title: Exploring the Mechanism Underlying the Association Between Pain Intensity and Mental Health Among Latinos.
abstract: There is limited understanding of pain and its relationship to mental health in Latinos, and limited knowledge about the biobehavioral mechanisms that underlie pain-mental health interrelations. To address these gaps, the present investigation sought to address whether anxiety sensitivity explained relations between pain intensity and anxious arousal, depressive symptoms, social anxiety, and depressive and anxiety disorders among an economically disadvantaged Latino sample. Participants included 349 adult Latinos (88% women; Mage = 38.8) who attended a community-based primary health care. In the multiple mediation model, anxiety sensitivity physical concerns accounted for the association between pain intensity and anxious arousal symptoms, cognitive concerns accounted for the association between pain intensity and depressive symptoms, and social concerns accounted for the association between pain intensity and social anxiety symptoms. This is the first study to demonstrate the explanatory role of anxiety sensitivity in pain-affective associations among disadvantaged Latinos.
authors.affiliation: *Department of Psychology, University of Houston; †Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX; ‡Department of Psychiatry, Rhode Island Hospital, Providence, RI; §Legacy Community Health Services, Houston, TX; ∥Department of Psychology, Syracuse University, Syracuse, NY; ¶Psychotherapeutic Area of "Asociación Ayuda," Anxiety Disorders Clinic, Buenos Aires, Argentina; and #Smoking Cessation and Addictive Disorders Unit, Faculty of Psychology, Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zvolensky
authors.forename: Jafar
authors.initials: J
authors.lastname: Bakhshaie
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Paulus
authors.forename: Kirsten J
authors.initials: KJ
authors.lastname: Langdon
authors.forename: Monica
authors.initials: M
authors.lastname: Garza
authors.forename: Jeanette
authors.initials: J
authors.lastname: Valdivieso
authors.forename: Joseph
authors.initials: J
authors.lastname: Ditre
authors.forename: Melissa
authors.initials: M
authors.lastname: Ochoa-Perez
authors.forename: Chad
authors.initials: C
authors.lastname: Lemaire
authors.forename: Daniel
authors.initials: D
authors.lastname: Bogiaizian
authors.forename: Zuky
authors.initials: Z
authors.lastname: Robles
authors.forename: Rubén
authors.initials: R
authors.lastname: Rodríguez-Cano
authors.forename: Kara
authors.initials: K
authors.lastname: Manning
mesh_terms: D000328:Adult; D001007:Anxiety / Q000208:ethnology*; D001008:Anxiety Disorders / Q000208:ethnology*; D003863:Depression / Q000208:ethnology*; D003866:Depressive Disorder / Q000208:ethnology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000208:ethnology*; D013781:Texas / Q000208:ethnology; D035862:Vulnerable Populations / Q000208:ethnology*