Preventing Anxiety and Depression in Older Hispanics

Exclusion Criteria

• •Have met criteria for major depressive disorder or generalized anxiety disorder within the past 12 months;
• •Have met criteria for alcohol or other substance abuse disorders within the past 12 months;
• •Are currently receiving antidepressant medication or participating in other mental health treatment;
• •Have a lifetime history of bipolar disorder or other psychotic disorder including major depression with psychotic features;
• •Have a diagnosis of any neurodegenerative disorder or dementia (Parkinson's disease, Alzheimer's, vascular, frontotemporal dementia, etc.) or significant cognitive impairment as indicated by a Mini Mental Status Exam (MMSE) score \<24;
• •Are current tobacco smokers since smoking influences systemic inflammation;
• •Have contraindications to physical activity outlined in the American College of Sports Medicine standards;
• •Have high suicide risk, i.e., intent or plan to attempt suicide in the near future (a response of "yes" to questions 3, 4, and/or 5 on the Paykel Questionnaire;
• •Are unable to complete 10 m walk test;
• •Currently residing in a nursing or group home;
• •Have a terminal physical illness expected to result in the death within one year;
• •Any evidence of current infection; and
• •Have an acute or severe medical illness that precludes them from safely participating in a health promotion intervention (further defined in the protocol).