Table 6 Degree of Depression or Anxiety Limiting Intervention Impact
Mood symptom | Evidenced participant quotation |
|---|---|
Acculturative stress | Interviewer: “Did your CHW help you identify patterns in your behavior when you had a tendency to focus on negative thoughts, sadness or worry?” Participant “How can I explain, yes, worry, for me is that I’m in a country that’s not my own, I don’t speak English.” Female, age 52, Spanish interview |
Participant limits intervention | “Yes, she insisted a lot, and I said I would start and because she kept coming I kept telling her I would start, and I never did. I didn’t follow through.” Female, age 69, Spanish interview |
“Actually, I haven’t told her, or she hasn’t asked about it.” Female, age 29, Spanish interview | |
Cognitive distortion | “Because when you are a person who is overweight you get embarrassed. I’m very shy and I get embarrassed. Because, sometimes people like doctors put you down, make you feel bad…I [would] rather do it on my own; that’s just the way I am.” Female, age 30, Spanish interview |
Self- imposed isolation | Interviewer: “You feel overwhelmed sometimes with a lot of people?” Participant: “I do, I can’t stand it.” Female, age 29, Spanish interview |
Interviewer: “What do you think was preventing you?” | |
Participant: “Probably myself.” Female, age 30, Spanish interview | |
Inappropriate guilt | “Today it feels like one of those days, depressing. When I’m having one of those days I say, ‘If I had done this,’ maybe this wouldn’t have happened.” Female, age 31, Spanish interview |
Physical limitations | “I used to go to my yard and dig up the plants. I start to think about all that and say, ‘I can no longer do any of that,’ and I get sad.” Female, age 61, Spanish interview |
Somatic complaints | “And it hurts. I can just be standing there, washing a plate, and my calves really hurt. I don’t know, it’s as if I had a bucket of cement in there and I can’t move it.” Female, age 61, Spanish interview |
Unresolved grief and loss | “One reason is because my mom died at Christmas and the other…because my grandparents used to come for dinner for Thanksgiving. My mom died when she was 56 years old.” Female, age 61, Spanish interview |