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Interactive Effect of Negative Affectivity and Rumination in Terms of Mental Health Among Latinos in Primary Care

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Abstract

The present investigation examined the interactive effects of rumination and negative affectivity in relation to anxiety and depressive symptoms and psychopathology among 245 Latino adults (M age = 39.7, SD = 11.4; 86.9 % female; 97.6 % reported Spanish as their first language) attending a community-based primary healthcare clinic. As expected, there was a significant interaction between rumination and negative affectivity for depressive, suicidal, social anxiety, anxious arousal symptoms, number of mood and anxiety disorders, and disability among the primary care Latino sample. Inspection of the interaction forms indicated a high degree of conceptual similarity. Specifically, rumination was related to greater levels of suicidal symptoms, social anxiety, anxious arousal, number of mood and anxiety disorders, and disability among individuals with higher, but not lower, levels of negative affectivity. The form of the interaction for depressive symptoms was in line with this pattern, but more extreme; rumination was related to greater levels of depressive symptoms among individuals with both higher and lower levels of negative affectivity. Together, these data provide novel empirical evidence suggesting that there is clinically relevant interplay between rumination and negative affectivity in regard to a relatively wide array of anxiety and depressive variables among Latinos in a primary care medical setting.

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Acknowledgments

Funding for the study was from an endowment awarded to Dr. Zvolensky. This work has not been presented previously in any form. No authors have any conflicts of interests or financial disclosures to report. The study was approved by Institutional Review Board at the University of Houston. Informed written consent was obtained prior to initiating study procedures. No animals have been employed in this research.

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Authors and Affiliations

  1. Department of Psychology, University of Houston, Houston, TX, USA

    Michael J. Zvolensky, Daniel J. Paulus, Jafar Bakhshaie & Zuzuky Robles

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

    Michael J. Zvolensky

  3. Legacy Community Health Services, Houston, Texas, USA

    Monica Garza, Melissa Ochoa-Perez & Chad Lemaire

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

    Daniel Bogiaizian

  5. The Ohio State University, Department of Psychology, Columbus, OH, USA

    Amelia Aldao

  6. Department of Psychiatry, Emory University, Atlanta, GA, USA

    Anahi Collado

  7. Department of Psychology, University of Maryland-College Park, College Park, MD, USA

    Carl W. Lejuez

  8. Departmentof Psychology, Florida State University, Tallahassee, FL, USA

    Norman B. Schmidt

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

    Michael J. Zvolensky

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  1. Michael J. Zvolensky
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Correspondence to Michael J. Zvolensky.

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Zvolensky, M.J., Paulus, D.J., Bakhshaie, J. et al. Interactive Effect of Negative Affectivity and Rumination in Terms of Mental Health Among Latinos in Primary Care. J. Racial and Ethnic Health Disparities 3, 646–657 (2016). https://doi.org/10.1007/s40615-015-0183-y

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  • DOI: https://doi.org/10.1007/s40615-015-0183-y

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