@article{ref1,
title="Synergistic effects of pain and alcohol use in relation to depressive and anxiety symptoms among Latinos in primary care",
journal="Cognitive behaviour therapy",
year="2017",
author="Paulus, Daniel J. and Viana, Andres G. and Ditre, Joseph W. and Bakhshaie, Jafar and Garza, Monica and Berger Cardoso, Jodi and Valdivieso, Jeanette and Ochoa-Perez, Melissa and Lemaire, Chad and Zvolensky, Michael J.",
volume="46",
number="6",
pages="478-492",
abstract="Although past work has shown that alcohol use co-occurs with anxiety/depression among Latinos, little work has examined the variables that qualify such associations. The present investigation sought to address whether pain severity (i.e. pain intensity and/or pain-related disability, respectively) moderated relations between hazardous drinking and depressive/anxious arousal symptoms among an economically disadvantaged Latino sample recruited from a primary care medical setting. Participants included 253 adult Latinos (Mage = 38.5 years, SD = 10.8; 86.6% female) who attended a community-based primary care clinic. There was a significant interaction of hazardous drinking with pain intensity in relation to depressive symptoms and significant interactions of hazardous drinking and pain-related disability in relation to depressive and anxious arousal symptoms. Hazardous drinking was associated with more severe depressive/anxious arousal symptoms only when pain intensity/disability was high. This is the first study to demonstrate the moderating role of pain intensity and disability in associations between hazardous drinking and anxiety/depression among Latinos in a primary care medical setting.<p /> <p>Language: en</p>",
language="en",
issn="1650-6073",
doi="10.1080/16506073.2017.1336185",
url="http://dx.doi.org/10.1080/16506073.2017.1336185"
}