Department of Psychology, University of Houston, Houston, TX, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J Racial Ethn Health Disparities. 2016 Dec;3(4):646-657. doi: 10.1007/s40615-015-0183-y. Epub 2015 Nov 12.
The present investigation examined the interactive effects of rumination and negative affectivity in relation to anxiety and depressive symptoms and psychopathology among 245 Latino adults (M = 39.7, SD = 11.4; 86.9 % female; 97.6 % reported Spanish as their first language) attending a community-based primary healthcare clinic. As expected, there was a significant interaction between rumination and negative affectivity for depressive, suicidal, social anxiety, anxious arousal symptoms, number of mood and anxiety disorders, and disability among the primary care Latino sample. Inspection of the interaction forms indicated a high degree of conceptual similarity. Specifically, rumination was related to greater levels of suicidal symptoms, social anxiety, anxious arousal, number of mood and anxiety disorders, and disability among individuals with higher, but not lower, levels of negative affectivity. The form of the interaction for depressive symptoms was in line with this pattern, but more extreme; rumination was related to greater levels of depressive symptoms among individuals with both higher and lower levels of negative affectivity. Together, these data provide novel empirical evidence suggesting that there is clinically relevant interplay between rumination and negative affectivity in regard to a relatively wide array of anxiety and depressive variables among Latinos in a primary care medical setting.
本研究考察了反刍思维和消极情感在与焦虑和抑郁症状以及 245 名拉丁裔成年人（M = 39.7，SD = 11.4；86.9%为女性；97.6%报告说西班牙语是他们的第一语言）的精神病理学之间的相互作用，这些成年人在社区初级保健诊所就诊。正如预期的那样，反刍思维和消极情感对抑郁、自杀、社交焦虑、焦虑唤醒症状、情绪和焦虑障碍的数量以及初级保健拉丁裔样本中的残疾有显著的交互作用。对交互作用形式的检查表明，它们具有高度的概念相似性。具体来说，在消极情感水平较高但不是较低的个体中，反刍思维与自杀症状、社交焦虑、焦虑唤醒、情绪和焦虑障碍的数量以及残疾的水平较高有关。抑郁症状的交互作用形式与这种模式一致，但更为极端；在消极情感水平较高和较低的个体中，反刍思维与抑郁症状的水平较高有关。总之，这些数据提供了新的实证证据，表明在初级保健医疗环境中，拉丁裔人群中，反刍思维和消极情感在一系列广泛的焦虑和抑郁变量之间存在临床相关的相互作用。
