Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care

Paulus, Daniel J.; Gallagher, Matthew W.; Rogers, Andrew H.; Viana, Andres G.; Garza, Monica; Valdivieso, Jeanette; Ochoa-Perez, Melissa; Lemaire, Chad; Bakhshaie, Jafar; Zvolensky, Michael J.

doi:10.1111/ajad.12574

Cited by 13 publications

(10 citation statements)

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“…The DERS has demonstrated good internal consistency and test–retest reliability (Gratz & Roemer, 2004). Among Spanish-speaking Latinx the DERS has demonstrated good internal consistency as well as a well-fitting single factor structure (Paulus, Gallagher, et al, 2017). The internal consistency in the current sample was good for the DERS-Total (α = 0.88).…”

Section: Methodsmentioning

confidence: 99%

“…Among Latinx individuals, emotion dysregulation is strongly implicated in alcohol use. Past research has shown that emotion dysregulation partially explains the association between negative affect and alcohol use (Paulus, Bakhshaie, Lemaire, et al, 2016) between the experience of pain and alcohol use (Paulus, Bakhshaie, et al, 2017), and between anxiety symptoms and alcohol use (Paulus, Gallagher, et al, 2017) among Latinx. Furthermore, among Latinx, the association between pain and negative emotional symptoms is moderated by emotion dysregulation such that those with greater dysregulation experienced a stronger link between pain and negative emotions (i.e., anxiety, depression; Paulus, Bakhshaie, Garza, et al, 2016).…”

Section: Emotion Dysregulation and Alcohol Use Among Latinxmentioning

confidence: 99%

See 1 more Smart Citation

Acculturative stress and alcohol use among Latinx recruited from a primary care clinic: Moderations by emotion dysregulation.

Paulus

Rodríguez‐Cano

Garza

et al. 2019

American Journal of Orthopsychiatry

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Among Latinx in the United States, alcohol is the most widely abused substance and is associated with a range of negative consequences. Acculturative stress is one factor that is relevant regarding Latinx substance use although more work is needed in this area. In theory, those with more adaptive emotion regulation capabilities may be better able to buffer against the adverse effects of acculturative stress on alcohol use because the person has more and better strategies to deal with life stress. Thus, the current study sought to examine the moderating role of dysregulation in the association of acculturative stress and alcohol use among Latinx in primary care. Latinx adults (N ϭ 94; M age ϭ 38.5 years, SD ϭ 10.8; 86.6% female) recruited from a Federally Qualified Health Center provided self-reported ratings of acculturative stress, emotion dysregulation, and alcohol use. All measures were in Spanish. Covariates included sex, marital status, age, years in the United States, negative affectivity, and clinic visit reason (patient vs. person accompanying patient). There was a statistically significant interaction of acculturative stress and emotion dysregulation (␤ ϭ 1.65, t ϭ 2.29, p ϭ .025) on alcohol use, which accounted for 4.8% of additional variance over and above covariates and the nonsignificant main effects. Simple slope analyses revealed that acculturative stress was associated with alcohol use among those with high (␤ ϭ 0.28, t ϭ 2.04, p ϭ .045), but not low (␤ ϭ Ϫ0.28, t ϭ Ϫ1.26, p ϭ .210) levels of emotion dysregulation. The current results indicate that emotion dysregulation moderates the association between acculturative stress and alcohol use among Latinx in primary care. Public Policy Relevance StatementFor Latinx individuals attending primary care centers, inability to regulate emotions may put them at risk for alcohol use in the face of stressors such as acculturative stress. Additional work is needed to evaluate and potentially improve emotion regulation to buffer against these potentially harmful outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Emotion Dysregulation and Alcohol Use Among Latinxmentioning

confidence: 99%

Acculturative stress and alcohol use among Latinx recruited from a primary care clinic: Moderations by emotion dysregulation.

Paulus

Rodríguez‐Cano

Garza

et al. 2019

American Journal of Orthopsychiatry

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“…O consumo excessivo de álcool foi associado a uma infinidade de condições de saúde mental e a um declínio na qualidade de vida entre os bebedores compulsivos. [23][24][25] Um estudo realizado na atenção primária constatou que o consumo leve a moderado de álcool no início da pesquisa foi associado a menor incidência de depressão e transtorno de ansiedade generalizada em comparação à abstinência, enquanto o consumo excessivo de álcool foi associado a maior incidência de depressão. 26 O uso excessivo de álcool está associado ao aumento da incidência de ansiedade em homens, porém o uso moderado diminui essa incidência na população geral.…”

Section: Discussionunclassified

Uso de álcool associado aos transtornos mentais em homens adultos

Molina

Mendes

Bulgareli

et al. 2022

Rev Bras Med Fam Comunidade

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Introdução: Do ponto de vista da saúde pública, a população masculina adulta mostra-se vulnerável ao uso de álcool e as suas consequências. A detecção precoce, assim como a busca por fatores associados são necessárias e as unidades de Saúde da Família são importantes locais para esta abordagem. Objetivo: Este estudo teve como objetivo identificar o uso de álcool em homens adultos e verificar sua associação com fatores socioeconômicos, demográficos e transtornos mentais (episódio depressivo maior e transtorno de ansiedade generalizada). Métodos: Foi realizado um estudo transversal em adultos de 20 a 59 anos do município de Piracicaba, cadastrados nas Unidades de Saúde da Família (USF) no ano 2018. Após análises descritivas, as variáveis com p<0,20 nas análises simples foram estudas em modelos de regressão binomial negativa múltipla. Pelo modelo final, estimaram-se as razões de médias ajustadas com os intervalos de 95% de confiança. Resultados: Observou-se prevalência de 26,9% de consumo de álcool na população estudada. O escore do The Alcohol Use Disorders Identification Test (AUDIT) apresentou relação direta com a idade (razões de médias — RM=1,02; intervalo de confiança — IC95% 0,99–1,03). Quanto à religião, protestantes e evangélicos apresentaram escore médio de AUDIT menor que os demais (RM=1,78; IC95% 1,14–2,79). Pessoas com transtorno mental apresentam escore médio de AUDIT maior que os sem transtorno (RM=2,30; IC95% 1,28–4,11). Conclusões: Concluímos que o consumo de álcool na população adulta masculina é bastante prevalente, que seu consumo aumenta com a idade, que a religião tem efeito protetor e que pessoas com depressão e ansiedade apresentam maior propensão ao uso. Com base nesses dados, destacamos a importância da USF no desenvolvimento de estratégias que rastreiem as condições de risco de sua população, bem como discutam abordagens e possíveis intervenções.

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“…Participants were recruited from a community-based FQHC in the Southwestern United States, which included 238 trauma-exposed Latinx adults (88.7% female; M age = 38.04, SD = 11.06 ). Advertisements were posted at the clinic for recruitment, as in past work on this population (e.g., Paulus et al, 2017; Zvolensky et al, 2016). All individuals were Spanish-speaking and the majority (92.4%) considered Spanish as their first language.…”

Section: Methodsmentioning

confidence: 99%

Examining the indirect effect of posttraumatic stress symptoms via emotion dysregulation on alcohol misuse among trauma-exposed Latinx in primary care.

Paulus¹,

Tran²,

Gallagher³

et al. 2019

Cultural Diversity & Ethnic Minority Psychology

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Objectives: Latinx individuals face substantial health disparities, particularly in the areas of mental health and substance use. Among Latinx in the U.S., alcohol is the most widely abused substance and is associated with a range of negative consequences. Among Latinx, limited past work has linked trauma exposure/symptoms to alcohol misuse, however not much is known regarding how trauma exposure/ symptoms may impact alcohol misuse. One potential explanatory mechanism underlying associations of traumatic stress and problematic alcohol use is emotion dysregulation. The current study sought to examine the explanatory role of emotion dysregulation in the associations of traumatic stress symptoms with alcohol misuse among trauma-exposed Latinx. Alcohol misuse was operationalized by two outcomes: alcohol use severity and probable screen for hazardous drinking. Method: Latinx adults (N ϭ 238) were recruited from a Federally Qualified Health Center. Participants were interviewed using the M.I.N.I. and then completed various self-report assessments (in Spanish). Structural equation modeling was used to evaluate models. Results: Structural models fit the data well. These models evidenced statistically significant indirect effects of posttraumatic stress symptoms via emotion dysregulation on alcohol use severity and probable screen for hazardous drinking. Discussion and Conclusions: In a sample comprising primarily females, posttraumatic stress symptoms may contribute to alcohol misuse and hazardous drinking attributable to maladaptive emotion regulation. Use of interventions targeting emotion dysregulation in the context of trauma and hazardous alcohol use among Latinx in primary care may be warranted.

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Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care

Abstract: Targeting emotion dysregulation in the context of anxiety and hazardous alcohol use among Latinos may be one therapeutic strategy to reduce severity of alcohol use (and hazardous drinking). (Am J Addict 2017;26:615-622).

Cited by 13 publications

References 30 publications

Acculturative stress and alcohol use among Latinx recruited from a primary care clinic: Moderations by emotion dysregulation.

Acculturative stress and alcohol use among Latinx recruited from a primary care clinic: Moderations by emotion dysregulation.

Uso de álcool associado aos transtornos mentais em homens adultos

Examining the indirect effect of posttraumatic stress symptoms via emotion dysregulation on alcohol misuse among trauma-exposed Latinx in primary care.

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