Synergistic effects of pain intensity and anxiety sensitivity in relation to anxiety and depressive symptoms and disorders among economically disadvantaged latinos in a community-based primary care setting |
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| Institution: | 1. Department of Psychology, University of Houston, Houston, TX, 77204, USA;2. Department of Behavioral Health, Legacy Community Health Centers, Houston, TX, 77204, USA;3. Department of Behavioral Sciences, University of Texas, MD Anderson Cancer Center, Houston, TX, 77030, USA;1. Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul 120-749, Republic of Korea;2. Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-749, Republic of Korea;1. Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada;2. Department of Medicine, University of Toronto, Toronto, Ontario, Canada;3. Department of Surgery, University of Toronto, Toronto, Ontario, Canada;4. Department of Surgery, Virginia Mason Medical Center, Seattle, Washington;1. State University of Maringá, Maringá, PR, Brazil;2. Department of Biotechnology, Genetics and Cell Biology, State University of Maringá, Maringá, PR, Brazil;1. Japan Bioassay Research Center, Japan Industrial Safety & Health Association, Hadano, Kanagawa, Japan;2. Department of Molecular Pathology, Osaka City University Graduate School of Medicine, Abeno, Osaka, Japan |
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| Abstract: | The present investigation examined the interactive effects of anxiety sensitivity and pain intensity in relation to anxious arousal, social anxiety, and depressive symptoms and disorders among 203 Latino adults with an annual income of less than $30,000 (84.4% female; Mage = 38.9, SD = 11.3 and 98.6% used Spanish as their first language) who attended a community-based primary healthcare clinic. As expected, the interaction between anxiety sensitivity and pain intensity was significantly related to increased anxious arousal, social anxiety, and depressive symptoms as well as number of depressive/anxiety disorder diagnoses. The form of the significant interactions indicated that participants reporting co-occurring higher levels of anxiety sensitivity and pain intensity evinced the greatest levels of anxious arousal, social anxiety, and depressive symptoms as well as higher levels of depressive and anxiety disorders. These data provide novel empirical evidence suggesting that there is clinically-relevant interplay between anxiety sensitivity and pain intensity in regard to a relatively wide array of anxiety and depressive variables among Latinos in a primary care medical setting. |
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| Keywords: | Anxiety sensitivity Pain intensity Latino Primary care Health disparity |
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