title: 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.
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.
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Ricardo Valdés
authors.initials: RV
authors.lastname: Velasco
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Jafar
authors.initials: J
authors.lastname: Bakhshaie
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Rheeda L
authors.initials: RL
authors.lastname: Walker
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Andres G
authors.initials: AG
authors.lastname: Viana
authors.affiliation: Department of Behavioral Health, Legacy Community Health Centers, Houston, TX, 77204, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Garza
authors.affiliation: Department of Behavioral Health, Legacy Community Health Centers, Houston, TX, 77204, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Ochoa-Perez
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Paulus
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA.
authors.forename: Zuzuky
authors.initials: Z
authors.lastname: Robles
authors.affiliation: Department of Behavioral Health, Legacy Community Health Centers, Houston, TX, 77204, USA.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Valdivieso
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, 77204, USA; Department of Behavioral Sciences, University of Texas, MD Anderson Cancer Center, Houston, TX, 77030, USA. Electronic address: mjzvolen@central.uh.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zvolensky
mesh_terms: D000328:Adult; D001007:Anxiety / Q000175:diagnosis* / Q000523:psychology; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000523:psychology; D001143:Arousal; D003863:Depression / Q000175:diagnosis* / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D005239:Fear / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis* / Q000523:psychology; D011203:Poverty; D011320:Primary Health Care; D012959:Socioeconomic Factors; D063189:Symptom Assessment; D035862:Vulnerable Populations
keywords: Anxiety sensitivity; Health disparity; Latino; Pain intensity; Primary care