The mediating effect of acculturation on the effectiveness of culturally adapted cognitive behavioral therapy with Mexican Americans suffering from depression

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The mediating effect of acculturation on the effectiveness of culturally adapted cognitive behavioral therapy with Mexican Americans suffering from depression

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dc.contributor.advisor Padilla, Yolanda C.
dc.contributor.advisor Holleran, Lori K.
dc.creator Villalobos, Griselda
dc.date.accessioned 2011-02-01T15:19:11Z
dc.date.available 2011-02-01T15:19:11Z
dc.date.created 2009-05
dc.date.issued 2011-02-01
dc.identifier.uri http://hdl.handle.net/2152/9763
dc.description.abstract The purpose of this research study is to explore the role of culture in how Mexican Americans respond to mental health treatment. Cultural background is likely to affect not only the meaning attributed to mental illness, but also help-seeking and responses to treatment. Creating a match between treatment modalities and people's cultural backgrounds requires consideration of a person's cultural context. Cultural characteristics can vary not only across cultural groups, but even within groups can change across time. This study used a quasi-experimental pretest/posttest comparison group design to analyze culturally adapted cognitive behavioral therapy (CACBT) with Mexican Americans diagnosed with depression. A purposive nonprobability sample of 81 adult Mexican Americans diagnosed with depression was recruited from a mental health agency in El Paso, Texas. Forty-eight participants were assigned to a treatment group, which received CACBT, and 33 to a comparison group, which received treatment as usual. Depression was measured using the Patient Health Questionnaire (PHQ-9). Participant acculturation level was measured using the Acculturation Rating Scale for Mexican Americans-II. Independent and paired t tests were used to examine the effectiveness of the culturally adapted intervention. OLS regression analyses examined whether acculturation mediated the relationship between the culturally adapted intervention and depression. No direct effect was found between CACBT and depression relative to treatment as usual. The results showed that CACBT and treatment as usual both decreased depression scores. However, the interaction effect between acculturation and group assignment was significantly related to posttest depression scores. Thus, the effect of CACBT varied according to acculturation level. This study demonstrates the role that acculturation plays in how Mexican Americans respond to mental health treatment. An implication for social work practice is the need to use evidence-based practices that have been tested for their cultural appropriateness with Mexican Americans.
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 Mexican Americans
dc.subject Depression
dc.subject Mental health treatment
dc.subject Culture
dc.subject Cognitive behavioral therapy
dc.subject Acculturation
dc.title The mediating effect of acculturation on the effectiveness of culturally adapted cognitive behavioral therapy with Mexican Americans suffering from depression
dc.description.department Social Work, School of
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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