TY - JOUR PY - 2020// TI - Addressing social stressors in a brief motivational interview improve mental health symptoms for Latinx heavy drinkers JO - Journal of clinical psychology (Hoboken) A1 - Lee, Christina S. A1 - Rosales, Robert A1 - Colby, Suzanne M. A1 - Martin, Rosemarie A1 - Cox, Koriann A1 - Rohsenow, Damaris J. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Depressive and anxiety symptoms co-occur with hazardous drinking among Latinxs. This secondary analysis of a clinical trial to reduce hazardous drinking (motivational interviewing adapted to address social stressors [CAMI] vs. motivational interviewing [MI]) examined effects on anxiety/depressive symptoms. Discrimination and acculturation were examined as moderators. METHODS: Latinx (n = 296) hazardous drinkers (2+ occasions/month of heavy drinking; 4/5 drinks/occasion, females/males) were randomized to CAMI/MI. Generalized estimating equations analyzed how treatment conditions and interactions were related to depressive and anxiety symptoms after controlling for covariates. RESULTS: Baseline symptoms (anxiety, depression) exceeded clinical thresholds (Anxiety ≥8, M = 14.62, SD = 13.52; Depression ≥ 12, M = 18.78, SD = 12.57). Cultural adaptation of motivational interviewing (CAMI) showed significantly lower anxiety and depressive symptoms (6/12 months, respectively) than MI. CAMI with high baseline discrimination reported significantly less depression than MI (12 months). CONCLUSIONS: Explicitly addressing social stressors may be a beneficial adjunct to treatment for Latinx drinkers.

Language: en

LA - en SN - 0021-9762 UR - http://dx.doi.org/10.1002/jclp.22976 ID - ref1 ER -