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

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) m...

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Bibliographic Details
Published in:Cognitive behaviour therapy 2017-11, Vol.46 (6), p.478-492
Main Authors: 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.
Format: Article
Language:English
Subjects:
Adult
alcohol
Alcohol Drinking - psychology
Alcohol use
Ambulatory Care Facilities
Anxiety
Anxiety - complications
Anxiety - psychology
Cognitive therapy
comorbidity
Depression - complications
Depression - psychology
Female
health disparity
Hispanic Americans - psychology
Humans
Male
Mental depression
Middle Aged
Pain
Pain - complications
Pain - psychology
Primary care
Primary Health Care
transdiagnostic
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Summary: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 (M age  = 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.
ISSN:1650-6073
1651-2316
DOI:10.1080/16506073.2017.1336185