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Using Integrated Care to Treat Anxiety Among Latino Populations

  • Velma BarriosEmail author
  • Michelle Blackmore
  • Denise Chavira
Chapter

Abstract

Latinos are among the fastest growing minority group in the U.S. and they continue to experience considerable barriers to accessing medical and behavioral health services in the U.S. As a group, Latinos evidence high prevalence of anxiety disorders and comorbidity, highlighting the need to improve current disparities in quality of and access to mental health care. A unique opportunity now exists to address such disparities as the new health care reform is aimed at medical and behavioral health integration. Given the small number of Latinos that do seek mental health care often do so in primary care settings, developing culturally appropriate integrated care in these settings may be an optimal place to start. This chapter provides an overview of an integrated model for anxiety as well as recommendations for implementing culturally appropriate adaptations of the model to improve the quality of care for Latinos.

Keywords

Cognitive Behavioral Therapy Generalize Anxiety Disorder Behavioral Health Primary Care Setting Panic Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Aguilera, A., Garza, M. J., & Muñoz, R. F. (2010). Group cognitive-behavioral therapy for depression in Spanish: Culture-sensitive manualized treatment in practice. Journal of Clinical Psychology, 66(8), 857–867. doi: 10.1002/jclp.20706.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Alegría, M., Canino, G., Ríos, R., Vera, M., Calderón, J., Rusch, D., & Ortega, A. N. (2002). Mental health care for Latinos: Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino Whites. Psychiatric Services, 53(12), 1547–1555.Google Scholar
  3. Alvidrez, J., & Azocar, F. (1999). Distressed women’s clinic patients: Preferences for mental health treatments and perceived obstacles. General Hospital Psychiatry, 21(5), 340–347.CrossRefPubMedGoogle Scholar
  4. Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., & Coventry, P. (2012). Collaborative care for depression and anxiety problems. Cochrane Database System Review, (10).Google Scholar
  5. Areán, P. A., Ayalon, L., Jin, C., McCulloch, C. E., Linkins, K., Chen, H., & Estes, C. (2008). Integrated specialty mental health care among older minorities improves access but not outcomes: Results of the PRISMe study. International Journal of Geriatric Psychiatry, 23(10), 1086–1092.Google Scholar
  6. Arnow, B. A., Blasey, C., Manber, R., Constantino, M. J., Markowitz, J. C., Klein, D. N., … Rush, A. J. (2007). Dropouts versus completers among chronically depressed outpatients. Journal of Affective Disorders, 97(13), 197–202.Google Scholar
  7. Azocar, F., Areán, P., Miranda, J., & Muñoz, R. F. (2001). Differential item functioning in a Spanish translation of the Beck depression inventory. Journal of Clinical Psychology, 57, 355–365.CrossRefPubMedGoogle Scholar
  8. Benuto, L., & O’Donohue, W. (2015). Is culturally sensitive cognitive behavioral therapy an empirically supported treatment?: The case for Latinos. International Journal of Psychology and Psychological Therapy, 15(3), 405.Google Scholar
  9. Benuto, L., Olmo-Terasa, A., & Reyes-Rabanillo, M. (2011). Exploring the factor structure and psychometric properties of a Spanish translation of the clinician-administered PTSD scale. The International Journal of Educational and Psychological Assessment, 9(1), 14.Google Scholar
  10. Blanco, C., Patel, S. R., Liu, L., Jiang, H., Lewis-Fernandez, R., Schmidt, A. B., … Olfson, M. (2007). National trends in ethnic Disparities in mental health care. Medical Care, 45, 1012–1019.Google Scholar
  11. Breslau, J., Kendler, K. S., Su, M., Gaxiola-Aguilar, S., & Kessler, R. C. (2005). Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States. Psychological Medicine, 35, 317–327.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Campbell-Sills, L., Norman, S. B., Craske, M. G., Sullivan, G., Lang, A. J., Chavira, D. A., & Stein, M. B. (2009). Validation of a brief measure of anxiety-related severity and impairment: The Overall Anxiety Severity and Impairment Scale (OASIS). Journal of Affective Disorders, 112(1), 92–101.Google Scholar
  13. Canino, I. A., Rubio-Stipec, M., Canino, G. J., & Escobar, J. I. (1992). Functional somatic symptoms: A cross-ethnic comparison. American Journal of Orthopsychiatry, 62(4), 605–612. doi: 10.1037/h0079376.CrossRefPubMedGoogle Scholar
  14. Carlson, L., & Bultz, B. (2003). Cancer distress screening: Needs, models and methods. Journal of Psychosomatic Research, 55, 403–409.CrossRefPubMedGoogle Scholar
  15. Center for Mental Health Services. (2000). Cultural competence standards in managed care mental health services; Four underserved/underrepresented racial/ethnic groups. Retrieved July 28, 2015, from http://www.ce4alliance.com/articles/100124/culturalcompetenceManageCare.pdf.
  16. Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.CrossRefPubMedGoogle Scholar
  17. Chavira, D. A., Golinelli, D., Sherbourne, C., Stein, M. B., Sullivan, G., Bystritsky, A., … Craske, M. (2014). Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care. Journal of Consulting and Clinical Psychology, 82(3), 392–403. doi:  10.1037/a0036365.
  18. Chavira, D. A., Stein, M. B., & Roy-Byrne, P. (2008). Managing anxiety in primary care. In Oxford Handbook of anxiety and related disorders. New York, NY: Oxford University Press. doi: 10.1093/oxfordhb/9780195307030.013.0039.Google Scholar
  19. Collins, C., Hewson, D. L., Munger, R., & Wade, T. (2010). Evolving models of behavioral health integration in primary care. New York, NY: Milbank Memorial Fund.CrossRefGoogle Scholar
  20. Connor, K., Kobak, K., Churchill, L., Katzelnick, D., & Davidson, J. (2001). Mini-SPIN: A brief screening assessment for generalized social anxiety disorder. Depression and Anxiety, 14, 137–140.CrossRefPubMedGoogle Scholar
  21. Coventry, P. A., Hudson, J. L., Kontopantelis, E., Archer, J., Richards, D. A., Gilbody, S., … Bower, P. (2014). Characteristics of effective collaborative care for treatment of depression: A systematic review and meta-regression of 74 randomised controlled trials. PLoS One, 9(9), e108114.Google Scholar
  22. Craske, M. G. (1999). Anxiety disorders: Psychological approaches to theory and treatment. Boulder, CO: Westview Press.Google Scholar
  23. Craske, M. G., Roy-Byrne, P. P., Stein, M. B., Sullivan, G., Sherbourne, C., & Bystritsky, A. (2009). Treatment for anxiety disorders: Efficacy to effectiveness to implementation. Behaviour Research and Therapy, 47(11), 931–937.CrossRefPubMedPubMedCentralGoogle Scholar
  24. DeCarlo Santiago, C., & Miranda, J. (2014). Progress in improving mental health services for racial-ethnic minority groups: A ten-year perspective. Psychiatric Services, 65(2), 180–185. doi: 10.1176/appi.ps.201200517.CrossRefGoogle Scholar
  25. Degoratis, L. (2000). BSI-18: Administration, scoring and procedures manual. Minneapolis, MN: National Computer Systems.Google Scholar
  26. Derose, K. P., & Baker, D. W. (2000). Limited English proficiency and Latinos’ use of physician services. Medical Care Research Review, 57, 76–91.CrossRefPubMedGoogle Scholar
  27. Doty, M. M., Blumenthal, D., & Collins, S. R. (2014). The affordable care act and health insurance for Latinos. JAMA, 17, 1735–1736.CrossRefGoogle Scholar
  28. Duffy, F. F., Chung, H., Trivedi, M., Rae, D. S., Regier, D. A., & Katzelnick, D. J. (2008). Systematic use of patient-rated depression severity monitoring: Is it helpful and feasible in clinical psychiatry? Psychiatric Services, 59, 1148–1154.CrossRefPubMedGoogle Scholar
  29. Dwight-Johnson, M., Lagomasino, I. T., Hay, J., Zhang, L., Tang, L., Green, J. M., & Duan, N. (2010). Effectiveness of collaborative care in addressing depression treatment preferences among low-income Latinos. Psychiatric Services, 61(11), 1112–1118. doi:  10.1176/appi.ps.61.11.1112.
  30. Ell, K., Katon, W., Xie, B., Lee, P. J., Kapetanovic, S., Guterman, J., & Chou, C. P. (2010). Collaborative Care management of major depression among low-income, Predominantly Hispanic subjects with diabetes. A randomized controlled trial. Diabetes Care, 33(4), 706–713.Google Scholar
  31. Ennis, S. R., Rios-Vargas, M., & Albert, N. G. (2010). The Hispanic population 2010: 2010 Census briefs. Retrieved July 28, 2015, from http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.
  32. Escobar, J. I., Gomez, J., & Tuason, V. B. (1983). Depressive phenomenology in North and South American patients. The American Journal of Psychiatry, 140(1), 47–51.CrossRefPubMedGoogle Scholar
  33. Finch, B. K., Kolody, B., & Vega, W. A. (2000). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Science Behavior, 4, 295–313.CrossRefGoogle Scholar
  34. Finch, B. K., & Vega, W. A. (2003). Acculturation stress, social support, and self-rated health among Latinos in California. Journal of Immigrant Health, 5, 109–117.CrossRefPubMedGoogle Scholar
  35. Finkler, K. (1985). Symptomatic differences between the sexes in rural Mexico. Culture, Medicine and Psychiatry, 9(1), 27–57.PubMedGoogle Scholar
  36. Fortuna, L. R., Alegria, M., & Gao, S. (2010). Retention in depression treatment among ethnic and racial minority groups in the United States. Depression and Anxiety, 27(5), 485–494. doi: 10.1002/da.20685.CrossRefPubMedPubMedCentralGoogle Scholar
  37. Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166(21), 2314–2321.CrossRefPubMedGoogle Scholar
  38. Givens, J. L., Houston, T. K., Van Voorhees, B. W., Ford, D. E., & Cooper, L. A. (2007). Ethnicity and preferences for depression treatment. General Hospital Psychiatry, 29, 182–191.CrossRefPubMedGoogle Scholar
  39. Grant, B. F., Stinson, F. S., Hasin, D. S., Dawson, D. A., Chou, S. P., & Anderson, K. (2004). Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and Whites in the United States: Results from the National Epidemiologic Survey on alcohol and related conditions. Archives of General Psychiatry, 61, 1226–1233.CrossRefPubMedGoogle Scholar
  40. Guarnaccia, P. J., & Farias, P. (1988). The social meanings of nervios: A case study of a Central American woman. Social Science & Medicine, 26(12), 1223–1231.CrossRefGoogle Scholar
  41. Hackethal, V., Spiegel, S., Lewis-Fernandez, R., Kealey, E., Salerno, A., & Finnerty, M. (2013). Towards a cultural adaptation of family psychoeducation: Findings from three Latino focus groups. Community Mental Health Journal, 49(5), 587–598. doi: 10.1007/s10597-012-9559-1.CrossRefPubMedGoogle Scholar
  42. Hiott, A., Grzywacz, J. G., Arcury, T. A., & Quandt, S. A. (2006). Gender differences in anxiety and depression among immigrant Latinos. Families, Systems & Health, 24, 137–146.CrossRefGoogle Scholar
  43. Hirai, M., Stanley, M. A., & Novy, D. M. (2006). Generalized anxiety disorder in Latinos: Symptom characteristics and prediction of severity. Journal of Psychopathology and Behavioral Assessment, 28(1), 49–56.Google Scholar
  44. Hofmann, S. G., & Smits, J. A. (2008). Cognitive–behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69, 621–632.CrossRefPubMedPubMedCentralGoogle Scholar
  45. Hovey, J. D. (2000a). Acculturative stress, depression, and suicidal ideation in Mexican immigrants. Cultural Diversity & Ethnic Minority Psychology, 6, 134–151.CrossRefGoogle Scholar
  46. Hovey, J. D. (2000b). Psychosocial predictors of acculturative stress in Mexican immigrants. The Journal of Psychology, 134, 490–502.CrossRefPubMedGoogle Scholar
  47. Huang, F. Y., Chung, H., Kroenke, K., Delucchi, K. L., & Spitzer, R. L. (2006). Using the Patient Health Questionnaire-9 to measure depression among racially and ethnically diverse primary care patients. Journal of General Internal Medicine, 6, 547–552.CrossRefGoogle Scholar
  48. Hwang, W.-C., & Goto, S. (2008). The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cultural Diversity and Ethnic Minority Psychology, 14(4), 326–335. doi: 10.1037/1099-9809.14.4.326.CrossRefPubMedGoogle Scholar
  49. Interian, A., Martinez, I., Guarnaccia, P., Vega, W., & Escobar, J. (2007). A qualitative analysis of the perception of stigma among Latinos receiving antidepressants. Psychiatric Services, 58(12), 1591–1594.CrossRefPubMedPubMedCentralGoogle Scholar
  50. Janeway, D. (2009). An integrated approach to the diagnosis and treatment of anxiety within the practice of cardiology. Cardiology in Review, 17(1), 36–43.CrossRefPubMedGoogle Scholar
  51. Kaiser Commission on Medicaid and the Uninsured. (2004). Covering new Americans: A review of federal and state policies related to immigrants eligibility and access to publicly funded health insurance. Retrieved July 28, 2015, from http://kff.org/medicaid/report/covering-new-americans-a-review-of-federal/.
  52. Katon, W., Russo, J., Lin, E. H., Schmittdiel, J., Ciechanowski, P., Ludman, E., … Von Korff, M. (2012). Cost-effectiveness of a multicondition collaborative care intervention: A randomized controlled trial. Archives of general psychiatry, 69(5), 506–514.Google Scholar
  53. Katon, W., Unützer, J., Wells, K., & Jones, L. (2010). Collaborative depression care: History, evolution and ways to enhance dissemination and sustainability. General Hospital Psychiatry, 32(5), 456–464.CrossRefPubMedGoogle Scholar
  54. Katzelnick, D., Duffy, F. F., Chung, H., Regier, D. A., Rae, D. S., & Trivedi, M. H. (2011). Depression outcomes in a psychiatric clinical practice settings: Using a self-rated measure of depression severity. Psychiatric Services, 62, 929–935.CrossRefPubMedGoogle Scholar
  55. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.CrossRefPubMedPubMedCentralGoogle Scholar
  56. Kessler, R. C., McGongale, K. A., Ahao, S., Nelson, C. B., Hughes, M., Eshelman, S., … Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8–19.Google Scholar
  57. Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005). Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health. Social Science & Medicine, 61(7), 1576–1596. doi: 10.1016/j.socscimed.2005.03.006.CrossRefGoogle Scholar
  58. Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Lowe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146, 317–325.CrossRefPubMedGoogle Scholar
  59. Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs, 20, 247–256.CrossRefPubMedGoogle Scholar
  60. Lang, A., & Stein, M. (2006). An abbreviated PTSD checklist for use as a screening instrument in primary care. Behaviour Research and Therapy, 43, 585–594.CrossRefGoogle Scholar
  61. Lau, A. S. (2006). Making the case for selective and directed cultural adaptations of evidence-based treatments: Examples from parent training. Clinical Psychology: Science and Practice, 13(4), 295–310. doi: 10.1111/j.1468-2850.2006.00042.x.Google Scholar
  62. Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., & Dunbar, G. C. (1997). The mini international neuropsychiatric interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12(5), 224–231.Google Scholar
  63. Leslie, L. A., & Lietch, M. L. (1989). A demographic profile of recent Central American immigrants: Clinical and service implications. Hispanic Journal of Behavioral Sciences, 11, 315–329.CrossRefGoogle Scholar
  64. Lewis-Fernandez, R., Guarnaccia, P. J., Martinez, I. E., Salman, E., Schmidt, A., & Liebowitz, M. (2002). Comparative phenomenology of ataques de nervios, panic attacks, and panic disorder. Culture, Medicine and Psychiatry, 26(2), 199–223.CrossRefPubMedGoogle Scholar
  65. Lewis-Fernandez, R., Hinton, D. E., Laria, A. J., Patterson, E. H., Hofmann, S. G., Craske, M. G., … Liao, B. (2010). Culture and the anxiety disorders: Recommendations for DSM-V. Depression and Anxiety, 27(2), 212–229.Google Scholar
  66. Lopez, S. R., & Guarnaccia, P. J. J. (2000). Cultural psychopathology: Uncovering the social world of mental illness. Annual Review of Psychology, 51, 571–598. doi: 10.1146/annurev.psych.51.1.571.CrossRefPubMedGoogle Scholar
  67. Markowitz, J. C., Speilman, L. A., Sullivan, M., & Fishman, B. (2000). An exploratory study of ethnicity and psychotherapy outcome among HIV-positive patients with depressive symptoms. Journal of Psychotherapy Practice and Research, 9, 226–231.PubMedPubMedCentralGoogle Scholar
  68. McCabe, K. M. (2002). Factors that predict premature termination among Mexican-American children in outpatient psychotherapy. Journal of Child and Family Studies, 11(3), 347–359. doi: 10.1023/a:1016876224388.CrossRefGoogle Scholar
  69. McKay, M. M., McCadam, K., & Gonzales, J. J. (1996). Addressing the barriers to mental health services for inner city children and their caretakers. Community Mental Health Journal, 32(4), 353–361.CrossRefPubMedGoogle Scholar
  70. McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health & Social Work, 23(1), 9–15.CrossRefGoogle Scholar
  71. Means-Christensen, A., Sherbourne, C., Roy-Byrne, P. P., Craske, M. G., & Stein, M. B. (2005). Using five questions to screen for five common mental disorders in primary care. General Hospital Psychiatry, 28, 108–118.CrossRefGoogle Scholar
  72. Menninger, W. W. (1995). Challenges to providing integrated treatment of anxiety disorders. Bulletin of the Menninger Clinic, 59(2, Suppl A), A86–A93.PubMedGoogle Scholar
  73. Mezzich, J. E., & Raab, E. S. (1980). Depressive symptomatology across the Americas. Archives of General Psychiatry, 37(7), 818–823.CrossRefPubMedGoogle Scholar
  74. Mills, S. D., Fox, R. S., Malcarne, V. L., Roesch, S. C., Champagne, B. R., & Sadler, G. R. (2014). The psychometric properties of the generalized anxiety disorder-7 scale in Hispanic Americans with English or Spanish language preference. Cultural Diversity & Ethnic Minority Psychology, 20, 463–468.CrossRefGoogle Scholar
  75. Minsky, S., Vega, W. A., Miskimen, T., Gara, M., & Escobar, J. (2003). Diagnostic patterns of Latino, African American, and European American psychiatric patients. Archives of General Psychiatry, 60, 637–644.CrossRefPubMedGoogle Scholar
  76. Miranda, J., Azócar, F., Organista, K., Dwyer, E., & Areane, P. (2003). Treatment of depression among impoverished primary care patients from ethnic minority groups. Psychiatric Services, 54(2), 219–225.CrossRefPubMedGoogle Scholar
  77. Miranda, J., & Cooper, L. (2004). Disparities in care for depression among primary care patients. Journal of General Internal Medicine, 19, 120–126.CrossRefPubMedPubMedCentralGoogle Scholar
  78. Miranda, J., Duan, N., Sherbourne, C., Schoenbaum, M., Lagomasino, I., Jackson-Triche, M., & Wells, K. B. (2003). Improving care for minorities: Can quality improvement interventions improve care and outcomes for depressed minorities? Results of a randomized, controlled trial. Health Services Research, 38, 613–630.Google Scholar
  79. Miranda, J., & Green, B. (1999). The need for mental health services research focusing on poor young women. Journal of Mental Health Policy and Economics, 2(2), 73–80.CrossRefPubMedGoogle Scholar
  80. Muntingh, A., van der Feltz-Cornelis, C., van Marwijk, H., Spinhoven, P., Assendelft, W., de Waal, M., … van Balkom, A. (2013). Effectiveness of collaborative stepped care for anxiety disorders in primary care: A pragmatic cluster randomised controlled trial. Psychotherapy and psychosomatics, 83(1), 37–44.Google Scholar
  81. Nadeem, E., Lange, J., Edge, D., Fongwa, M., Belin, T., & Miranda, J. (2007). Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care? Psychiatric Services, 58(12), 1547–1554.CrossRefPubMedGoogle Scholar
  82. Norton, P. J., & Price, E. C. (2007). A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders. Journal of Nervous and Mental Disorders, 195, 521–531.CrossRefGoogle Scholar
  83. Organista, K. C., & Muñoz, R. F. (1996). Cognitive behavioral therapy with Latinos. Cognitive and Behavioral Practice, 3, 255–270.CrossRefGoogle Scholar
  84. Organista, K. C., Muñoz, R. F., & Gonzalez, G. (1994). Cognitive-behavioral therapy for depression in low-income and minority medical outpatients: Description of a program and exploratory analyses. Cognitive Therapy and Research, 18, 241–259.CrossRefGoogle Scholar
  85. Perez, M. C., & Fortuna, L. (2005). Psychosocial stressors, psychiatric diagnosis, and utilization of mental health services among undocumented immigrant Latinos. Journal of Immigrant and Refugee Services, 3, 107–123.CrossRefGoogle Scholar
  86. Pina, A. A., Silverman, W. K., Fuentes, R. M., Kurtines, W. M., & Weems, C. F. (2003). Exposure-based cognitive-behavioral treatment for phobic and anxiety disorders: Treatment effects and maintenance for Hispanic/Latino relative to European-American youths. Journal of the American Academy of Child and Adolescent Psychiatry, 42(10), 1179–1187.CrossRefPubMedGoogle Scholar
  87. Pinninti, N. R., Madison, H., Musser, E., & Rissmiller, D. (2003). MINI international neuropsychiatric schedule: Clinical utility and patient acceptance. European Psychiatry, 18(7), 361–364.CrossRefPubMedGoogle Scholar
  88. Plante, T. G., Manuel, G. M., Menedez, A. V., & Marcotter, D. (1995). Coping with stress among Salvadoran Immigrants. Hispanic Journal of Behavioral Sciences, 17, 471–479.CrossRefGoogle Scholar
  89. Portes, A., & Rumbaut, R. G. (2006). Immigrant America: A portrait. Berkeley, CA: University of California Press.Google Scholar
  90. Price, D., Beck, A., Nimmer, C., & Bensen, S. (2000). The treatment of anxiety disorders in a primary care HMO setting. Psychiatric Quarterly, 71(1), 31–45.CrossRefPubMedGoogle Scholar
  91. Ramirez, R. R., & de la Cruz, P. G. (2003). The Hispanic population in the United States: March 2002. Retrieved July 28, 2015, from http://www.census.gov/prod/2003pubs/p20-545.pdf.
  92. Revicki, D. A., Brandenburg, N., Matza, L., Hornbrook, M. C., & Feeny, D. (2008). Health-related quality of life and utilities in primary-care patients with generalized anxiety disorder. Quality of Life Research, 17(10), 1285–1294.CrossRefPubMedGoogle Scholar
  93. Rollman, B. L., Belnap, B. H., Mazumdar, S., Houck, P. R., Zhu, F., Gardner, W., & Shear, M. K. (2005). A randomized trial to improve the quality of treatment for panic and generalized anxiety disorders in primary care. Archives of General Psychiatry, 62(12), 1332–1341.Google Scholar
  94. Roy-Byrne, P. P., & Cowley, D. S. (2007). Pharmacological treatments for panic disorder, generalized anxiety disorder, specific phobia and social anxiety disorder. In P. E. Nathan & J. M. Gorman (Eds.), A guide to treatments that work (3rd ed.). New York, NY: Oxford University Press.Google Scholar
  95. Roy-Byrne, P. P., Craske, M. G., Stein, M. B., Sullivan, G., Bystritsky, A., Katon, W., … Sherbourne, C. D. (2005). A randomized effectiveness trial of cognitive-behavioral therapy and medication for primary care panic disorder. Archives of General Psychiatry, 62, 290–298.Google Scholar
  96. Roy-Byrne, P., Craske, M. G., Sullivan, G., Rose, R. D., Edlund, M. J., Lang, A. J., … Stein, M. B. (2010). Delivery of evidence-based treatment for multiple anxiety disorders in primary care: A randomized controlled trial. JAMA, 303, 1921–1928. doi:  10.1001/jama.2010.608.
  97. Roy-Byrne, P. P., Katon, W., Cowley, D. S., & Russo, J. (2001). A randomized effectiveness trial of collaborative care for patients with panic disorder in primary care. Archives of General Psychiatry, 58(9), 869–876.CrossRefPubMedGoogle Scholar
  98. Salgado de Snyder, V. N., de Jesus Diaz-Perez, M., & Maldonado, M. (1995). Los nervios de las mujeres Mexicanas de origin rural como motivo para buscar ayuda. Salud Mental, 18(1), 50–55.Google Scholar
  99. Salman, E., Liebowitz, M. R., Guarnaccia, P. J., Jusino, C. M., Garfinkel, R., Street, L., … Klein, D. F. (1998). Subtypes of ataques de nervios: The influence of coexisting psychiatric diagnosis. Culture, Medicine and Psychiatry, 22(2), 231–244.Google Scholar
  100. Schreiter, E. A. Z., Pandhi, N., Fondow, M. D. M., Thomas, C., Vonk, J., Reardon, C. L., & Serrano, N. (2013). Consulting psychiatry within an integrated primary care model. Journal of Health Care for the Poor and Underserved 24(4), 1522–1530.Google Scholar
  101. Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Friedman, S. J., & Meyers, B. S. (2001). Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric Services, 52(12), 1615–1620.CrossRefPubMedGoogle Scholar
  102. Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.CrossRefPubMedGoogle Scholar
  103. Spitzer, R. L., Kroenke, K., Williams, J. B., & Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. JAMA, 282(18), 1737–1744.CrossRefPubMedGoogle Scholar
  104. Stein, M. (2005). Anxiety disorders: Somatic treatment. In H. Kaplan & B. Saddock (Eds.), Comprehensive textbook of psychiatry (pp. 1780–1788). Baltimore, MD: Williams and Wilkins.Google Scholar
  105. Stockdale, S. E., Lagomasino, I. T., Siddique, J., McGuire, T., & Miranda, J. (2008). Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995-2005. Medical Care, 46, 668–677.CrossRefPubMedPubMedCentralGoogle Scholar
  106. Sullivan, G., Craske, M. G., Sherbourne, C., Edlund, M. J., Rose, R. D., Golinelli, D., & Roy-Byrne, P. P. (2007). Design of the coordinated anxiety learning and management (CALM) study: Innovations in collaborative care for anxiety disorders. General Hospital Psychiatry, 29(5), 379–387.Google Scholar
  107. U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity. A supplement to mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services.CrossRefGoogle Scholar
  108. Unützer, J., Katon, W. J., Fan, M. Y., Schoenbaum, M. C., Lin, E. H., Della Penna, R. D., & Powers, D. (2008). Long-term cost effects of collaborative care for late-life depression. The American Journal of Managed Care, 14(2), 95–100.Google Scholar
  109. Vega, W. A., Alderete, E., Kolody, B., & Aguilar-Gaxiola, S. (1998). Illicit drug use among Mexicans and Mexican Americans in California: The effects of gender and acculturation. Addiction, 93, 1839–1850.CrossRefPubMedGoogle Scholar
  110. Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry, 156, 928–934.CrossRefPubMedGoogle Scholar
  111. Vega, W. A., Kolody, B., & Aguilar-Gaxiola, S. A. (2001). Help-seeking for mental health problems among Mexican-Americans. Journal of Immigrant Health, 3, 133–140.CrossRefPubMedGoogle Scholar
  112. Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58, 55–61.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Velma Barrios
    • 1
    Email author
  • Michelle Blackmore
    • 2
  • Denise Chavira
    • 3
  1. 1.Los AltosUSA
  2. 2.YonkersUSA
  3. 3.Los AngelesUSA

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