TitleBarriers to treatment and culturally endorsed coping strategies among depressed African-American older adults.
Publication TypeJournal Article
Year of Publication2010
AuthorsConner KO, Copeland VCarr, Grote NK, Rosen D, Albert S, McMurray ML, Reynolds CF, Brown C, Koeske G
JournalAging Ment Health
Date Published2010 Nov
KeywordsAdaptation, Psychological, African Americans, Aged, Aged, 80 and over, Aging, Culture, Depression, Female, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Interviews as Topic, Male, Mental Health Services, Patient Acceptance of Health Care, Pennsylvania, Prejudice, Qualitative Research

OBJECTIVE: Older adults are particularly vulnerable to the effects of depression, however, they are less likely to seek and engage in mental health treatment. African-American older adults are even less likely than their White counterparts to seek and engage in mental health treatment. This qualitative study examined the experience of being depressed among African-American elders and their perceptions of barriers confronted when contemplating seeking mental health services. In addition, we examined how coping strategies are utilized by African-American elders who choose not to seek professional mental health services.

METHOD: A total of 37 interviews were conducted with African-American elders endorsing at least mild symptoms of depression. Interviews were audiotaped and subsequently transcribed. Content analysis was utilized to analyze the qualitative data.

RESULTS: Thematic analysis of the interviews with African-American older adults is presented within three areas: (1) Beliefs about Depression Among Older African-Americans; (2) Barriers to Seeking Treatment for Older African-Americans; and (3) Cultural Coping Strategies for Depressed African-American Older Adults.

CONCLUSION: Older African-Americans in this study identified a number of experiences living in the Black community that impacted their treatment seeking attitudes and behaviors, which led to identification and utilization of more culturally endorsed coping strategies to deal with their depression. Findings from this study provide a greater understanding of the stigma associated with having a mental illness and its influence on attitudes toward mental health services.

Alternate JournalAging Ment Health
PubMed ID21069603
PubMed Central IDPMC3060025
Grant ListK23 MH090151 / MH / NIMH NIH HHS / United States
K23 MH090151-01 / MH / NIMH NIH HHS / United States
P30 AG024827 / AG / NIA NIH HHS / United States
P30MH71944 / MH / NIMH NIH HHS / United States