Department of Social Work, California State University, Fullerton, 800 N. State College Blvd, Fullerton, CA, 92831, USA.
College of Social Work, Florida State University, 296 Champions Way, Tallahassee, FL, 32306, USA.
J Behav Health Serv Res. 2023 Jan;50(1):95-107. doi: 10.1007/s11414-022-09824-1. Epub 2022 Nov 9.
Comorbid PTSD and depression are notably high within primary care settings serving low-income and/or immigrant Hispanic/Latino populations. There is limited research examining how comorbid PTSD impacts the response to depression treatment for patients within these settings. The purpose of this study was to examine PTSD-depression comorbidity and its association with treatment outcomes among Hispanic/Latino patients enrolled in an integrated behavioral health intervention for depression. Participants were Hispanic/Latino adult primary care patients who met the criteria for depression and were not currently in treatment. Depression and anxiety severity were assessed at baseline and the 6 and 12 month follow-ups. Outcomes were compared between participants who met the criteria for a PTSD diagnosis and those that did not. Depression and anxiety scores significantly decreased through the 1-year intervention period regardless of PTSD diagnosis. More research is needed to understand what elements of culturally adapted, linguistically concordant treatment benefit diverse patients the most.
在为低收入和/或移民的西班牙裔/拉丁裔人群服务的初级保健环境中，共患 PTSD 和抑郁症的比例明显较高。关于共患 PTSD 如何影响这些环境中患者对抑郁症治疗的反应的研究有限。本研究的目的是检查 PTSD-抑郁症共病及其与参加抑郁综合行为健康干预的西班牙裔/拉丁裔患者治疗结果的关系。参与者为符合抑郁症标准且目前未接受治疗的西班牙裔/拉丁裔成年初级保健患者。在基线和 6 个月和 12 个月的随访中评估抑郁和焦虑严重程度。将符合 PTSD 诊断标准的参与者与不符合标准的参与者的结果进行比较。无论是否存在 PTSD 诊断，抑郁和焦虑评分在 1 年的干预期间均显著下降。需要进一步研究以了解哪些文化适应、语言一致的治疗元素最能使不同患者受益。
