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Heart-Focused Anxiety Among Latinxs in Primary Care

Relations to Anxiety, Depression, Pain, and Functional Impairment

Manning, Kara BS*; Rogers, Andrew H. MA*; Bakhshaie, Jafar MD*; Viana, Andres G. PhD, ABPP*; Lemaire, Chad MD; Garza, Monica PhD, MPH; Ochoa-Perez, Melissa MD; Zvolensky, Michael J. PhD*,‡,§

The Journal of Nervous and Mental Disease: August 2019 - Volume 207 - Issue 8 - p 651–658
doi: 10.1097/NMD.0000000000001020
Original Articles

There is a public health need to better characterize the individual-based differences that may be involved in the expression and maintenance of psychological and related health problems among Latinx individuals. One individual difference factor that may be relevant to the nexus of psychological and physical concerns is heart-focused anxiety. The current study sought to evaluate the potential explanatory relevance of heart-focused anxiety as an important individual difference factor for anxiety, depression, pain experience, and functional impairment. Participants included 158 Latinx adults (Mage = 39.26, SD = 13.19; 85.4% female) from a primary health clinic. Results indicated that heart-focused anxiety was significantly related to anxious arousal, pain intensity, pain disability, and functional impairment. However, no significant effects were evident for depressive symptoms. These data indicate that heart-focused anxiety may be an underrecognized cognitive factor relevant to better understanding anxiety and pain among Latinx adults in primary care.

*Department of Psychology, University of Houston

Department of Behavioral Health, Legacy Community Health Centers

Department of Behavioral Sciences, University of Texas, MD Anderson Cancer Center

§HEALTH Institute, University of Houston, Houston, Texas.

Send reprint requests to Michael J. Zvolensky, PhD, Anxiety and Health Research Laboratory/Substance Use Treatment Clinic, Department of Psychology, University of Houston, 126 Fred J. Heyne Building, Suite 104, Houston, TX 77204-5502. E-mail:

Online date: July 17, 2019

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