A qualitative analysis of the perception of stigma among Latinos receiving antidepressants
- PMID: 18048562
- PMCID: PMC2288553
- DOI: 10.1176/ps.2007.58.12.1591
A qualitative analysis of the perception of stigma among Latinos receiving antidepressants
Abstract
Objective: This study sought to describe the role of stigma in antidepressant adherence among Latinos.
Methods: The study utilized data generated from six focus groups of Latino outpatients receiving antidepressants (N=30). By using a grounded theory approach, qualitative analysis focused specifically on the role of stigma in antidepressant treatment, as well as salient Latino values.
Results: Perceptions of stigma were related to both the diagnosis of depression and use of antidepressant medication. Qualitative analyses showed that antidepressant use was seen as implying more severe illness, weakness or failure to cope with problems, and being under the effects of a drug. Reports of stigma were also related to social consequences. Also, the perceived negative attributes of antidepressant use were at odds with self-perceived cultural values.
Conclusions: Stigma was a prominent concern among Latinos receiving antidepressants, and stigma often affected adherence. Furthermore, culture is likely to play an important role in the communication of stigma and its associated complications.
Conflict of interest statement
Dr. Interian has an unrestricted educational grant from Forrest Laboratories, Inc. The other authors report no competing interests.
References
-
- Vega WA, Karno M, Alegria M, et al. Research issues for improving treatment of US Hispanics with persistent mental disorders. Psychiatric Services. 2007;58:385–394. - PubMed
-
- Katon W, von Korff M, Lin E, et al. Adequacy and duration of antidepressant treatment in primary care. Medical Care. 1992;30:67–76. - PubMed
-
- Olfson M, Marcus SC, Tedeschi M, et al. Continuity of antidepressant treatment for adults with depression in the United States. American Journal of Psychiatry. 2006;163:101–108. - PubMed
-
- Sirey JA, Bruce ML, Alexopoulos GS, et al. Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry. 2001;158:479–481. - PubMed
-
- Weiss MG, Jadhav S, Raguram R, et al. Psychiatric stigma across cultures: local validation in Bangalore and London. Anthropology and Medicine. 2001;8:71–87.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical