Table 3.

Description of Symptoms by Study Participants

Theme	Response
Crying	Me dan ganas de llorar, trato de solucionar los Nervios. I feel like crying, I try to settle the nerves.
	Me ponía a llorar, soy muy sentimental, tengo problemas con mi esposo, con mis hijos y trato de arreglar la situación pero no me escuchan. Un sentimiento de soledad. I started crying, I am very emotional, I have problems with my husband, with my children, and I try to straighten out the situation, but they don't listen to me. I have a feeling of loneliness.
	Tenía un hermano que sufrió de depresión y se mató. A veces lloro, una cosita pasajera a veces, se me olvidan muchas cosas, me pongo nerviosa y hago las cosas desesperada, como fregada, quizás. I had a brother that suffered from depression and he killed himself. At times I cry over a temporary passing thing. At times, I forget a lot of things, I become nervous, and I do desperate things, like I'm messed up, maybe.
Depression, sadness, emptiness	Pensamientos sobre cosas del pasado, mucha tristeza, deprimida. Thoughts from the past, a lot of sadness, depressed.
	Siento tristeza en mi alma, si alguien me dice que tengo una depresión…me siento muy sola, no deseo comer, no soy la misma, traté de explicárselo al doctor, pero falto el tiempo. I feel like I have sadness in my soul, when someone tells me that I have a depression. I feel so alone. I don't want to eat, I am not the same. I tried to explain it to the doctor, but I didn't have enough time.
	I don't want to be alive, emptiness, purposelessness.a
	Depresiva, me veo sola, me voy a la calle, como en la calle encuentro una amiga, trato de distraerme. Depressive, I see myself as alone, I go outside, because on the street I might find a friend and I try to distract myself.
	Triste, mal, sin deseo de nada, una tristeza profunda. Sadness, bad, like this, without desire for anything, a deep sadness.
	Siento un poquito de depresión porque estoy con esta incapacidad, de eso la viene la depression. I feel a little depressed because of this disability; this is what causes my depression.
Worry, tension, anxiety, stress	Me da insomnio, me preocupo mucho por mis hijos. I have insomnia. I worry a lot about my children.
	Stressed and tired, from work, being a father.b
	Preocupado, porque mi novia está embarazada. Worried, because my girlfriend is pregnant. She doesn't want to live with me. Normally, I'm okay.c
	Un poquito de ansiedad, me siento muy triste. I feel a little anxious, I feel very sad.
	Tengo miedo de que voy a morir, podría tener una enfermedad grave. I'm afraid that I'm going to die, that I could have a serious illness.
Nightmares, hearing voices	Porque estoy sin trabajo, soy y no estoy, me dan muchas pesadillas, oigo voces, no quiero salir, paso los días sola, pienso muchas cosas malas. Because I am without work, I am here, but I don't exist, I have a lot of nightmares, I hear voices, I don't want to go out, I spend the days alone, I think a lot of bad things.
Weakness	Decaído, sin ánimo, triste. Weak, without energy, sad.
Loneliness	Vivo solo, me siento triste, cuando llamo al Perú y hablo con mis primos, se portan mal y tengo que regañarlos. I live alone, I feel sad, when I call Peru and speak with my cousins, they are behaving badly and I have to chastise them.
	Me siento sola, con ganas de llorar, quisiera tener alguien con quien poder desahogarme, pero no lo tengo. I feel alone, I feel like crying, I would have liked to have someone with whom I could unburden myself, but I don't have anyone.
Personal losses, trauma	En el sueño me pongo como tensa, no puedo dormir. Me siento sola porque he perdido mucho … muchos golpes en mi familia, he perdido mis hermanos. When I'm sleeping, I feel like tense, I can't sleep. I feel alone because I have lost a lot…many blows to the family, I have lost my brothers.
	Un poco deprimida, perdí un hijo hace trece años, tengo ganas de llorar, me siento de mal humor, me voy a la iglesia, a veces no quiero hablar con nadie. A little depressed, I lost a son 13 years ago, I feel like crying, I feel like I'm in a bad mood, I go to the church, at times I don't want to talk to anyone.
	Nunca se borran de la mente estos recuerdos, no tenia ayuda de nadie, uno se siente traumatizado, por eso me vine a este país. These memories can never be erased from my mind, I didn't have help from anyone, one feels traumatized, because of this, I came to this country.

^aParticipant interviewed in English.

^bParticipant interviewed in English.

^cParticipant interviewed in English and Spanish.