Low use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment of depression in Hispanics. Common concerns include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking medications and seeking mental health treatments. In 2014, the Center for Medicare and Medicaid Services (CMS) funded the Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO) project to implement an education intervention designed to increase disease literacy and dispel myths about depression and its treatment among Hispanic patients thus reducing stigma and increasing treatment engagement. The DESEO study utilized a one-group pretest-posttest design to assess the effects a culturally-adapted Depression Education Intervention’s (DEI) on depression knowledge, stigma, and engagement in treatment in a sample of 350 Hispanic primary care patients with depression. The DEI utilized a fotonovela, a health education tool available in English and Spanish that uses posed photographs, captions, and soap opera narratives to raise awareness about depression and depression treatments. Participants reported significant decreases in depression symptoms and reported stigma about mental health care. Additionally, participants reported increased knowledge of depression yet greater negative perceptions about antidepressant medication. Finally, 89.5% of participants reported entering some form of treatment at follow-up. Culturally adapted depression education shows promise in increasing understanding of depression, decreasing stigma, and increasing treatment engagement among Hispanic patients in a community-based health center. Results have implications for practice in addressing common concerns about depression treatments which include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking psychotropic medications. The study was retrospectively registered with www.clinicaltrials.gov : NCT02491034 July 2, 2015.

中文翻译：

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具有文化适应性的抑郁症教育和西班牙裔美国人在初级保健中的治疗参与：可行性试点研究的结果

降低抗抑郁药的使用率，医患沟通不良以及持续的耻辱感是治疗西班牙裔抑郁症的主要障碍。共同的担忧包括对抗抑郁药的成瘾性和有害性的担忧，对服用过多药丸的担忧以及对服用药物和寻求心理健康疗法的污名化。2014年，医疗保险和医疗补助服务中心（CMS）资助了抑郁症筛查和教育：减少治疗障碍的选择（DESEO）项目，以实施旨在提高疾病知识水平并消除西班牙裔抑郁症及其治疗神话的教育干预措施从而减少患者的耻辱感并增加治疗投入。DESEO研究采用了一组前测后测设计，以评估文化适应性抑郁教育干预（DEI）对350名西班牙裔患有抑郁症的西班牙裔初级护理患者的抑郁知识，污名和参与治疗的影响。DEI利用fotonovela（一种健康英语工具）提供英语和西班牙语，该工具使用摆姿势的照片，标题和肥皂剧叙事来提高人们对抑郁症和抑郁症治疗的认识。参与者报告抑郁症状显着减轻，并报告了有关精神卫生保健的污名。另外，参与者报告了对抑郁症的了解增加了，但对抗抑郁药的消极看法却更大。最后，有89.5％的参与者报告在随访中接受了某种形式的治疗。具有文化适应性的抑郁症教育显示了在社区健康中心提高对抑郁症的了解，减少污名和增加西班牙裔患者治疗参与度的希望。研究结果对解决抑郁症的普遍担忧具有实践意义，其中包括对抗抑郁药的成瘾性和有害特性的担忧，对服用过多药丸的担忧以及服用精神药物的耻辱感。该研究已在www.clinicaltrials.gov上进行回顾性注册：NCT02491034，2015年7月2日。研究结果对解决抑郁症的普遍关注具有实践意义，其中包括对抗抑郁药的成瘾性和有害特性的担忧，对服用过多药丸的担忧以及服用精神药物的耻辱感。该研究已在www.clinicaltrials.gov上进行回顾性注册：NCT02491034，2015年7月2日。研究结果对解决抑郁症的普遍担忧具有实践意义，其中包括对抗抑郁药的成瘾性和有害特性的担忧，对服用过多药丸的担忧以及服用精神药物的耻辱感。该研究已在www.clinicaltrials.gov上进行回顾性注册：NCT02491034，2015年7月2日。