Racial preferences for participation in a depression prevention trial involving problem-solving therapy.

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Date

2010

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Citation

Kasckow, John and Brown, Charlotte and Morse, Jennifer Q and Karpov, Irina and Bensasi, Salem and Thomas, Stephen B and Ford, Angela and Reynolds, Charles (2010) Racial preferences for participation in a depression prevention trial involving problem-solving therapy. Psychiatric services (Washington, D.C.), 61 (7). pp. 722-724.

Abstract

OBJECTIVES: This study compared African Americans' and Caucasians' willingness to participate in an indicated intervention to prevent depression with problem-solving therapy. It also examined participants' problem-solving skills. Hypotheses stated that there would be no racial differences in consent rates and that social problem-solving coping skills would be lower among African Americans than Caucasians. METHODS: Proportions of African Americans and Caucasians who consented were compared, as were Social Problem Solving Inventory scores between the groups. RESULTS: Of 2,788 individuals approached, 82 (4%) of 1,970 Caucasians and 46 (6%) of 818 African Americans signed consent, and the difference was not significant (p=.09). Racial differences were observed in neither Social Problem Solving Inventory scores nor in the relationship between problem-solving skills and depressive symptoms. CONCLUSIONS: African Americans with depression demonstrated a willingness to participate in an indicated trial of depression prevention. Furthermore, both groups would appear to benefit from the problem-solving process.

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