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Findings for a CBT Support Group for Latina Migrant Farmworkers in Western Colorado

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Abstract

Despite previous research findings that suggested that migrant farmworkers are at great risk for mental health problems, no published research has evaluated mental health interventions in migrant farmworkers. The purpose of the present study was to evaluate a culturally-responsive cognitive-behavioral support group for migrant farmworker women of Mexican descent. Six participants with elevated depression and migrant farmworker stress underwent a 6-session intervention conducted in Spanish by a licensed clinical psychologist and a lay health worker (promotora). Participants completed baseline, posttreatment and 6-month followup assessments. Baseline and outcome measures included the Center for Epidemiologic Studies Depression Scale, Migrant Farmworker Stress Inventory, Personality Assessment Inventory Anxiety Scale, Beck Hopelessness Scale, and Rosenburg Self-Esteem Inventory. Wilcoxon Signed Ranks Tests indicated significant reductions in depression, anxiety, migrant farmworker stress, and hopelessness and increased self-esteem scores at posttreatment and followup. Eighty-three percent of participants achieved clinically significant pretreatment-posttreatment change and 100 % achieved clinically significant pretreatment-followup change. Our overall findings provide support for the usage of culturally-responsive support groups as an effective short-term intervention for migrant farmworkers. Our use of a promotora appeared especially helpful in decreasing stigma and promoting trust. Although our intervention shows promise, future research should evaluate the intervention in a more controlled manner.

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Correspondence to Joseph D. Hovey.

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Hovey, J.D., Hurtado, G. & Seligman, L.D. Findings for a CBT Support Group for Latina Migrant Farmworkers in Western Colorado. Curr Psychol 33, 271–281 (2014). https://doi.org/10.1007/s12144-014-9212-y

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