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Tools for Treating Obsessive-Compulsive Disorder Among Latinos

  • Monnica T. Williams
  • Judy Mier-Chairez
  • Adriana Peña
Chapter

Abstract

Obsessive-compulsive disorder (OCD) is characterized by the experience of intrusive thoughts, urges, and/or images and accompanying behaviors conducted in efforts to feel less anxiety. OCD affects people of many different backgrounds and can be debilitating. Lifetime prevalence rates of OCD are estimated to be around 2%; however, ethnic minorities are historically underrepresented in such studies. Less is known about OCD in specific ethnic groups, such as Latinos. Results from the few studies investigating OCD rates in the Latino population have divergent findings. This dearth of research has also limited our understanding of unique symptom presentation and best treatment approaches for Latinos presenting with OCD. This is important because patients without the most common symptom presentations (i.e., compulsive washing and overt repetitive checking) may not be quickly identified as suffering from OCD. Additionally, it is unclear if the established conceptualization models for obsessive-compulsive symptoms are appropriate for explaining the experience of OCD in Latino patients. Recognizing these limitations, this chapter uses the available information to provide tools for clinicians treating OCD in the Latino population. This includes an overview of OCD presentation and a recommended treatment plan. Worksheets, suggested measures, and informational handouts are also included.

Keywords

Obsessive-compulsive disorder Latino Hispanic Assessment Treatment Spanish 

Notes

Acknowledgment

Psychology Tools work sheets are courtesy of Dr. Matthew Whalley.

References

  1. Abramowitz, J. S. (2006). In review: The psychological treatment of obsessive-compulsive disorder. The Canadian Journal of Psychiatry, 51(7), 407–416.CrossRefPubMedGoogle Scholar
  2. Abramowitz, J. S., Deacon, B. J., Olatunji, B. O., Wheaton, M. G., Berman, N. C., Losardo, D., … Hale, L. R. (2010). Assessment of obsessive-compulsive symptom dimensions: Development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychological Assessment, 22(1), 180–198. https://doi.org/10.1037/a0018260 CrossRefPubMedGoogle Scholar
  3. Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., & Ortega, A. N. (2002). Inequalities in use of mental health services among Latinos, African-Americans, and non-Latino Whites. Mental Health Care for Latinos, 53, 1547–1555.Google Scholar
  4. Alegria, M., Mulvaney-Day, N., Woo, M., Torres, M., Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the national Latino and Asian-American study. American Journal of Public Health, 97, 76–83.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Alexander, J. F., Billow, R. H., Bufka, L., Walters, A., & Williams, M. T. (2016, February). Serving the unserved under the Affordable Care Act (ACA): Making reform a reality for diverse patients. Presentation for the APA State Leadership Conference, Washington, DC. doi:  10.1037/e504612016-001
  6. American Psychiatric Association (APA). (2013). Diagnostic and statistical manual for mental disorders (5th ed). Washington, DC: American Psychiatric Publishing.CrossRefGoogle Scholar
  7. Anger-Diaz, B., Schlanger, K., Ricon, C., & Mendoza, A. B. (2004). Problem solving across cultures: Our Latino experience. Journal of Systematic Therapies, 23, 11–27.CrossRefGoogle Scholar
  8. Ayuso-Mateos, J. L. (2006). Global burden of obsessive-compulsive disorder in the year 2000. World Health Organization.Google Scholar
  9. Belloch, A., Reina, N., García-Soriano, G., & Clark, D. A. (2009). The Clark-Beck Obsessive-Compulsive Inventory (C-BOCI): Validation for their use in Spanish populations. Revista de Psicopatologia y Psicologia Clinica, 14(2), 95–105.Google Scholar
  10. Breslau, J., Aguilar-Gaxiola, S., Kendler, K. S., Su, M., Williams, D., & Kessler, R. C. (2006). Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological Medicine, 36(1), 57–68. https://doi.org/10.1017/S0033291705006161 CrossRefPubMedGoogle Scholar
  11. Burgess, A.J., Smith, A.H., Cervantes, M.E., & Wetterneck, C.T. (2009, November). Variations in the report of Obsessive-Compulsive symptomology and mental health beliefs across ethnicities. Poster presented at the 43rd Annual Association for Behavioral Cognitive Therapies Conference, New York, NY.Google Scholar
  12. Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., & Price, L. H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152, 441–443.CrossRefPubMedGoogle Scholar
  13. Chavira, D. A., Garrido, H., Bagnarello, M., Azzam, A., Reus, V. I., & Mathews, C. A. (2008). A comparative study of obsessive-compulsive disorder in Costa Rica and the United States. Depression and Anxiety, 25(7), 609–619.CrossRefPubMedGoogle Scholar
  14. Clark, D. A., Anthony, M. M., Beck, A. T., Swinson, R. P., & Steer, R. A. (2005). Screening for obsessive and compulsive symptoms: Validation of the Clark-Beck Obsessive-Compulsive Inventory. Psychological Assessment, 17(2), 132–143.CrossRefPubMedGoogle Scholar
  15. Foa, E. B., Coles, M., Huppert, J. D., Pasupuleti, R. V., Franklin, M. E., & March, J. (2010). Development and validation of a child version of the obsessive compulsive inventory. Behavior Therapy, 41(1), 121–132.CrossRefPubMedGoogle Scholar
  16. Foa, E. B., Kozak, M. J., Goodman, W. K., Hollander, E., Jenike, M. A., & Rasmussen, S. A. (1995). DSM-IV field trial: Obsessive compulsive disorder. American Journal of Psychiatry, 152, 90–96.CrossRefPubMedGoogle Scholar
  17. Foa, E. B., Huppert, J. D., Leiberg, S., Langer, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14(4), 485–496.CrossRefPubMedGoogle Scholar
  18. Foa, E. B., Yadin, E., & Lichner, T. K. (2012). Exposure and response (ritual) prevention for obsessive-compulsive disorder: Therapist guide (2nd ed.). New York, NY: Oxford University Press.CrossRefGoogle Scholar
  19. Gallup. (1990). A Gallup study of obsessive-compulsive sufferers. Princeton, NJ: Author.Google Scholar
  20. Gonzales, N. A., Deardorff, J., Formoso, D., Barr, A., & Barrera, M. (2006). Family mediators of the relation between acculturation and adolescent mental health. Family Relations, 55, 318–330.CrossRefGoogle Scholar
  21. Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., … Charney, D. S. (1989). The Yale-Brown Obsessive Compulsive Scale, I: Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.CrossRefPubMedGoogle Scholar
  22. Guarnaccia, P. J., Martinez, I., & Arcosta, H. (2005). Mental health in the Hispanic immigrant community: An overview. Journal of Immigrant and Refugee Services, 3, 21–46.CrossRefGoogle Scholar
  23. Hernandez, A., Plant, A., Sachs-Ericsson, N., & Joiner, T. E. (2005). Mental health among Hispanics and Caucasians: Risk and protective factors contributing to prevalence rates of psychiatric disorders. Journal of Anxiety Disorders, 19(8), 844–860.CrossRefPubMedGoogle Scholar
  24. Himle, J. A., Taylor, R. J., & Chatters, L. M. (2012). Religious involvement and obsessive-compulsive disorder among African Americans and Black Caribbeans. Journal of Anxiety Disorders, 26(4), 502–510.CrossRefPubMedGoogle Scholar
  25. Karno, M., Golding, J. M., Burnam, M. A., Hough, R. L., Escobar, J., Wells, K. M., & Boyer, R. (1989). Anxiety disorders among Mexican Americans and non-Hispanic whites in Los Angeles. The Journal of Nervous and Mental Disease, 177, 202–209.CrossRefPubMedGoogle Scholar
  26. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602.CrossRefPubMedGoogle Scholar
  27. Koran, L. M., Thienemann, M. L., & Davenport, R. (1996). Quality of life for patients with obsessive-compulsive disorder. American Journal of Psychiatry, 153(6), 783–788.CrossRefPubMedGoogle Scholar
  28. Kosmin, B. A., & Keysar, A. (2009). American religious identification survey 2008: Summary report. Trinity College.Google Scholar
  29. López-Solà, C., Gutiérrez, F., Pino, A., Rosado, S., Taberner, J., Segalàs, C., … Fullana, M. A. (2014). Spanish version of the Dimensional Obsessive–Compulsive Scale (DOCS): Psychometric properties and relation to obsessive beliefs. Comprehensive Psychiatry, 55, 206–214.CrossRefPubMedGoogle Scholar
  30. Lopez, A. D., & Murray, C. C. J. L. (1998). The global burden of disease, 1990–2020. Nature Medicine, 4(11), 1241–1243.CrossRefPubMedGoogle Scholar
  31. Malpica, M. J., Ruiz, V. M., Godoy, A., & Gavino, A. (2009). Inventario de Obsesiones y Compulsiones-Revisado (OCI-R): Aplicabilidad a la poblacion general. Anales De Psicologia, 25(2), 217–226.Google Scholar
  32. Nicolini, H., Benilde, O., Giuffra, L., Paez, F., Mejia, J., Sanchez de Carmona, M., … Ramon de la Fuente, J. (1997). Age of onset, gender and severity in obsessive-compulsive disorder: A study on a Mexican population. Salud Mental, 20(3), 1–4.Google Scholar
  33. Otero, S., & Rivas, A. (2007). Adaptation and validation of the family accommodation scale for OC symptoms in a sample of Spanish adolescents. Actas Espanolas de Psiquiatria, 35(2), 99–104.PubMedGoogle Scholar
  34. Paris, M., Anez, L., Bedregal, L., Andres-Hyman, R., & Davidson, L. (2005). Help seeking and satisfaction among Latinas: The roles of setting, ethnic identity, and therapeutic alliance. Journal of Community Psychology, 33(3), 299–312.CrossRefGoogle Scholar
  35. Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive- compulsive disorders in the national comorbidity survey replication. Molecular Psychiatry, 15(1), 53–63.CrossRefPubMedGoogle Scholar
  36. Santisteban, D. A., Perez-Vidal, A., Coatsworth, J. D., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., et al. (2003). Efficacy of brief strategic family therapy in modifying Hispanic adolescent behavior problems and substance use. Journal of Family Psychology, 17, 121–133.CrossRefPubMedPubMedCentralGoogle Scholar
  37. Sawyer, B. A., Leavell, S., Bach, N., Williams, M. T., Rosen, R., Leen, S., …, & Pearlson, G. D. (2013, July). Family support and OC symptoms in Hispanic American College Students. Poster presented at the International OCD Foundation Annual Conference, Atlanta, GA.Google Scholar
  38. Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., … Leckman, J. F. (1997). Children’s Yale-Brown obsessive compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.CrossRefPubMedGoogle Scholar
  39. Sheehan, D. V., Sheehan, K. H., Shytle, R. D., Janavs, J., Bannon, Y., Rogers, J. E., … Wilkinson, B. (2010). Reliability and validity of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Journal of Clinical Psychiatry, 71(3), 313–326.CrossRefPubMedGoogle Scholar
  40. Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMedGoogle Scholar
  41. Sica, C., Novara, C., & Sanavio, E. (2002). Religiousness and obsessive–compulsive cognitions and symptoms in an Italian population. Behaviour Research and Therapy, 40, 813–823.CrossRefPubMedGoogle Scholar
  42. Steketee, G. (2005). Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventoryDOUBLEHYPHENpart 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43(11), 1527–1542. https://doi.org/10.1016/j.brat.2004.07.010
  43. Storch, E. A., Bagner, D., Merlo, L. J., Shapira, N. A., Geffken, G. R., Murphy, T. K., & Goodman, W. K. (2007). Florida obsessive-compulsive inventory: Development, reliability, and validity. Journal of Clinical Psychology, 63(9), 851–859. https://doi.org/10.1002/jclp.20382 CrossRefPubMedGoogle Scholar
  44. Storch, E. A., Rasmussen, S. A., Price, L. H., Larson, M. J., Murphy, T. K., & Goodman, W. K. (2010). Development and psychometric evaluation of the Yale–Brown Obsessive-Compulsive Scale—Second Edition. Psychological Assessment, 22(2), 223–232. https://doi.org/10.1037/a0018492 CrossRefPubMedGoogle Scholar
  45. Sue, S., Fujino, D., Hu, L., Takeuchi, D., & Zane, N. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypotheses. Journal of Consulting and Clinical Psychology, 59(4), 533–540.CrossRefPubMedGoogle Scholar
  46. Ulloa, R. E., de la Peña, F., Higuera, F., Palacios, L., Nicolini, H., & Avila, J. M. (2004). Validity and reliability of the Spanish version of Yale-Brown obsessive-compulsive rating scale for children and adolescents. Actas Españolas de Psiquiatría, 32(4), 216–221.PubMedGoogle Scholar
  47. U.S. Census (2015). Health Insurance Coverage in the United States: 2014. Table 5. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2015/demo/p60-253.pdf
  48. U.S. Department of Health and Human Services (USDHHS). (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, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/cre/
  49. Washington, C. S., Norton, P. J., & Temple, S. (2008). Obsessive-compulsive symptoms and obsessive-compulsive disorder: A multiracial/ethnic analysis of a student population. Journal of Nervous and Mental Disease, 196(6), 456–461.CrossRefPubMedGoogle Scholar
  50. Wetterneck, C., Little, T., Rinehart, K., Cervantes, M. E., Hyde, E., & Williams, M. T. (2012). Latinos with obsessive-compulsive disorder: Mental healthcare utilization and inclusion in clinical trials. Journal of Obsessive-Compulsive & Related Disorders, 1(2), 85–97.CrossRefGoogle Scholar
  51. Wetterneck, C. T., Siev, J., Smith, A. H., Adams, T. G., & Slimcowitz, J. C. (2015). Assessing sexually intrusive thoughts: Parsing unacceptable thoughts on the dimensional obsessive-compulsive scale. Behavior Therapy, 46(4). doi: 10.1016/j.beth.2015.05.006
  52. Wheaton, M. G., Berman, N. C., Fabricant, L. E., & Abramowitz, J. S. (2013). Differences in obsessive–compulsive symptoms and obsessive beliefs: A comparison between African Americans, Asian Americans, Latino Americans, and European Americans. Cognitive Behaviour Therapy, 42(1), 9–20. doi: 10.1080/16506073.2012.701663 CrossRefPubMedGoogle Scholar
  53. Williams, M. T., Turkheimer, E., Schmidt, K., & Oltmanns, T. (2005). Ethnic identification biases responses to the Padua Inventory for obsessive-compulsive disorder. Assessment, 12(2), 174–185.CrossRefPubMedGoogle Scholar
  54. Williams, M. T., Sawyer, B., Leonard, R. C., Ellsworth, M., Simms, J. V., & Riemann, B. C. (2015). Minority participation in a major residential and intensive outpatient program for obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 5, 67–75. doi: 10.1016/j.jocrd.2015.02.004 CrossRefGoogle Scholar
  55. Yadin, E., Lichner, T. K., & Foa, E. B. (2012). Treating your OCD with exposure and response (ritual) prevention: Workbook. Philadelphia, PA: Oxford University Press.Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Monnica T. Williams
    • 1
  • Judy Mier-Chairez
    • 2
  • Adriana Peña
    • 2
    • 3
  1. 1.Department of Psychological SciencesUniversity of ConnecticutStorrsUSA
  2. 2.Department of Psychological & Brain SciencesUniversity of Louisville, Center for Mental Health DisparitiesLouisvilleUSA
  3. 3.Department of PsychologySpalding UniversityLouisvilleUSA

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