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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

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Abstract

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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Notes

  1. All mediation models were also tested with an alternative set of covariates that included all the originally proposed covariates except negative affectivity. The pattern of the results for these analyses also stayed the same.

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Authors and Affiliations

  1. Department of Psychology, The University of Houston, 126 Heyne Building, Suite 104, Houston, TX, 77204-5502, USA

    Jafar Bakhshaie, Daniel J. Paulus, Angela Medvedeva, Tanveer Otal, Andres G. Viana & Michael J. Zvolensky

  2. Legacy Community Health Services, Houston, TX, USA

    Chad Lemaire, Monica Garza, Melissa Ochoa-Perez & Jeanette Valdivieso

  3. Psychotherapeutic Area of “Asociación Ayuda”, Anxiety Disorders Clinic, Buenos Aires, Argentina

    Daniel Bogiaizian

  4. Emory University, Department of Psychiatry, Atlanta, Georgia

    Anahi Collado

  5. Department of Psychology, Florida State University, Tallahassee, FL, 32306, USA

    Norman B. Schmidt

  6. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Michael J. Zvolensky

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  1. Jafar Bakhshaie
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Correspondence to Michael J. Zvolensky.

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Bakhshaie, J., Paulus, D.J., Medvedeva, A. et al. 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. J Psychopathol Behav Assess 39, 563–574 (2017). https://doi.org/10.1007/s10862-017-9592-z

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