初级保健中拉丁裔的疼痛与酒精使用：将沉思作为一个解释因素进行研究。
Pain and Alcohol Use among Latinos in Primary Care: Examining Rumination as an Explanatory Factor.
作者信息
Paulus Daniel J, Ditre Joseph W, Viana Andres G, Bakhshaie Jafar, Garza Monica, Valdivieso Jeanette, Ochoa-Perez Melissa, Lemaire Chad, Zvolensky Michael J
机构信息
a Department of Psychology , University of Houston , Houston , Texas , USA.
b Department of Psychology , Syracuse University , Syracuse , New York , USA.
出版信息
Subst Use Misuse. 2018 Mar 21;53(4):686-693. doi: 10.1080/10826084.2017.1361998. Epub 2017 Oct 16.
BACKGROUND
Alcohol is a widely abused substance among Latinos. Yet, little is known regarding factors underlying hazardous drinking in this population. Growing work has linked pain to hazardous drinking, although highly limited work has focused on Latinos.
OBJECTIVES
The aim of the current study was to test rumination as an underlying mechanism explaining relations between pain severity and alcohol use among Latinos.
METHODS
Data from 252 low-income Latino adults (Mage = 38.7 years, SD = 10.8; 86.1% female) attending a community-based primary health care clinic were available. Participants completed measures of pain, rumination, and alcohol use. Structural equation modeling was used to evaluate the indirect effect of pain severity via rumination on alcohol use.
RESULTS
The model displayed good fit to the data. There was a statistically significant indirect effect of pain severity via rumination on alcohol use. Conclusions/Importance: The current findings suggest that rumination may underlie associations of pain and alcohol use among Latinos. Future work in primary care medical settings may benefit from targeting ruminative thinking among Latinos who are experiencing pain to address hazardous drinking.
背景
酒精是拉丁裔中广泛滥用的物质。然而，对于该人群中危险饮酒的潜在因素知之甚少。越来越多的研究将疼痛与危险饮酒联系起来，尽管针对拉丁裔的研究非常有限。
目的
本研究的目的是检验沉思作为一种潜在机制，解释拉丁裔中疼痛严重程度与酒精使用之间的关系。
方法
可获得来自一家社区基层医疗诊所的252名低收入拉丁裔成年人（年龄中位数=38.7岁，标准差=10.8；86.1%为女性）的数据。参与者完成了疼痛、沉思和酒精使用的测量。采用结构方程模型评估疼痛严重程度通过沉思对酒精使用的间接影响。
结果
该模型与数据拟合良好。疼痛严重程度通过沉思对酒精使用有统计学显著的间接影响。结论/重要性：当前研究结果表明，沉思可能是拉丁裔中疼痛与酒精使用之间关联的潜在因素。未来在基层医疗环境中的工作可能会受益于针对正在经历疼痛的拉丁裔人群的沉思思维，以解决危险饮酒问题。
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