatments that they are likely to consider acceptable. A convenient sample of 109 HIV+ adults, 79 diabetic adults, and 3 adults with both conditions were recruited for this study. Participants had to be receiving services for either HIV, diabetes, or both conditions in one of the three central Austin facilities and be a representative from one of three racial/ethnic groups: African Americans, Latino, and White. Differences were found across ethnicity with regard to causal beliefs and treatment preferences for the symptoms of depression both among the HIV and the diabetic subgroups. Latinos in both groups were more likely than Whites to prefer counseling or a single form of treatment over combined treatment methods. Diabetic Latinos were more likely to prefer counseling for symptoms of depression. HIV seropositive individuals who reported the least number of symptoms of physical illness were more likely to attribute their symptoms of depression to stressful life events, whereas those who reported the greatest number of symptoms of physical illness were more likely to attribute their symptoms of depression to their medical illness. Additionally among the HIV subgroup, individuals who reported high stress tended to predict the preferences for treatment provided by a psychiatrist/psychologist and Whites scored highest on this factor. Finally, differences in depression scores across race/ethnicity were also revealed. The utility of assessing a patient's understanding of symptoms of depression in order to determine how personal illness models impact treatment preferences and knowledge of patient's causal attributions can aid medical social workers and physicians in collaborative management of chronic illness and depression are discussed.
dc.format.medium electronic
dc.language.iso eng
dc.rights Copyright © is held by the author. Presentation of this material on the Libraries' web site by University Libraries, The University of Texas at Austin was made possible under a limited license grant from the author who has retained all copyrights in the works.
dc.subject.lcsh Depressed persons--Attitudes
dc.subject.lcsh Depression, Mental--Treatment
dc.subject.lcsh Depression, Mental--Diagnosis
dc.subject.lcsh HIV-positive persons--Psychology
dc.subject.lcsh Diabetics--Psychology
dc.title Causal beliefs and treatment preferences for the symptoms of depression among chronically ill African Americans, Latino, and White patients
dc.description.department Social Work, School of
dc.identifier.oclc 213468405
dc.identifier.recnum b69830903
dc.type.genre Thesis
dc.type.material text
thesis.degree.department Social Work, School of
thesis.degree.discipline Social Work
thesis.degree.grantor The University of Texas at Austin
thesis.degree.level Doctoral
thesis.degree.name Doctor of Philosophy

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