Depression in Latinos: A Focus on Overcoming Barriers Pre-Activity Questionnaire

1	Latinos receive guideline-based depression care that would be considered adequate at a rate of about ______ of the rate at which non-Latino whites receive similar care. A quarter Half The same One and a half Twice

2	Which of the following would be the most appropriate first-line medication for the treatment of major depressive disorder? Selective Serotonin Reuptake Inhibitor (SSRI) Tricyclic Antidepressant (TCA) Monoamine Oxidase Inhibitor (MAOI) Dopamine Blocker Anticonvulsant

3

Cognitive behavioral psychotherapy without an antidepressant would be an appropriate treatment in which of the following patient scenarios? A 25-year-old male with severe depression who does not want to take medication. A 35-year-old woman with both depression and obsessive-compulsive disorder. A 45-year-old male with mild to moderate major depression and significant psychosocial stress. A 55-year-old woman who has failed adequate trials of 2 different SSRIs and has a 20-year history of recurrent depression. Cognitive behavioral therapy alone would never be appropriate.

4

What criteria must be met before an antidepressant trial can be considered unsuccessful? Treatment at maximum therapeutic dose for 4 to 5 weeks Treatment at maximum therapeutic dose for 9 to 10 weeks Treatment at starting dose for 3 months Treatment with at least one half of the maximum therapeutic dose for 4 weeks

5	Can the use of a beta-blocker to treat hypertension cause depressive symptoms? Yes No

6	What should the physician attend to and document regarding a patient’s depression symptoms at every visit? Suicidality Relations with spouse Status of children Family finances There are no concerns of special attention

7	Both of the following terms used by Latinos have strong correlations with depression.  Which term is more significantly associated with stress and depressive symptoms? Nervios Susto