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Contextualizing Health and Aging in the Americas pp 203–223Cite as

Lessons Learned from the Positive Minds—Strong Bodies Trial on Disability Prevention for Racial/Ethnic Minority Elders

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Abstract

Racial/ethnic minority elders (60+) have a higher prevalence of late life depression (LLD) and worse access to and quality of mental health care than their white counterparts. Past research has linked LLD to a decline in cognitive functioning and an increased risk of developing dementia and chronic physical conditions. Our Positive Minds-Strong Bodies (PM-SB) program aims to address the significant prevalence of physical and mental disability among racial/ethnic minority elders, a group that is projected to represent 40% of the US population by 2050. The intervention aimed to: (1) develop collaborative partnerships to evaluate the capacity of community-based organizations and clinics to provide disability prevention services; (2) evaluate the acceptability and efficacy of a combined behavioral health and disability prevention intervention; and (3) determine the organizational feasibility and sustainability of the intervention. The chapter begins with a background on the epidemiology of LLD and late-life anxiety, the difficulties in diagnosis and treatment engagement, and racial/ethnic disparities among elders. The background also highlights previous literature on the efficacy of mental health treatments and recent efforts to adapt culturally and linguistically community health worker (CHW) programs to improve mental health wellness among elders. Next, we describe the specific challenges in our CHW-based program related to participant recruitment and retention, including medical comorbidity and time commitments issues, as well as high staff turnover and logistical issues with intervention delivery. The chapter concludes with suggestions for future directions in mental health promotion with racial/ethnic minority elders in community-based settings.

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References

  • Akincigil, A., Olfson, M., Siegel, M., Zurlo, K. A., Walkup, J. T., & Crystal, S. (2012). Racial and ethnic disparities in depression care in community-dwelling elderly in the United States. American Journal of Public Health, 102(2), 319–328.

    Article  Google Scholar 

  • Alvarez, P., Rengifo, J., Emrani, T., & Gallagher-Thompson, D. (2014). Latino elders and mental health: A review and commentary. Clinical Gerontologist, 37(1), 33–48.

    Article  Google Scholar 

  • Barnes, D. E., Yaffe, K., Byers, A. L., McCormick, M., Schaefer, C., & Whitmer, R. A. (2012). Midlife vs late-life depressive symptoms and risk of dementia: Differential effects for Alzheimer disease and vascular dementia. Archives of General Psychiatry, 69(5), 493–498.

    Article  Google Scholar 

  • Barnett, M. L., Gonzalez, A., Miranda, J., Chavira, D. A., & Lau, A. S. (2018). Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 45(2), 195–211.

    Article  Google Scholar 

  • Beissner, K., Parker, S., Henderson, C. R., Jr., Pal, A., Papaleontiou, M., & Reid, M. C. (2012). Implementing a combined cognitive-behavioral + exercise therapy protocol for use by elders with chronic back pain: Evidence for a possible race/ethnicity effect. Journal of Aging and Physical Activity, 20(2), 246–265.

    Article  Google Scholar 

  • Bond, G. R., & Drake, R. E. (2015). The critical ingredients of assertive community treatment. World Psychiatry, 14(2), 240–242.

    Article  Google Scholar 

  • Blazer, D., Le, M., Maslow, K., & Eden, J. (2012). The mental health and substance use workforce for elders: In whose hands? National Academies Press.

    Google Scholar 

  • Bridle, C., Spanjers, K., Patel, S., Atherton, N. M., & Lamb, S. E. (2012). Effect of exercise on depression severity in older people: Systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry, 201(3), 180–185.

    Article  Google Scholar 

  • Bruce, M. L., Raue, P. J., Reilly, C. F., Greenberg, R. L., Meyers, B. S., Banerjee, S., et al. (2015). Clinical effectiveness of integrating depression care management into medicare home health: The Depression CAREPATH Randomized trial. JAMA Internal Medicine, 175(1), 55–64.

    Article  Google Scholar 

  • Bryant, C., Jackson, H., & Ames, D. (2008). The prevalence of anxiety in elders: Methodological issues and a review of the literature. Journal of Affective Disorders, 109(3), 233–250.

    Article  Google Scholar 

  • Bryant, C. (2010). Anxiety and depression in old age: Challenges in recognition and diagnosis. International Psychogeriatrics, 22(4), 511–513.

    Article  Google Scholar 

  • Bryant, C., Mohlman, J., Gum, A., Stanley, M., Beekman, A. T., Wetherell, J. L., et al. (2013). Anxiety disorders in elders: Looking to DSM5 and beyond. The American Journal of Geriatric Psychiatry, 21(9), 872–876.

    Article  Google Scholar 

  • Büchtemann, D., Luppa, M., Bramesfeld, A., & Riedel-Heller, S. (2012). Incidence of late-life depression: A systematic review. Journal of Affective Disorders, 142(1), 172–179.

    Article  Google Scholar 

  • Burroughs, H., Lovell, K., Morley, M., Baldwin, R., Burns, A., & Chew-Graham, C. (2006). ‘Justifiable depression’: How primary care professionals and patients view late-life depression? A qualitative study. Family Practice, 23(3), 369–377.

    Article  Google Scholar 

  • Byers, A. L., Yaffe, K., Covinsky, K. E., Friedman, M. B., & Bruce, M. L. (2010). High occurrence of mood and anxiety disorders among elders: The National Comorbidity Survey Replication. Archives of General Psychiatry, 67(5), 489–496.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2010). The state of mental health and aging in America. Atlanta, GA: National Association of Chronic Disease Directors https://www.cdc.gov/aging/pdf/mental_health.pdf.

  • Chachamovich, E., Fleck, M., Laidlaw, K., & Power, M. (2008). Impact of major depression and subsyndromal symptoms on quality of life and attitudes toward aging in an international sample of elders. The Gerontologist, 48(5), 593–602.

    Article  Google Scholar 

  • Chavez-Korell, S., Rendón, A. D., Beer, J., Rodriguez, N., Garr, A. D., Pine, C. A., et al. (2012). Improving access and reducing barriers to depression treatment for Latino elders: Un Nuevo Amanecer (A New Dawn). Professional Psychology: Research and Practice, 43(3), 217–226.

    Article  Google Scholar 

  • Chew-Graham, C., Kovandžić, M., Gask, L., Burroughs, H., Clarke, P., Sanderson, H., et al. (2012). Why may older people with depression not present to primary care? Messages from secondary analysis of qualitative data. Health and Social Care in the Community, 20(1), 52–60.

    Article  Google Scholar 

  • Collard, R. M., Comijs, H. C., Naarding, P., & Oude Voshaar, R. C. (2014). Physical frailty: Vulnerability of patients suffering from late-life depression. Aging & Mental Health, 18(5), 570–578.

    Article  Google Scholar 

  • Comijs, H. C., Nieuwesteeg, J., Kok, R., van Marwijk, H. W., van der Mast, R. C., Naarding, P., et al. (2015). The two-year course of late-life depression: Results from the Netherlands study of depression in older persons. BMC Psychiatry, 15(1), 20.

    Article  Google Scholar 

  • Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., et al. (2010a). Mental health treatment seeking among elders with depression: The impact of stigma and race. The American Journal of Geriatric Psychiatry, 18(6), 531–543.

    Article  Google Scholar 

  • Conner, K. O., Copeland, V. C., Grote, N. K., Rosen, D., Albert, S., McMurray, M. L., et al. (2010b). Barriers to treatment and culturally endorsed coping strategies among depressed African-American elders. Aging and Mental Health, 14(8), 971–983.

    Article  Google Scholar 

  • Cuijpers, P., Karyotaki, E., Pot, A. M., Park, M., & Reynolds, C. F. (2014). Managing depression in older age: Psychological interventions. Maturitas, 79(2), 160–169.

    Article  Google Scholar 

  • Dotson, V. M., Beydoun, M. A., & Zonderman, A. B. (2010). Recurrent depressive symptoms and the incidence of dementia and mild cognitive impairment. Neurology, 75(1), 27–34.

    Article  Google Scholar 

  • Fässberg, M. M., Cheung, G., Canetto, S. S., Erlangsen, A., Lapierre, S., Lindner, R., et al. (2016). A systematic review of physical illness, functional disability, and suicidal behaviour among elders. Aging & Mental Health, 20(2), 166–194.

    Article  Google Scholar 

  • Fuentes, D., & Aranda, M. P. (2012). Depression interventions among racial and ethnic minority elders: A systematic review across 20 years. The American Journal of Geriatric Psychiatry, 20(11), 915–931.

    Article  Google Scholar 

  • Forsman, A. K., Nordmyr, J., & Wahlbeck, K. (2011). Psychosocial interventions for the promotion of mental health and the prevention of depression among elders. Health Promotion International, 26(suppl_1), i85–i107.

    Article  Google Scholar 

  • Gallo, J. J., Hwang, S., Joo, J. H., Bogner, H. R., Morales, K. H., Bruce, M. L., et al. (2016). Multimorbidity, depression, and mortality in primary care: Randomized clinical trial of an evidence-based depression care management program on mortality risk. Journal of General Internal Medicine, 31(4), 380–386.

    Article  Google Scholar 

  • Garrett, M. D., Baldridge, D., Benson, W., Crowder, J., & Aldrich, N. (2015). Mental health disorders among an invisible minority: Depression and dementia among American Indian and Alaska native elders. The Gerontologist, 55(2), 227–236.

    Article  Google Scholar 

  • Gonçalves, D. C., & Byrne, G. J. (2012). Interventions for generalized anxiety disorder in elders: Systematic review and meta-analysis. Journal of Anxiety Disorders, 26(1), 1–11.

    Article  Google Scholar 

  • Gitlin, L. N., Harris, L. F., McCoy, M. C., Chernett, N. L., Pizzi, L. T., Jutkowitz, E., et al. (2013). A home-based intervention to reduce depressive symptoms and improve quality of life in older African Americans: A randomized trial. Annals of Internal Medicine, 159(4), 243–252.

    Article  Google Scholar 

  • Gitlin, L. N., Parisi, J. M., Huang, J., Winter, L., & Roth, D. L. (2018). Valuation of life as outcome and mediator of a depression intervention for older African Americans: The Get Busy Get Better Trial. International Journal of Geriatric Psychiatry, 33(1), e31–e39.

    Article  Google Scholar 

  • Gould, C. E., O’hara, R., Goldstein, M. K., & Beaudreau, S. A. (2016). Multimorbidity is associated with anxiety in elders in the health and retirement study. International Journal of Geriatric Psychiatry, 31(10), 1105–1115.

    Article  Google Scholar 

  • Gulpers, B., Ramakers, I., Hamel, R., Köhler, S., Voshaar, R. O., & Verhey, F. (2016). Anxiety as a predictor for cognitive decline and dementia: A systematic review and meta-analysis. The American Journal of Geriatric Psychiatry, 24(10), 823–842.

    Article  Google Scholar 

  • Guo, M., Li, S., Liu, J., & Sun, F. (2015). Family relations, social connections, and mental health among Latino and Asian older adults. Research on aging, 37(2), 123–147.

    Article  Google Scholar 

  • Han, H.-R., Kim, K., & Kim, M. (2006). Evaluation of the training of Korean community health workers for chronic disease management. Health Education Research, 22(4), 513–521.

    Article  Google Scholar 

  • Hernandez, R., Prohaska, T. R., Wang, P.-C., & Sarkisian, C. A. (2013). The longitudinal relationship between depression and walking behavior in older Latinos: The “¡ Caminemos!” study. Journal of Aging and Health, 25(2), 319–341.

    Article  Google Scholar 

  • Hernandez, R., Andrade, F. C. D., Piedra, L. M., Tabb, K. M., Xu, S., & Sarkisian, C. (2018). The impact of exercise on depressive symptoms in older Hispanic/Latino adults: Results from the ‘¡Caminemos!’ study. Aging & Mental Health, 1–6.

    Google Scholar 

  • Houtjes, W., Van Meijel, B., Deeg, D. J. H., & Beekman, A. T. F. (2010). Major depressive disorder in late life: A multifocus perspective on care needs. Aging & Mental Health, 14(7), 874–880.

    Article  Google Scholar 

  • Huang, C.-Q., Dong, B.-R., Lu, Z.-C., Yue, J.-R., & Liu, Q.-X. (2010). Chronic diseases and risk for depression in old age: A meta-analysis of published literature. Ageing Research Reviews, 9(2), 131–141.

    Article  Google Scholar 

  • Ismail, Z., Fischer, C., & McCall, W. V. (2013). What characterizes late-life depression. Psychiatric Clinics of North America, 36(4), 483–496.

    Article  Google Scholar 

  • Jang, Y., Chiriboga, D. A., & Okazaki, S. (2009). Attitudes toward mental health services: Age-group differences in Korean American adults. Aging & Mental Health, 13(1), 127–134.

    Article  Google Scholar 

  • Jang, Y., Chiriboga, D. A., Herrera, J. R., Tyson, D. M., & Schonfeld, L. (2011). Attitudes toward mental health services in Hispanic elders: The role of misconceptions and personal beliefs. Community Mental Health Journal, 47(2), 164–170.

    Article  Google Scholar 

  • Jang, Y., Park, N. S., Kang, S.-Y., & Chiriboga, D. A. (2014). Racial/ethnic differences in the association between symptoms of depression and self-rated mental health among elders. Community Mental Health Journal, 50(3), 325–330.

    Article  Google Scholar 

  • Jimenez, D. E., Bartels, S. J., Cardenas, V., & Alegría, M. (2013a). Stigmatizing attitudes toward mental illness among racial/ethnic elders in primary care. International Journal of Geriatric Psychiatry, 28(10), 1061–1068.

    Article  Google Scholar 

  • Jimenez, D. E., Cook, B., Bartels, S. J., & Alegría, M. (2013b). Disparities in mental health service use of racial and ethnic minority elderly adults. Journal of the American Geriatrics Society, 61(1), 18–25.

    Article  Google Scholar 

  • Jimenez, D. E., Bartels, S. J., Cardenas, V., Dhaliwal, S. S., & Alegría, M. (2012). Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care. The American Journal of Geriatric Psychiatry, 20(6), 533–542.

    Article  Google Scholar 

  • Jimenez, D. E., Reynolds, C. F., Alegría, M., Harvey, P., & Bartels, S. J. (2015). The Happy Older Latinos are Active (HOLA) health promotion and prevention study: Study protocol for a pilot randomized controlled trial. Trials, 16(1), 579.

    Article  Google Scholar 

  • Jimenez, D. E., Syed, S., Perdomo-Johnson, D., & Signorile, J. F. (2018). ¡HOLA, Amigos! Toward preventing anxiety and depression in older Latinos. The American Journal of Geriatric Psychiatry, 26(2), 250–256.

    Article  Google Scholar 

  • Kessler, R. C., Birnbaum, H., Bromet, E., Hwang, I., Sampson, N., & Shahly, V. (2010). Age differences in major depression: Results from the National Comorbidity Survey Replication (NCS-R). Psychological Medicine, 40(2), 225–237.

    Article  Google Scholar 

  • Kim, G., DeCoster, J., Chiriboga, D. A., Jang, Y., Allen, R. S., & Parmelee, P. (2011). Associations between self-rated mental health and psychiatric disorders among elders: Do racial/ethnic differences exist? The American Journal of Geriatric Psychiatry, 19(5), 416–422.

    Article  Google Scholar 

  • Kim, K. B., Han, H.-R., Huh, B., Nguyen, T., Lee, H., & Kim, M. T. (2014). The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure. American Journal of Hypertension, 27(9), 1199–1208.

    Article  Google Scholar 

  • Kim, Y. S., Rhee, T. G., Lee, H. Y., Park, B. H., & Sharratt, M. L. (2017). Mental health literacy as a mediator in use of mental health services among older korean adults. International psychogeriatrics, 29(2), 269–279.

    Article  Google Scholar 

  • Kim, M. T., Kim, K. B., Han, H.-R., Huh, B., Nguyen, T., & Lee, H. B. (2015). Prevalence and predictors of depression in Korean American elderly: findings from the Memory and Aging Study of Koreans (MASK). The American Journal of Geriatric Psychiatry, 23(7), 671–683.

    Article  Google Scholar 

  • Köhler, S., Thomas, A. J., Barnett, N. A., & O’Brien, J. T. (2010). The pattern and course of cognitive impairment in late-life depression. Psychological Medicine, 40(4), 591–602.

    Article  Google Scholar 

  • Kwag, K. H., Jang, Y., & Chiriboga, D. A. (2012). Acculturation and depressive symptoms in Hispanic elders: Does perceived ethnic density moderate their relationship? Journal of Immigrant and Minority Health, 14(6), 1107–1111.

    Article  Google Scholar 

  • Liang, J., Xu, X., Quiñones, A. R., Bennett, J. M., & Ye, W. (2011). Multiple trajectories of depressive symptoms in middle and late life: Racial/ethnic variations. Psychology and Aging, 26(4), 761.

    Article  Google Scholar 

  • Mackenzie, C. S., Pagura, J., & Sareen, J. (2010). Correlates of perceived need for and use of mental health services by older adults in the collaborative psychiatric epidemiology surveys. The American Journal of Geriatric Psychiatry, 18(12), 1103–1115.

    Article  Google Scholar 

  • Manini, T. (2011). Development of physical disability in elders. Current Aging Science, 4(3), 184–191.

    Article  Google Scholar 

  • Mezuk, B., Edwards, L., Lohman, M., Choi, M., & Lapane, K. (2012). Depression and frailty in later life: A synthetic review. International Journal of Geriatric Psychiatry, 27(9), 879–892.

    Article  Google Scholar 

  • Mitchell, A. J., Rao, S., & Vaze, A. (2010). Do primary care physicians have particular difficulty identifying late-life depression? A meta-analysis stratified by age. Psychotherapy and Psychosomatics, 79(5), 285–294.

    Article  Google Scholar 

  • Mohlman, J., Bryant, C., Lenze, E. J., Stanley, M. A., Gum, A., Flint, A., et al. (2012). Improving recognition of late life anxiety disorders in diagnostic and statistical manual of mental disorders: Observations and recommendations of the advisory committee to the lifespan disorders work group. International Journal of Geriatric Psychiatry, 27(6), 549–556.

    Article  Google Scholar 

  • Moon, H., Lee, Y.-S., Roh, S., & Burnette, C. E. (2017). Factors associated with American Indian mental health service use in comparison with White elders. Journal of Racial and Ethnic Health Disparities, 1–13.

    Google Scholar 

  • Overend, K., Bosanquet, K., Bailey, D., Foster, D., Gascoyne, S., Lewis, H., et al. (2015). Revealing hidden depression in older people: A qualitative study within a randomised controlled trial. BMC Family Practice, 16(1), 142.

    Article  Google Scholar 

  • Palmer, K., Berger, A., Monastero, R., Winblad, B., Bäckman, L., & Fratiglioni, L. (2007). Predictors of progression from mild cognitive impairment to Alzheimer disease. Neurology, 68(19), 1596–1602.

    Article  Google Scholar 

  • Panza, F., Frisardi, V., Capurso, C., D’introno, A., Colacicco, A. M., Imbimbo, Bp, et al. (2010). Late-life depression, mild cognitive impairment, and dementia: Possible continuum? The American Journal of Geriatric Psychiatry, 18(2), 98–116.

    Article  Google Scholar 

  • Park, N. S., Jang, Y., & Chiriboga, D. A. (2018). Willingness to use mental health counseling and antidepressants in older Korean Americans: The role of beliefs and stigma about depression. Ethnicity & Health, 23(1), 97–110.

    Article  Google Scholar 

  • Penkunas, M. J., & Hahn-Smith, S. (2015). An evaluation of IMPACT for the treatment of late-life depression in a public mental health system. The Journal of Behavioral Health Services & Research, 42(3), 334–345.

    Article  Google Scholar 

  • Pickett, Y. R., Bazelais, K. N., & Bruce, M. L. (2013). Late-life depression in older African Americans: A comprehensive review of epidemiological and clinical data. International Journal of Geriatric Psychiatry, 28(9), 903–913.

    Article  Google Scholar 

  • Prevention, T. C. f. D. C. a. (2012). Diabetes and depression among American Indian and Alaska native elders. https://www.cdc.gov/aging/pdf/hap-issue-brief-aian.pdf.

  • Ramos, K., & Stanley, M. A. (2018). Anxiety disorders in late life. Psychiatric Clinics, 41(1), 55–64.

    Google Scholar 

  • Reynolds, K., Pietrzak, R. H., El-Gabalawy, R., Mackenzie, C. S., & Sareen, J. (2015). Prevalence of psychiatric disorders in U.S. elders: Findings from a nationally representative survey. World Psychiatry, 14(1), 74–81.

    Article  Google Scholar 

  • Rodda, J., Walker, Z., & Carter, J. (2011). Depression in elders. BMJ-British Medical Journal, 343(8), d5219.

    Article  Google Scholar 

  • Roh, S., Brown-Rice, K. A., Lee, K. H., Lee, Y.-S., Yee-Melichar, D., & Talbot, E. P. (2015). Attitudes toward mental health services among American Indians by two age groups. Community Mental Health Journal, 51(8), 970–977.

    Article  Google Scholar 

  • Roman, S. P., Jervis, L. L., & Manson, S. M. (2012). Psychology of older American Indians and Alaska natives: Strengths and challenges to maintaining mental health. Handbook of Race and Development in Mental Health (pp. 127–146). Springer.

    Google Scholar 

  • Seignourel, P. J., Kunik, M. E., Snow, L., Wilson, N., & Stanley, M. (2008). Anxiety in dementia: A critical review. Clinical Psychology Review, 28(7), 1071–1082.

    Article  Google Scholar 

  • Sorkin, D. H., Pham, E., & Ngo-Metzger, Q. (2009). Racial and ethnic differences in the mental health needs and access to care of elders in California. Journal of the American Geriatrics Society, 57(12).

    Article  Google Scholar 

  • Stanley, M. A., Wilson, N. L., Novy, D. M., Rhoades, H. M., Wagener, P. D., Greisinger, A. J., et al. (2009). Cognitive behavior therapy for generalized anxiety disorder among elders in primary care: A randomized clinical trial. JAMA, 301(14), 1460–1467.

    Article  Google Scholar 

  • Stobbe, J., Wierdsma, A. I., Kok, R. M., Kroon, H., Roosenschoon, B. J., Depla, M., et al. (2014). The effectiveness of assertive community treatment for elderly patients with severe mental illness: A randomized controlled trial. BMC Psychiatry, 14(1), 42.

    Article  Google Scholar 

  • Thorpe, R. J., Jr., Wynn, A. J., Walker, J. L., Smolen, J. R., Cary, M. P., Szanton, S. L., et al. (2016). Relationship between chronic conditions and disability in African American men and women. Journal of the National Medical Association, 108(1), 90–98.

    Article  Google Scholar 

  • Turner, A. D., Capuano, A. W., Wilson, R. S., & Barnes, L. L. (2015). Depressive symptoms and cognitive decline in older african americans: Two scales and their factors. The American Journal of Geriatric Psychiatry, 23(6), 568–578.

    Article  Google Scholar 

  • United States Census Bureau. (2014a). An aging nation: The older population in the United States. https://www.census.gov/prod/2014pubs/p25-1140.pdf.

  • United States Census Bureau. (2014b). Mobility is most common disability among older Americans (Census Burea Reports). https://www.census.gov/newsroom/press-releases/2014/cb14-218.html.

  • Verhaak, P. F. M., Dekker, J. H., De Waal, M. W. M., Van Marwijk, H. W. J., & Comijs, H. C. (2014). Depression, disability and somatic diseases among elderly. Journal of Affective Disorders, 167, 187–191.

    Article  Google Scholar 

  • Wetherell, J. L., Ayers, C. R., Sorrell, J. T., Thorp, S. R., Nuevo, R., Belding, W., et al. (2009). Modular psychotherapy for anxiety in older primary care patients. The American Journal of Geriatric Psychiatry, 17(6), 483–492.

    Article  Google Scholar 

  • Wild, B., Eckl, A., Herzog, W., Niehoff, D., Lechner, S., Maatouk, I., et al. (2014). Assessing generalized anxiety disorder in elderly people using the GAD-7 and GAD-2 scales: Results of a validation study. The American Journal of Geriatric Psychiatry, 22(10), 1029–1038.

    Article  Google Scholar 

  • Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A., & Craske, M. G. (2010). Anxiety disorders in elders: A comprehensive review. Depression and Anxiety, 27(2), 190–211.

    Article  Google Scholar 

  • Woodward, A. T., Taylor, R. J., Bullard, K. M., Aranda, M. P., Lincoln, K. D., & Chatters, L. M. (2012). Prevalence of lifetime DSM-IV affective disorders among older African Americans, Black Caribbeans, Latinos, Asians and Non-Hispanic White people. International Journal of Geriatric Psychiatry, 27(8), 816–827.

    Article  Google Scholar 

  • Yang, F. M., Cazorla-Lancaster, Y., & Jones, R. N. (2008). Within-group differences in depression among older Hispanics living in the United States. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(1), P27–P32.

    Article  Google Scholar 

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Authors and Affiliations

  1. Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    Naomi Ali, Margarita Alegría, Esther Velásquez, Kathleen Tang, Lizbeth Herrera Duran & Karissa DiMarzio

  2. Departments of Medicine and Psychiatry, Harvard Medical School, Boston, MA, USA

    Margarita Alegría

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Correspondence to Margarita Alegría .

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  1. University of Southern California, Los Angeles, CA, USA

    William A. Vega

  2. LBJ School of Public Affairs, The University of Texas at Austin, Austin, TX, USA

    Jacqueline L. Angel

  3. Instituto Nacional de Geriatría, Mexico City, Mexico

    Luis Miguel F. Gutiérrez Robledo

  4. Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA

    Kyriakos S. Markides

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Ali, N., Alegría, M., Velásquez, E., Tang, K., Duran, L.H., DiMarzio, K. (2019). Lessons Learned from the Positive Minds—Strong Bodies Trial on Disability Prevention for Racial/Ethnic Minority Elders. In: Vega, W., Angel, J., Gutiérrez Robledo, L., Markides, K. (eds) Contextualizing Health and Aging in the Americas. Springer, Cham. https://doi.org/10.1007/978-3-030-00584-9_10

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  • DOI: https://doi.org/10.1007/978-3-030-00584-9_10

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-00584-9

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