Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care |
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Authors: | Daniel J Paulus Andres G Viana Joseph W Ditre Jafar Bakhshaie Monica Garza Jodi Berger Cardoso |
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Institution: | 1. Department of Psychology, University of Houston, Houston, TX, USA;2. Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, TX, USA;3. Department of Psychology, Syracuse University, Syracuse, NY, USA;4. Legacy Community Health Services, Houston, TX, USA;5. Graduate College of Social Work, University of Houston, Houston, TX, USA |
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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. |
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Keywords: | Pain alcohol transdiagnostic comorbidity health disparity |
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