ABSTRACT Church-based interventions have the potential to extend services to economically disadvantaged individuals with depression in rural communities. This study examined depressive symptoms, material hardship, barriers to mental health treatment, and perceptions of a church-based group depression intervention among a sample of 57 rural residents seeking food-bank services. Forty-nine percent of respondents screened positive for depression on the Patient Health Questionnaire-2. Respondents with positive depression screens (M = 2.22; SD = 1.74) experienced greater material hardship compared to non-depressed respondents (M = 1.21; SD = 1.00; U = 262.0; p=.04). The most commonly endorsed barriers to mental health treatment were: cost (47.4%), lack of transportation (31.6%), no insurance/lack of insurance coverage (26.3%), and wanting to handle these problems on my own (26.3%). The majority of respondents indicated that church-based depression treatment would benefit their community (62.5%), would consider attending church-based depression treatment (55.4%), and would recommend this intervention to others experiencing depressive symptoms (66.1%). Clinical and policy implications of these findings are discussed.

中文翻译：

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密歇根州农村地区食物银行服务接受者的抑郁症状，物质困难，护理障碍以及对教会治疗的接受度

摘要基于教会的干预措施有可能将服务扩展到农村社区中患有抑郁症的经济弱势群体。这项研究调查了57名寻求食物银行服务的农村居民的抑郁症状，物质困难，心理健康治疗的障碍以及对基于教会的团体抑郁干预的看法。49％的受访者在《患者健康问卷2》中筛查出抑郁呈阳性。与未抑郁的受访者（M = 1.21； SD = 1.00； U = 262.0； p = .04）相比，具有正抑郁屏幕（M = 2.22； SD = 1.74）的受访者经历了更大的物质困难。最普遍认可的心理健康治疗障碍包括：费用（47.4％），交通不便（31.6％），没有保险/保险不足（26.3％），并希望自己解决这些问题（26.3％）。大多数受访者表示，以教会为基础的抑郁症治疗将使他们的社区受益（62.5％），会考虑参加以教会为基础的抑郁症治疗（55.4％），并将这种干预措施推荐给其他有抑郁症状的人（66.1％）。讨论了这些发现的临床和政策含义。