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Published in: Journal of Immigrant and Minority Health 2/2010

01-04-2010 | Original Paper

Detection of Depression with Different Interpreting Methods Among Chinese and Latino Primary Care Patients: A Randomized Controlled Trial

Authors: Jennifer C. F. Leng, Jyotsna Changrani, Chi-Hong Tseng, Francesca Gany

Published in: Journal of Immigrant and Minority Health | Issue 2/2010

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Abstract

Language barriers may contribute to the under-detection of depression in Latinos and Asians. A total of 782 English, Spanish, and Chinese-speaking primary care patients were enrolled in a randomized controlled trial. Language discordant patients were randomized to Remote Simultaneous Medical Interpreting (RSMI) or usual and customary (U&C) interpreting. The Beck Depression Inventory-Fast Screen (BDI-FS) was administered. Patients were tracked for 1 year. A total of 462 patients completed the BDI-FS. Thirty-three percent had a positive (≥4) screen. Twenty-seven percent of BDI-FS positive patients were diagnosed with depression. Among BDI-FS positive patients, Chinese-speakers were less likely to be diagnosed compared with English speakers (31% vs. 10%, P < 0.05). There was a trend towards greater diagnosis with RSMI (27% detection with RSMI vs. 20% U&C, P = 0.41). The diagnosis of depression among BDI-FS positive patients in our population was low, particularly among Chinese-speakers. RSMI could be an important part of a multi-faceted approach to improving the detection of depression.
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Metadata
Title
Detection of Depression with Different Interpreting Methods Among Chinese and Latino Primary Care Patients: A Randomized Controlled Trial
Authors
Jennifer C. F. Leng
Jyotsna Changrani
Chi-Hong Tseng
Francesca Gany
Publication date
01-04-2010
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2010
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-009-9254-7

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