Evidence map›Paper›PMID 28041573›Full record

ArticleGeneral hospital psychiatry

Emotional nonacceptance within the context of traumatic event exposure: The explanatory role of anxiety sensitivity for traumatic stress symptoms and disability among Latinos in a primary care setting.

Andres G Viana, Daniel J Paulus, Jafar Bakhshaie, Monica Garza, Jeanette Valdivieso, Melissa Ochoa-Perez, Chad Lemaire, Jodi Berger Cardoso, Michael J Zvolensky

Open access · greenAbstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Andres G VianaDepartment of Psychology, University of Houston, Houston, TX, United States. Electronic address: agviana@uh.edu.
Daniel J PaulusDepartment of Psychology, University of Houston, Houston, TX, United States.
Jafar BakhshaieDepartment of Psychology, University of Houston, Houston, TX, United States.
Monica GarzaLegacy Community Health Services, Houston, TX, United States.
Jeanette ValdiviesoLegacy Community Health Services, Houston, TX, United States.
Melissa Ochoa-PerezLegacy Community Health Services, Houston, TX, United States.
Chad LemaireLegacy Community Health Services, Houston, TX, United States.
Jodi Berger CardosoSchool of Social Work, University of Houston, Houston, TX, United States.
Michael J ZvolenskyDepartment of Psychology, University of Houston, Houston, TX, United States; The University of Texas MD Anderson Cancer Center, Department of Behavioral Science, Houston, TX, United States. Electronic address: Mjzvolen@central.uh.edu.
Legacy Community Health Services · USUniversity of Houston · USThe University of Texas MD Anderson Cancer Center · US

Funding

Smoking-Based Prevention Program for Panic DisorderR01MH076629 · NIMH · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI FOREHAND, REX · 2007 to 2011
$3.0M
Web-based mind-body treatment to enhance resilience among patients with painful nontraumatic upper extremity conditions and comorbid risky substance useK23AT012364 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Jafar Bakhshaie · 2023 to 2026
$681k
NCCIH NIH HHS K23 AT012364NIMH NIH HHS R01 MH076629
6 · The paper itself

Abstract

objectiveResearch has found that Latinos (versus non-Latino Whites) evince higher rates of posttraumatic stress symptoms (PTS) and posttraumatic stress disorder (PTSD), yet little attention has been given to intra-individual, emotion-related processes to explicate the higher incidence of these symptoms among Latinos.

methodParticipants included 183 trauma-exposed adult Latinos (88.5% female; Mage=37.7, SD=10.7 and 93.4% reported Spanish as their first language) who attended a community-based primary healthcare clinic in Houston. It was hypothesized that anxiety sensitivity would explain the relation between emotional nonacceptance and traumatic stress symptoms, namely re-experiencing, avoidance, and arousal difficulties as well as overall disability. Additionally, it was expected that the observed effects would be evident above and beyond the variance accounted for by number of traumas reported, gender, age, marital status, educational status, years living in the U.S., and negative affectivity.

resultsConsistent with our hypotheses, difficulties accepting negative emotions were associated with increased trauma-related re-experiencing, avoidance, and arousal difficulties. Additionally, anxiety sensitivity was an underlying mechanism in the association between emotional nonacceptance and all but one facet of traumatic stress symptoms (i.e., re-experiencing symptoms) and disability. Alternative models yielded no significant effects, providing greater confidence in the direction of the hypothesized effects.

conclusionFindings are discussed in the context of their significance for informing the development of specialized intervention strategies that target anxiety sensitivity for Latinos in primary care with elevated risk for PTS and PTSD by their heightened levels of emotional nonacceptance.

Indexed as

AdolescentAdultAnxietyEmotionsFemaleHispanic or LatinoHumansMaleMiddle AgedPrimary Health CareSeverity of Illness IndexStress Disorders, Post-TraumaticTexasYoung Adult

Identifiers

PMID28041573
PMCPMC12828681
OpenAlexW2541125259

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.