Department of Psychology, University of Houston, Houston, TX, USA; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Psychology, University of Houston, Houston, TX, USA.
Psychiatry Res. 2016 Sep 30;243:35-42. doi: 10.1016/j.psychres.2016.06.006. Epub 2016 Jun 18.
From a public health perspective, primary care medical settings represent a strategic location to address mental health disapirty among Latinos. Yet, there is little empirical work that addresses affective vulnerability processes for mental health problems in such settings. To help address this gap in knowledge, the present investigation examined an interactive model of negative affectivity (tendency to experience negative mood states) and anxiety sensitivity (fear of the negative consequences of aversive sensations) among a Latino sample in primary care in terms of a relatively wide range of anxiety/depression indices. Participants included 390 Latino adults (Mage=38.7, SD=11.3; 86.9% female; 95.6% reported Spanish as first language) from a primary care health clinic. Primary dependent measures included depressive, suicidal, social anxiety, and anxious arousal symptoms, number of mood and anxiety disorders, and disability. Consistent with prediction, the interaction between negative affectivity and anxiety sensitivity was significantly related to suicidal, social anxiety, and anxious arousal symptoms, as well as number of mood/anxiety diagnoses and disability among the primary care Latino sample. The form of the interactions indicated a synergistic effect, such that the greatest levels of each outcome were found among those with high negative affectivity and high anxiety sensitivity. There was a trending interaction for depressive symptoms. Overall, these data provide novel empirical evidence suggesting that there is a clinically-relevant interplay between anxiety sensitivity and negative affectivity in regard to the expression of anxiety and depressive symptoms among a Latino primary care sample.
从公共卫生的角度来看，初级保健医疗环境代表了一个解决拉丁裔心理健康差异的战略位置。然而，几乎没有实证工作涉及此类环境中心理健康问题的情感脆弱性过程。为了帮助填补这一知识空白，本研究以相对广泛的焦虑/抑郁指标为基础，针对初级保健中的拉丁裔样本，考察了消极情感（倾向于体验消极情绪状态）和焦虑敏感性（对厌恶感觉的负面后果的恐惧）的交互模型。参与者包括来自初级保健诊所的 390 名拉丁裔成年人（Mage=38.7，SD=11.3；86.9%为女性；95.6%报告西班牙语为第一语言）。主要依赖指标包括抑郁、自杀、社交焦虑和焦虑唤醒症状、情绪和焦虑障碍的数量以及残疾。与预测一致，消极情感和焦虑敏感性之间的相互作用与自杀、社交焦虑和焦虑唤醒症状以及情绪/焦虑诊断的数量和残疾显著相关，在初级保健拉丁裔样本中。相互作用的形式表明存在协同效应，即具有高消极情感和高焦虑敏感性的个体表现出每种结果的最高水平。抑郁症状呈交互趋势。总体而言，这些数据提供了新的经验证据，表明在拉丁裔初级保健样本中，焦虑敏感性和消极情感之间存在与焦虑和抑郁症状表达相关的临床相关相互作用。
