Daniel J Paulus1, Joseph W Ditre2, Andres G Viana1,3, Jafar Bakhshaie1, Monica Garza4, Jeanette Valdivieso4, Melissa Ochoa-Perez4, Chad Lemaire4, Michael J Zvolensky1,5. 1. a Department of Psychology , University of Houston , Houston , Texas , USA. 2. b Department of Psychology , Syracuse University , Syracuse , New York , USA. 3. c Texas Institute for Measurement, Evaluation, and Statistics , University of Houston , Houston , Texas , USA. 4. d Legacy Community Health Services , Houston , Texas , USA. 5. e Department of Behavioral Science , The University of Texas MD Anderson Cancer Center , Houston , Texas , USA.
Abstract
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.
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.
Entities:
Keywords:
Alcohol; comorbidity; health disparity; pain; ruminatio; transdiagnostic
Authors: Nubia A Mayorga; Kara F Manning; Jaye L Derrick; Andres G Viana; Lorra Garey; Pamella Nizio; Cameron T Matoska; Michael J Zvolensky Journal: Cognit Ther Res Date: 2021-09-01