Christina S Lee1, Robert Rosales2, Suzanne M Colby2, Rosemarie Martin2, Koriann Cox3, Damaris J Rohsenow2. 1. Department of Clinical Practice, Boston University School of Social Work, Boston, Massachusetts. 2. Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island. 3. Department of Applied Psychology, Northeastern University, Boston, Massachusetts.
Abstract
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.
RCT Entities:
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.
Authors: Anthony Surace; David G Zelaya; Arryn A Guy; Nadine R Mastroleo; Ayla Durst; David W Pantalone; Peter M Monti; Kenneth H Mayer; Christopher W Kahler Journal: Int J Environ Res Public Health Date: 2022-03-25 Impact factor: 3.390