Synergistic effects of pain intensity and experiential avoidance in relation to anxiety symptoms and disorders among economically disadvantaged latinos in a community-based primary care setting.
Latinos are subject to numerous health inequalities, including mental health disparity for anxiety and its disorders. In fact, there is strikingly little understanding of transdiagnostic risk factors for the onset and development of anxiety symptoms and disorders among Latinos. To build knowledge in this domain, the present investigation examined the interactive effects of experiential avoidance and pain intensity in relation to anxious arousal, social anxiety, and anxiety disorders among 361 Latino adults with annual incomes of less than $30,000 (87.5% female; Mage=38.8, SD=11.4, and 98.5% used Spanish as their first language) who attended a community-based primary healthcare clinic. As hypothesized, the interaction between experiential avoidance and pain intensity was significantly related to anxious arousal, social anxiety, and a number of anxiety disorders over and above the effects of other factors. The form of the significant interactions indicated that participants reporting co-occurring higher levels of experiential avoidance and pain intensity evinced the greatest levels of anxious arousal, social anxiety, and anxiety disorders. These data provide novel empirical evidence suggesting that there is clinically-relevant interplay between experiential avoidance and pain intensity in regard to a relatively wide array of anxiety problems among Latinos in a primary care medical setting.
Department of Psychology, University of Houston, United States. Electronic address: JBakhshaie@uh.edu.
Jafar
J
Bakhshaie
Department of Psychology, University of Houston, United States.
Brooke Y
BY
Kauffman
Department of Psychology, University of Houston, United States.
Andres G
AG
Viana
Legacy Community Health Services, United States.
Monica
M
Garza
Legacy Community Health Services, United States.
Melissa
M
Ochoa-Perez
Legacy Community Health Services, United States.
Chad
C
Lemaire
Psychotherapeutic Area of "Asociación Ayuda", Anxiety Disorders Clinic, United States.
Daniel
D
Bogiaizian
Department of Psychology, University of Houston, United States.
Zuzuky
Z
Robles
Department of Psychology, University of Houston, United States; Department of Behavioral Sciences, University of Texas, MD Anderson Cancer Center, United States.
Michael J
MJ
Zvolensky
D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000208:ethnology* / Q000209:etiology*; D001143:Arousal; D003153:Community Health Services; D005239:Fear; D005260:Female; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000208:ethnology* / Q000503:physiopathology*; D011203:Poverty / Q000208:ethnology* / Q000523:psychology*; D011320:Primary Health Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013781:Texas; D035862:Vulnerable Populations; D055815:Young Adult
Experiential avoidance; Health disparity; Latino; Pain intensity; Primary care
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