Pain severity and emotion dysregulation among Latinos in a community health care setting: relations to mental health

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• 作者：Daniel J. Paulus ; M.A.^a ; ^{djpaulus@uh.edu" class="auth_mail" title="E-mail the corresponding author} ; Jafar Bakhshaie ; M.D.^a ; Monica Garza ; Ph.D. ; M.P.H.^b ; Melissa Ochoa-Perez ; M.D.^b ; Nubia Angelina Mayorga ; B.S.^a ; Daniel Bogiaizian ; Ph.D.^c ; Zuzuky Robles ; B.A.^a ; Qian Lu ; Ph.D. ; M.D.^a ; Joseph Ditre ; Ph.D.^d ; Kevin Vowles ; Ph.D.^e ; Norman B. Schmidt ; Ph.D.^f ; Michael J. Zvolensky ; Ph.D.^a ; ^g ; ^{mjzvolen@central.uh.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Pain ; Emotion regulation ; Transdiagnostic ; Vulnerabilities ; Health disparities
• 刊名：General Hospital Psychiatry
• 出版年：2016
• 出版时间：September-October 2016
• 年：2016
• 卷：42
• 期：Complete
• 页码：41-48
• 全文大小：439 K

文摘

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.

Method

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; M_age=39.3 (SD=11.2); 96.0% indicated Spanish as their first language].

Results

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.

Conclusions

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.