Anxiety sensitivity and rumination: Transdiagnostic factors involved in the relation between subjective social status and anxiety and depressive symptoms and disorders among economically disadvantaged Latinos in primary care.

Abstract

Latinos face striking physical and mental health disparities. One factor associated with such disparities is subjective social status, reflecting subjective ratings of social standing. Yet there is presently a lack of empirical information about the mechanisms underlying relations between subjective social status and anxiety and depressive symptoms and disorders among Latinos in community medical services that serve as focal catchment areas for assessment and intervention programming. The present investigation examined the unique explanatory roles of 2 transdiagnostic factors, rumination and anxiety sensitivity, in the relation between subjective social status and depressive, suicidal, social anxiety, and anxious arousal symptoms as well as anxiety/depressive disorders, among Latinos seeking health services at a primary health care facility. Participants included 253 Latino adults with annual incomes of less than $30,000 (M age = 39.1, SD = 11.1). Results indicated that rumination and anxiety sensitivity each significantly (independently) mediated associations between subjective social status and all dependent variables except suicidal symptoms. For suicidal symptoms, only rumination was a mediator. The present findings suggest that rumination and anxiety sensitivity may represent mechanisms for associations between subjective social status and anxiety and depressive symptoms and disorders among economically disadvantaged Latinos in primary care settings. (PsycINFO Database Record

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

“…Responses are rated on a 5-point Likert scale ranging from 0 (very little) to 4 (very much) and summed to a total score (ASI-3-total). The ASI-3 has been successfully used in past research in Argentina (Bogiaizian et al 2017) and other Spanish-speaking samples (Zvolensky et al 2014(Zvolensky et al , 2018b. In the present investigation, internal consistency was excellent for the global score (α = 0.91) as well as the sub-facets: physical (α = 0.90), social (α = 0.80), and cognitive (α = 0.90).…”

“…Furthermore, since AS amplifies the affective response to somatic perturbation (Drahovzal et al 2006;Varela et al 2007), AS may be particularly important to the Latinx population. Consistent with this formulation, non-COVID-19 related research has found that AS is associated with greater anxiety (Zvolensky et al 2018b), depression (Zvolensky et al 2020b), stress (Viana et al 2020), posttraumatic stress (Zvolensky et al 2020d), pain (Bakhshaie et al 2019;Kauffman et al 2019), and substance use problems (Zvolensky et al 2020a) among Latinx adults. Work among trauma-exposed Latinx samples, which is likely relevant to the current COVID-19 pandemic, suggests that AS is associated both with elevated mental health complaints as well as acculturative stress (Zvolensky et al 2018a).…”

Transdiagnostic Model of Anxiety and Depression According to the Relationship with Affect, Intolerance of Uncertainly, and Anxiety Sensitivity

“…One of the key features of TM is to consider the processes involved in the different emotional disorders (Belloch, 2012), from which several scientific studies were developed surrounding the role of these processes or common factors called transdiagnostic, such as positive (PA) and negative (NA) affect, intolerance of uncertainty and anxiety sensitivity, among others (e.g. Talkovsky & Norton, 2018;Zvolensky et al, 2018).…”

<p>Unemployment and mental health in the German population: the role of subjective social status</p>

“…For example, Schubert et al41 found in an experimental study that low SSS elevated depressive cognitions and rumination. Other studies reported that rumination next to anxiety sensitivity mediated the associations between SSS and anxiety and depressive disorders 23,42…”

“…Moreover, we were restricted in our choice of potential mediators in the association between SSS and mental health. Recent research suggested that social contact,55 chronic negative affect,56 as well as rumination and anxiety sensitivity42 mediate the effect of SSS on mental health. Future research should consider additional mediating mechanisms.…”