title: Pain severity and emotion dysregulation among Latinos in a community health care setting: relations to mental health.
abstract: Although pain severity is often related to poorer mental health and is one of the most common presenting complaints in community health care settings, there is little understanding of the pain experience in relation to anxiety/depressive symptoms and disorders among Latino populations in medical contexts.
  
  
  
  To address this gap, the current study explored an interactive model of pain severity and emotion dysregulation in relation to anxiety/depressive symptoms and psychopathology among 274 Latinos who attended a community-based primary health care clinic [86.9% female; Mage=39.3 (SD=11.2); 96.0% indicated Spanish as their first language].
  
  
  
  Results indicated a statistically significant interaction between pain severity and emotion dysregulation for suicidal symptoms, social anxiety symptoms and number of mood/anxiety disorders, such that more severe pain and greater levels of emotion dysregulation related to poorer mental health. Both pain severity and emotion dysregulation were significant predictors of depressive symptoms, but only pain severity was a significant predictor of anxious arousal symptoms.
  
  
  
  These novel findings suggest a clinically significant interplay between pain severity and emotion dysregulation among Latinos in. The results are discussed in relation to the need for new screening and intervention tactics that address interrelations between pain severity and emotional dysregulation among Latinos seeking treatment in community health-care-based settings.
authors.affiliation: University of Houston, Department of Psychology. Electronic address: djpaulus@uh.edu.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Paulus
authors.affiliation: University of Houston, Department of Psychology.
authors.forename: Jafar
authors.initials: J
authors.lastname: Bakhshaie
authors.affiliation: Legacy Community Health Services.
authors.forename: Monica
authors.initials: M
authors.lastname: Garza
authors.affiliation: Legacy Community Health Services.
authors.forename: Melissa
authors.initials: M
authors.lastname: Ochoa-Perez
authors.affiliation: University of Houston, Department of Psychology.
authors.forename: Nubia Angelina
authors.initials: NA
authors.lastname: Mayorga
authors.affiliation: Psychotherapeutic Area of "Asociación Ayuda," Anxiety Disorders Clinic, Buenos Aires, Argentina.
authors.forename: Daniel
authors.initials: D
authors.lastname: Bogiaizian
authors.affiliation: University of Houston, Department of Psychology.
authors.forename: Zuzuky
authors.initials: Z
authors.lastname: Robles
authors.affiliation: University of Houston, Department of Psychology.
authors.forename: Qian
authors.initials: Q
authors.lastname: Lu
authors.affiliation: Syracuse University, Department of Psychology.
authors.forename: Joseph
authors.initials: J
authors.lastname: Ditre
authors.affiliation: University of New Mexico, Department of Psychology.
authors.forename: Kevin
authors.initials: K
authors.lastname: Vowles
authors.affiliation: Florida State University, Department of Psychology.
authors.forename: Norman B
authors.initials: NB
authors.lastname: Schmidt
authors.affiliation: University of Houston, Department of Psychology; The University of Texas MD Anderson Cancer Center, Department of Behavioral Science. Electronic address: mjzvolen@central.uh.edu.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zvolensky
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000208:ethnology*; D001007:Anxiety / Q000208:ethnology*; D003153:Community Health Services / Q000706:statistics & numerical data; D003863:Depression / Q000208:ethnology*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000208:ethnology*; D000072861:Phobia, Social / Q000208:ethnology*; D012720:Severity of Illness Index; D013405:Suicide / Q000208:ethnology*; D055815:Young Adult
keywords: Emotion regulation; Health disparities; Pain; Transdiagnostic; Vulnerabilities