TY - JOUR
T1 - Exploring the mechanism underlying the association between pain intensity and mental health among latinos
AU - Zvolensky, Michael J.
AU - Bakhshaie, Jafar
AU - Paulus, Daniel J.
AU - Langdon, Kirsten J.
AU - Garza, Monica
AU - Valdivieso, Jeanette
AU - Ditre, Joseph
AU - Ochoa-Perez, Melissa
AU - Lemaire, Chad
AU - Bogiaizian, Daniel
AU - Robles, Zuky
AU - Rodríguez-Cano, Rubén
AU - Manning, Kara
N1 - Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017
Y1 - 2017
N2 - There is limited understanding of pain and its relationship to mental health in Latinos, and limited knowledge about the biobehavioral mechanisms that underlie pain-mental health interrelations. To address these gaps, the present investigation sought to address whether anxiety sensitivity explained relations between pain intensity and anxious arousal, depressive symptoms, social anxiety, and depressive and anxiety disorders among an economically disadvantaged Latino sample. Participants included 349 adult Latinos (88% women; Mage = 38.8) who attended a community-based primary health care. In the multiple mediation model, anxiety sensitivity physical concerns accounted for the association between pain intensity and anxious arousal symptoms, cognitive concerns accounted for the association between pain intensity and depressive symptoms, and social concerns accounted for the association between pain intensity and social anxiety symptoms. This is the first study to demonstrate the explanatory role of anxiety sensitivity in pain-affective associations among disadvantaged Latinos.
AB - There is limited understanding of pain and its relationship to mental health in Latinos, and limited knowledge about the biobehavioral mechanisms that underlie pain-mental health interrelations. To address these gaps, the present investigation sought to address whether anxiety sensitivity explained relations between pain intensity and anxious arousal, depressive symptoms, social anxiety, and depressive and anxiety disorders among an economically disadvantaged Latino sample. Participants included 349 adult Latinos (88% women; Mage = 38.8) who attended a community-based primary health care. In the multiple mediation model, anxiety sensitivity physical concerns accounted for the association between pain intensity and anxious arousal symptoms, cognitive concerns accounted for the association between pain intensity and depressive symptoms, and social concerns accounted for the association between pain intensity and social anxiety symptoms. This is the first study to demonstrate the explanatory role of anxiety sensitivity in pain-affective associations among disadvantaged Latinos.
KW - Anxiety sensitivity
KW - Health disparity
KW - Latinos
KW - Mental health
KW - Pain
KW - Primary care
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U2 - 10.1097/NMD.0000000000000638
DO - 10.1097/NMD.0000000000000638
M3 - Article
C2 - 28118268
AN - SCOPUS:85010908242
SN - 0022-3018
VL - 205
SP - 300
EP - 307
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 4
ER -