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  • SAGE Publications  (5)
  • Caplan, Susan  (5)
  • 1
    Online Resource
    Online Resource
    Latinos, Acculturation, and Acculturative Stress: A Dimensional Concept Analysis
    SAGE Publications ; 2007
    In:  Policy, Politics, & Nursing Practice Vol. 8, No. 2 ( 2007-05), p. 93-106
    Details
    In: Policy, Politics, & Nursing Practice, SAGE Publications, Vol. 8, No. 2 ( 2007-05), p. 93-106
    Abstract: Background: Acculturation can be conceived of as a process of adaptation to stressful changes. In the field of public health, research indicates that recently arrived Latino immigrants, presumably most affected by acculturative stress, have better health outcomes than those who have spent greater time in the United States. This “immigrant paradox” is not well understood but supports the distinction between the process of acculturation and acculturative stress. Aim: To understand the nature of acculturative stress for Latinos in the context of political, historical, and societal forces. Results: Acculturative stress significantly affects the physical and mental health of many Latino immigrants. Types of stressors vary by ethnicity. Separation from family and lack of a community was the most often-cited stressor for new immigrants. Most Latino immigrants were adversely affected by discrimination. Conclusion: By developing an understanding of acculturative stress, nurses can better attend to the needs of our increasingly diverse population.
    Type of Medium: Online Resource
    ISSN: 1527-1544 , 1552-7468
    URL: Article
    DOI: 10.1177/1527154407301751
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2007
    detail.hit.zdb_id: 2070898-1
    SSG: 2
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  • 2
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    Online Resource
    A Mobile App to Prevent Depression Among Low-Income Primary Care Patients in the Dominican Republic: Sociocultural Adaptations
    SAGE Publications ; 2020
    In:  Journal of Transcultural Nursing Vol. 31, No. 4 ( 2020-07), p. 413-424
    Details
    In: Journal of Transcultural Nursing, SAGE Publications, Vol. 31, No. 4 ( 2020-07), p. 413-424
    Abstract: Introduction: Mental health mobile apps (MHapps) can provide depression treatment to people worldwide who do not have access to care, but few apps are culturally targeted to the population. In this series of studies, we described sociocultural considerations of MHapp development, and we explored participants’ perceptions of acceptability, usability, and cultural relevance of the MHapp. Method: Individual interviews were conducted in three separate primary care sites in the Dominican Republic among convenience samples of staff and patients ( n = 23, 18, and 21, respectively), using mixed methods of data collection. Results: Modifications were made during the iterative design process to reflect user preferences, which included a female gendered voice, the addition of animations, and changes to the psychoeducational content. Discussion: Primary care patients reported strong interest in MHapps due to its convenience, privacy, and affordability. Our findings support the necessity of detailed examination of user preferences to develop culturally congruent MHapp psychoeducation.
    Type of Medium: Online Resource
    ISSN: 1043-6596 , 1552-7832
    URL: Article
    DOI: 10.1177/1043659620912315
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2069642-5
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  • 3
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    Online Resource
    Intersection of Cultural and Religious Beliefs About Mental Health: Latinos in the Faith-Based Setting
    SAGE Publications ; 2019
    In:  Hispanic Health Care International Vol. 17, No. 1 ( 2019-03), p. 4-10
    Details
    In: Hispanic Health Care International, SAGE Publications, Vol. 17, No. 1 ( 2019-03), p. 4-10
    Abstract: Hispanics/Latinos utilize mental health care at a rate that is about half that of non-Hispanic Whites. Stigma and cultural and religious values play a significant role in mental health care utilization disparities. The purpose of this study was to explore beliefs about mental illness among Latino faith-based communities. Methods: A qualitative approach was used to explore perceptions of mental illness that were elicited during “El Buen Consejo,” a mental health literacy intervention delivered within three faith-based settings. Results: Participants were socialized to believe that persons with mental illness were dangerous, out of control, and suffering from an incurable illness that resulted in rejection and ostracism. Most families would deny the existence of depression and mental illness, unless symptoms greatly interfered with daily functioning or were life-threatening. Religious coping such as prayer, and faith in God, were believed to be protective factors. Causal attributions for depression were both biomedical and religious, such as lack of faith, not praying, demons, and sinful behaviors of parents. Conclusion: Latinos rely upon churches as a major social, educational, and spiritual resource. The cultural values among Latinos can be a source of strength but also contribute to stigma. The faith-based community is an important target for mental health literacy and antistigma interventions.
    Type of Medium: Online Resource
    ISSN: 1540-4153 , 1938-8993
    URL: Article
    DOI: 10.1177/1540415319828265
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2712088-0
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  • 4
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    Online Resource
    Cultural Influences on Causal Beliefs About Depression Among Latino Immigrants
    SAGE Publications ; 2013
    In:  Journal of Transcultural Nursing Vol. 24, No. 1 ( 2013-01), p. 68-77
    Details
    In: Journal of Transcultural Nursing, SAGE Publications, Vol. 24, No. 1 ( 2013-01), p. 68-77
    Abstract: Purpose: This study describes causal beliefs about depression among Dominican, Colombian, and Ecuadorian immigrants. The authors describe participants’ narratives about how particular supernatural or religious beliefs may contribute to or alleviate depression. Method: Latino primary care patients ( n = 177) were interviewed with the Beliefs About Causes of Depression Scale, a list of 35 items rated from not at all important to extremely important. Participants had the option of expanding on responses using an informal conversational approach. Underlying themes of these explanatory comments were derived from narrative and content analysis. Results: Major themes that emerged were Psychosocial and Religious and Supernatural causal beliefs. A third theme emerged that represented the integration of these categories in the context of the immigrant experience. Discussion and Conclusions: This article adds to the understanding of cross-cultural beliefs about depression. Psychosocial stressors related to the immigrant experience and adverse life events were highly endorsed, but the meaning of these stressors was construed in terms of religious and cultural values. To provide culturally appropriate services, nurses should be aware of and discuss the patient’s belief systems, illness interpretations, and expectations of treatment.
    Type of Medium: Online Resource
    ISSN: 1043-6596 , 1552-7832
    URL: Article
    DOI: 10.1177/1043659612453745
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2069642-5
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  • 5
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    Online Resource
    Development of a Faith-Based Mental Health Literacy Program to Improve Treatment Engagement Among Caribbean Latinos in the Northeastern United States of America
    SAGE Publications ; 2015
    In:  International Quarterly of Community Health Education Vol. 35, No. 3 ( 2015-04), p. 199-214
    Details
    In: International Quarterly of Community Health Education, SAGE Publications, Vol. 35, No. 3 ( 2015-04), p. 199-214
    Abstract: Depression is one of the leading causes of years lived with disability (YLDs) worldwide. Although depression can be successfully treated, 75% of Americans do not receive care. Treatment rates among Latinos immigrants are significantly lower than non-immigrant Latinos and non-Hispanic Whites. Known factors for mental health-care disparities such as poverty, insurance coverage, language barriers, and access to specialty mental health services in Latino neighborhoods do not fully explain the differences in treatment rates. Significant, but poorly understood factors influencing depression treatment among Latinos in the United States are lack of culturally congruent care, low mental health literacy, and stigma. Even though churches are a major source of health information, social and spiritual support for Latinos, the conceptualization of culturally congruent care rarely addresses religious beliefs. Therefore, one strategy to reduce disparities in depression treatment is to partner with churches to address faith-based stigma. Community-based participatory research is recognized as a methodology particularly well suited for creating successful culturally targeted interventions. The purpose of this article is to describe the process of creating a faith-based mental health literacy intervention in the Caribbean Latino community using the principles of community-based participatory research.
    Type of Medium: Online Resource
    ISSN: 0272-684X , 1541-3519
    URL: Article
    DOI: 10.1177/0272684X15581347
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2071491-9
    detail.hit.zdb_id: 3128673-2
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