Thesis (M.S.)--Colorado State University, 1985. / Typescript (photocopy). eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves [37]-39).

Thesis (M.S.)--Colorado State University, 1985. / Typescript (photocopy). Includes bibliographical references (leaves [37]-39). Also issued in print.

Thesis (M.H.S.)--Boise State University, 2009. / Includes abstract. Includes bibliographical references (leaves 57-63).

Thesis (M.H.S.)--Boise State University, 2009. / Title from t.p. of PDF file (viewed April 20, 2010). Includes abstract. Includes bibliographical references (leaves 57-63).

The purpose of this study was to explore the patterns of utilization of mental health services in the Latino community. Fifty male and female adult Latinos in the general population of San Bernardino County and Riverside County were surveyed. The questionnaire consisted of demographic information and information on beliefs and attitudes about subjects' help seeking behaviors.

Researchers have reported a high prevalence of depression among older Hispanics in the United States when compared to other ethnic groups. Cultural variations in the perception of depression sometimes make it difficult to recognize the disorder resulting in older Hispanic patients not being diagnosed and not receiving appropriate treatment. The purpose of this study was to explore older Hispanics’ explanatory model of depression and identify culture-specific factors that may help in the recognition and treatment of depression. A mixed-method design that combined qualitative and quantitative methods was used. Fifty participants were interviewed using Kleinman’s Explanatory Models ethnographic approach with a vignette variation, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Cross Cultural Measure of Acculturation (CCMA). The findings suggest that this group of older Hispanics did not recognize depression as an illness but rather as the result of life stressors and personal weaknesses. People who experience depressive symptoms were described as being crazy, bored, worried, or having a problem of the nerves. These culturally coded terms may confound diagnosis among many Hispanics who find depression an unacceptable and shameful condition. This cultural pattern seemed to prevail among low and high-acculturated individuals which may complicate the diagnosis of depression by health care providers. This study highlights the complexity and diversity of this group of older Hispanics’ conceptual model of depression. The results of this study will contribute to nursing care by providing additional information that will help professionals when working with Hispanic patients with depression. Findings expand our understanding of older Hispanics (high and low-acculturated, depressed and non-depressed) groups’ conceptualization of depression and can be used to inform the adaptation of culturally relevant approaches to better serve the Hispanic community in this country. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2013.

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The purpose of this three-paper dissertation is to examine the influence of different social processes on insomnia symptoms among Latinx adults. Qualitative and quantitative methods were used in an effort to adequately capture the complex ways in which these processes impact insomnia symptoms in this population. Given that insomnia is more prevalent among women than men and that previous studies suggest different gender patterns in the influence of social processes on mental health exist, each paper includes an exploratory aim that investigates potential gender differences in the associations it examines. Paper 1 uses thematic content analysis to explore how Latinx adults with chronic insomnia describe the social processes through which social ties impact their lived experience of insomnia. Paper 2 tests the independent and synergistic effects of family and friend social support and social strain on insomnia symptoms. Lastly, Paper 3 builds upon previous studies demonstrating a positive association between acculturation stress and insomnia symptoms among Latinx adults by examining two emotion-focused coping strategies (i.e., brooding and alcohol use) as potential mechanisms driving this association. Taken together, the findings from these three papers suggest there may be a need for mental health providers to evaluate and address social processes when diagnosing and treating insomnia among Latinx adults.

Given the public health crisis of Adverse Childhood Experiences (ACEs) in childhood and adolescence, and the potential lifelong repercussions, this study sought to identify significant predictors of a high self-rating for having experienced ACEs in childhood/adolescence with Hispanic/Latinx adults (n=292) with 55.8% female and 81.5% U.S. born with a mean age of 33 years. Some 52.5% presented moderately high to extremely high levels of race-related stress due to being Hispanic/Latinx; 63.6% experienced moderate to very severe toxic stress in childhood/adolescence and, 66.1% in the past year; 82.6% reported depression, 87% anxiety, and 86.2% trauma during childhood/adolescence; and, 83.1% reported depression, 89.7% anxiety, and 81.1% trauma for the past year. The study introduced the Knowledge of Adverse Childhood Experiences Survey (KACES-20) finding a moderate level of knowledge with deficits regarding how ACEs in childhood/adolescence can place individuals at risk later in life for type 2 diabetes, cancer, and high blood pressure. An ACEs video was included in the study with over 90% recommending the KACES-20 and ACEs video to others; and, together these brief online e-health interventions were associated with significant increases in knowledge of ACEs and self-efficacy for the ability to recognize ACEs in children/adolescents. After taking the KACES-20 and watching the ACEsvideo, 94.6% revealed experiencing ACEs during childhood/adolescence. Having more severe experiences of ACEs was significantly predicted by male gender, higher race-related stress due to being Hispanic/Latinx, higher toxic stress in childhood/adolescence, higher mental distress in childhood/adolescence and the past year, and a higher KACES-20 score. Findings highlight the value of the KACES-20 and ACEs video as brief online e-health interventions, and the important contribution of a new methodology for investigating experiences of ACEs in childhood/adolescence without causing discomfort or re-traumatization. These findings have particular value as contributions to the literature, while focusing on the neglected Hispanic/Latinx population, especially at this historic time of a pandemic and post-pandemic era when ACEs have risen; and, there is an urgent need for tools for prevention and intervention. This study has provided evidence for using the KACES-20 and ACEs video, as well as the study measures for prevention and future research.