Paulus Daniel J, Bakhshaie Jafar, Garza Monica, Ochoa-Perez Melissa, Mayorga Nubia Angelina, Bogiaizian Daniel, Robles Zuzuky, Lu Qian, Ditre Joseph, Vowles Kevin, Schmidt Norman B, Zvolensky Michael J
University of Houston, Department of Psychology.
University of Houston, Department of Psychology.
Gen Hosp Psychiatry. 2016 Sep-Oct;42:41-8. doi: 10.1016/j.genhosppsych.2016.07.002. Epub 2016 Jul 9.
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.
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; Mage=39.3 (SD=11.2); 96.0% indicated Spanish as their first language].
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.
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.
尽管疼痛严重程度通常与较差的心理健康状况相关，且是社区卫生保健环境中最常见的就诊主诉之一，但在医疗环境中，对于拉丁裔人群与焦虑/抑郁症状及障碍相关的疼痛体验了解甚少。
为填补这一空白，本研究探讨了274名在社区基层医疗诊所就诊的拉丁裔人群中，疼痛严重程度与情绪失调之间的交互模型，该模型与焦虑/抑郁症状及精神病理学相关[女性占86.9%；年龄中位数=39.3（标准差=11.2）；96.0%表示西班牙语是其第一语言]。
结果表明，在自杀症状、社交焦虑症状以及情绪/焦虑障碍数量方面，疼痛严重程度与情绪失调之间存在统计学上的显著交互作用，即更严重的疼痛和更高水平的情绪失调与较差的心理健康状况相关。疼痛严重程度和情绪失调都是抑郁症状的显著预测因素，但只有疼痛严重程度是焦虑性唤起症状的显著预测因素。
这些新发现表明，拉丁裔人群中疼痛严重程度与情绪失调之间存在临床上显著的相互作用。结合在社区卫生保健机构寻求治疗的拉丁裔人群中，针对疼痛严重程度与情绪失调之间的相互关系，对新的筛查和干预策略的需求，对研究结果进行了讨论。
