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The present investigation examined anxiety sensitivity (AS) in the relation between emotional nonacceptance (unwillingness to experience unwanted emotions) and mood and anxiety symptoms among Latinos seeking health services at a primary healthcare facility. Participants included 267 adult Latinos (85.4% female; Mage = 38.8 years, SD = 10.7, and 95.9% used Spanish as their first language). Results indicated that emotional nonacceptance was indirectly related to number of mood and anxiety disorders, anxious arousal, social anxiety, and depressive symptoms through AS. The observed effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and negative affectivity. Using a multiple mediation model revealed that the AS cognitive, physical, and social concerns demonstrated unique incremental explanatory effects (above and beyond the other two AS sub-scales) for depressive, anxious arousal, and social anxiety symptoms, respectively. Thus, specific sub-scales of AS were uniquely related with the expression of particular affective symptom domains. Overall, the present findings suggest that there is merit in focusing further scientific attention on the interplay between nonacceptance and AS in regard to better understanding and intervening to reduce anxiety/depressive vulnerability among Latinos in primary care.
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Alegría, M., Canino, G., Stinson, F. S., & Grant, B. F. (2006). Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino whites in the United States: results from the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 67(1), 56–65. CrossRefPubMed
Alegría, M., Shrout, P. E., Woo, M., Guarnaccia, P., Sribney, W., Vila, D., et al. (2007). Understanding differences in past year psychiatric disorders for Latinos living in the US. Social Science & Medicine, 65(2), 214–230. CrossRef
Bakhshaie, J., Zvolensky, M. J., Brandt, C. P., Vujanovic, A. A., Goodwin, R., & Schmidt, N. B. (2014). The role of anxiety sensitivity in the relationship between emotional non-acceptance and panic, social anxiety, and depressive symptoms among treatment-seeking daily smokers. International Journal of Cognitive Therapy, 7(2), 175–191. CrossRef
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, Series B, 57(1), 289–300.
Brandt, C. P., Gonzalez, A., Grover, K. W., & Zvolensky, M. J. (2013). The relation between emotional dysregulation and anxiety and depressive symptoms, pain-related anxiety, and HIV-symptom distress among adults with HIV/AIDS. Journal of Psychopathology and Behavioral Assessment, 35, 197–204. CrossRef
Camacho, Á., Gonzalez, P., Buelna, C., Emory, K. T., Talavera, G. A., Castañeda, S. F., ... & Roesch,S. (2015). Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic community health study/study of Latinos (HCHS/SOL). Social Psychiatry and Psychiatric Epidemiology, 50(11), 1669–1677.
Canino, G., González, G., & Ramírez, R. (1999). Somatic symptoms in children from three ethnic groups. In N. Rudas, B. Car piniello, & M. Giovanni (Eds.), Psychiatric networks (pp. 56–73). Psychiatric Networks: Cagliari.
Capron, D. W., Allan, N. P., Ialongo, N. S., Leen-Feldner, E., & Schmidt, N. B. (2015). The depression distress amplification model in adolescents: a longitudinal examination of anxiety sensitivity cognitive concerns, depression and suicidal ideation. Journal of Adolescence, 41, 17–24. CrossRefPubMedPubMedCentral
Davis, R. E., Resnicow, K., & Couper, M. P. (2010). Survey response styles, acculturation, and culture among a sample of Mexican American adults. Journal of Cross-Cultural Psychology, 42(7), 1219–1236. CrossRef
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. CrossRef
Gratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007). A laboratory-based study of the relationship between childhood abuse and experiential avoidance among inner-city substance users: the role of emotional nonacceptance. Behavior Therapy, 38(3), 256–268. CrossRefPubMed
Hayes, A. F., & Preacher, K. J. (2013). Statistical mediation analysis with a multicategorical independent variable [White paper]. Retreived from http://www. afhayes. com/public/hpcatx. pdf.
Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional. [the Spanish version of the difficulties in emotion regulation scale.] Clínica Y Salud, 19(2), 139–156.
Judd, C. M., & Kenny, D. A. (2010). Data analysis in social psychology: Recent and recurring issues. In S. T. Fiske, D. T. Gilbert, & G. Lindzey (Eds.), Handbook of Social Psychology (Vol. 1, 5th ed., pp. 115–139). New York: Wiley.
Lagomasino, I. T., Dwight-Johnson, M., Miranda, J., Zhang, L., Liao, D., Duan, N., & Wells, K. B. (2005). Disparities in depression treatment for Latinos and site of care. Psychiatric Services (Washington, D.C.), 56(12), 1517. CrossRef
Liverant, G. I., Brown, T. A., Barlow, D. H., & Roemer, L. (2008). Emotion regulation in unipolar depression: the effects of acceptance and suppression of subjective emotional experience on the intensity and duration of sadness and negative affect. Behaviour Research and Therapy, 46(11), 1201–1209. CrossRefPubMed
Maller, R. G., & Reiss, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6(3), 241–247. CrossRef
Markus, H. R., & Kitayama, S. (1991). Culture and the self: implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224. CrossRef
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. CrossRef
Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy. London: Academic Press.
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154. CrossRefPubMed
Schmidt, N. B., Eggleston, A. M., Woolaway-Bickel, K., Fitzpatrick, K. K., Vasey, M. W., & Richey, J. A. (2007). Anxiety sensitivity amelioration training (ASAT): a longitudinal primary prevention program targeting cognitive vulnerability. Journal of Anxiety Disorders, 21(3), 302–319. CrossRefPubMed
Shea, M., & Yeh, C. (2008). Asian American students' cultural values, stigma, and relational self-construal: correlates of attitudes toward professional help seeking. Journal of Mental Health Counseling, 30(2), 157–172. CrossRef
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Janavs, J., Weiller, E., Keskiner, A., et al. (1997). The validity of the mini international neuropsychiatric interview (MINI) according to the SCID-P and its reliability. European Psychiatry, 12(5), 232–241. CrossRef
Sheehan, D., Shytle, D., Milo, K., Janavs, J., & Lecrubier, Y. (2009). MINI International Neuropsychiatric Interview for Children and Adolescents, English Version 6.0. Tampa: University of South Florida.
Stepler, R., & Brown, A. (2016). Statistical portrait of Hispanics in the United States. Retrieved from Pew Research Center http://www.pewhispanic.org/2016/04/19/statistical-Portrait-of-Hispanics-in-the-United-States-Key-Charts/.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Results from the 2013 National Survey on Drug Use and Health, NSDUH series H-48, HHS publication no. (SMA) 14–4863. Rockville: Substance Abuse and Mental Health Services Administration.
USDHHS. (2001). Mental health: culture, race, and ethnicity - a supplement to mental health: a report of the surgeon general, Center for Mental Services. Rockville: Substance Abuse and Mental Health Services Administration.
Varela, R. E., Weems, C. F., Berman, S. L., Hensley, L., & de Bernal, M. C. R. (2007). Internalizing symptoms in Latinos: the role of anxiety sensitivity. Journal of Youth and Adolescence, 36(4), 429–440. CrossRef
Wassertheil-Smoller, S., Arredondo, E. M., Cai, J., Castaneda, S. F., Choca, J. P., Gallo, L. C., et al. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: results from the Hispanic community health study/study of Latinos. Annals of Epidemiology, 24(11), 822–830. CrossRefPubMedPubMedCentral
Zhao, X., Lynch, J. G., & Chen, Q. (2010). Reconsidering baron and Kenny: myths and truths about mediation analysis. Journal of Consumer Research, 37(2), 197–206. CrossRef
Zvolensky, M. J., Bogiaizian, D., Salazar, P. L., Farris, S. G., & Bakhshaie, J. (2014). An anxiety sensitivity reduction smoking-cessation program for Spanish-speaking smokers (Argentina). Cognitive and Behavioral Practice, 21(3), 350–363. CrossRef
Zvolensky, M. J., Bakhshaie, J., Garza, M., Valdivieso, J., Ortiz, M., Bogiaizian, D., et al. (2015b). The role of anxiety sensitivity in the relation between experiential avoidance and anxious arousal, depressive, and suicidal symptoms among Latinos in primary care. Cognitive Therapy and Research, 39(5), 688–696. CrossRef
- The Differential Role of Anxiety Sensitivity and its Components in the Relation between Emotional Nonacceptance and Anxiety and Depressive Symptoms and Disorders among Latinos in Primary Care
Daniel J. Paulus
Andres G. Viana
Norman B. Schmidt
Michael J. Zvolensky
- Springer US
Journal of Psychopathology and Behavioral Assessment
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505