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 Citations (Scopus)

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

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Hispanic Americans
Primary Health Care
Anxiety
Alcohols
Depression
Drinking
Pain
Arousal
Vulnerable Populations

Keywords

  • alcohol
  • comorbidity
  • health disparity
  • Pain
  • transdiagnostic

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care. / Paulus, Daniel J.; Viana, Andres G.; Ditre, Joseph W; Bakhshaie, Jafar; Garza, Monica; Berger Cardoso, Jodi; Valdivieso, Jeanette; Ochoa-Perez, Melissa; Lemaire, Chad; Zvolensky, Michael J.

In: Cognitive Behaviour Therapy, 05.07.2017, p. 1-15.

Research output: Contribution to journalArticle

Paulus, DJ, Viana, AG, Ditre, JW, Bakhshaie, J, Garza, M, Berger Cardoso, J, Valdivieso, J, Ochoa-Perez, M, Lemaire, C & Zvolensky, MJ 2017, 'Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care', Cognitive Behaviour Therapy, pp. 1-15. https://doi.org/10.1080/16506073.2017.1336185
Paulus, Daniel J. ; Viana, Andres G. ; Ditre, Joseph W ; Bakhshaie, Jafar ; Garza, Monica ; Berger Cardoso, Jodi ; Valdivieso, Jeanette ; Ochoa-Perez, Melissa ; Lemaire, Chad ; Zvolensky, Michael J. / Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care. In: Cognitive Behaviour Therapy. 2017 ; pp. 1-15.
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