Pain severity and emotion dysregulation among Latinos in a community health care setting: relations to mental health

被引:19
|
作者
Paulus, Daniel J. [1 ]
Bakhshaie, Jafar [1 ]
Garza, Monica [2 ]
Ochoa-Perez, Melissa [2 ]
Mayorga, Nubia Angelina [1 ]
Bogiaizian, Daniel [3 ]
Robles, Zuzuky [1 ]
Lu, Qian [1 ]
Ditre, Joseph [4 ]
Vowles, Kevin [5 ]
Schmidt, Norman B. [6 ]
Zvolensky, Michael J. [1 ,7 ]
机构
[1] Univ Houston, Dept Psychol, Houston, TX 77004 USA
[2] Legacy Community Hlth Serv, Houston, TX USA
[3] Anxiety Disorders Clin, Psychotherapeut Area Asociac Ayuda, Buenos Aires, DF, Argentina
[4] Syracuse Univ, Dept Psychol, Syracuse, NY 13244 USA
[5] Univ New Mexico, Dept Psychol, Albuquerque, NM 87131 USA
[6] Florida State Univ, Dept Psychol, Tallahassee, FL 32306 USA
[7] Univ Texas MD Anderson Canc Ctr, Dept Behav Sci, Houston, TX 77030 USA
关键词
Pain; Emotion regulation; Transdiagnostic; Vulnerabilities; Health disparities; NATIONAL EPIDEMIOLOGIC SURVEY; IV PSYCHIATRIC-DISORDERS; MEXICAN-AMERICANS; DEPRESSION TREATMENT; ANXIETY SENSITIVITY; LIFETIME PREVALENCE; SOCIAL ANXIETY; UNITED-STATES; VALIDATION; DIFFICULTIES;
D O I
10.1016/j.genhosppsych.2016.07.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Although pain severity is often related to poorer mental health and is one of the most common presenting complaints in community health care settings, there is little understanding of the pain experience in relation to anxiety/depressive symptoms and disorders among Latino populations in medical contexts. Method: To address this gap, the current study explored an interactive model of pain severity and emotion dysregulation in relation to anxiety/depressive symptoms and psychopathology among 274 Latinos who attended a community-based primary health care clinic [86.9% female; M-age = 39.3 (SD = 11.2); 96.0% indicated Spanish as their first language]. Results: Results indicated a statistically significant interaction between pain severity and emotion dysregulation for suicidal symptoms, social anxiety symptoms and number of mood/anxiety disorders, such that more severe pain and greater levels of emotion dysregulation related to poorer mental health. Both pain severity and emotion dysregulation were significant predictors of depressive symptoms, but only pain severity was a significant predictor of anxious arousal symptoms. Conclusions: These novel findings suggest a clinically significant interplay between pain severity and emotion dysregulation among Latinos in. The results are discussed in relation to the need for new screening and intervention tactics that address interrelations between pain severity and emotional dysregulation among Latinos seeking treatment in community health-care-based settings. Published by Elsevier Inc.
引用
收藏
页码:41 / 48
页数:8
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