Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care

Daniel J. Paulus, Andres G. Viana, Joseph W Ditre, Jafar Bakhshaie, Monica Garza, Jodi Berger Cardoso, Jeanette Valdivieso, Melissa Ochoa-Perez, Chad Lemaire, Michael J. Zvolensky

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Although past work has shown that alcohol use co-occurs with anxiety/depression among Latinos, little work has examined the variables that qualify such associations. The present investigation sought to address whether pain severity (i.e. pain intensity and/or pain-related disability, respectively) moderated relations between hazardous drinking and depressive/anxious arousal symptoms among an economically disadvantaged Latino sample recruited from a primary care medical setting. Participants included 253 adult Latinos (Mage = 38.5 years, SD = 10.8; 86.6% female) who attended a community-based primary care clinic. There was a significant interaction of hazardous drinking with pain intensity in relation to depressive symptoms and significant interactions of hazardous drinking and pain-related disability in relation to depressive and anxious arousal symptoms. Hazardous drinking was associated with more severe depressive/anxious arousal symptoms only when pain intensity/disability was high. This is the first study to demonstrate the moderating role of pain intensity and disability in associations between hazardous drinking and anxiety/depression among Latinos in a primary care medical setting.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalCognitive Behaviour Therapy
DOIs
StateAccepted/In press - Jul 5 2017

Keywords

  • alcohol
  • comorbidity
  • health disparity
  • Pain
  • transdiagnostic

ASJC Scopus subject areas

  • Clinical Psychology

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    Paulus, D. J., Viana, A. G., Ditre, J. W., Bakhshaie, J., Garza, M., Berger Cardoso, J., Valdivieso, J., Ochoa-Perez, M., Lemaire, C., & Zvolensky, M. J. (Accepted/In press). Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care. Cognitive Behaviour Therapy, 1-15. https://doi.org/10.1080/16506073.2017.1336185