Perceived Discrimination, Experiential Avoidance, and Mental Health among Hispanic Adults in Primary Care

Author:

Zvolensky Michael J.123ORCID,Rogers Andrew H.1,Mayorga Nubia A.1,Shepherd Justin M.1,Bakhshaie Jafar1,Garza Monica4,Viana Andres G.1,Ochoa-Perez Melissa4,Lemaire Chad4,Ruiz Ana1,Peraza Natalia1

Affiliation:

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

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

3. HEALTH Institute, University of Houston, Houston, TX, USA

4. Legacy Community Health, Houston, TX, USA

Abstract

The Hispanic population is the largest minority group in the United States and frequently experiences racial discrimination and mental health difficulties. Prior work suggests that perceived racial discrimination is a significant risk factor for poorer mental health among Hispanic in the United States. However, little work has investigated how perceived racial discrimination relates to anxiety and depression among Hispanic adults. Thus, the current study evaluated the explanatory role of experiential avoidance in the relation between perceived racial discrimination and anxiety/depressive symptoms and disorders among Hispanic adults in primary care. Participants included 202 Spanish-speaking adults ( Mage = 38.99, SD = 12.43, 86.1% female) attending a community-based Federally Qualified Health Center. Results were consistent with the hypothesis that perceived racial discrimination had a significant indirect effect on depression, social anxiety, and anxious arousal symptoms as well as the number of mood and anxiety disorders through experiential avoidance. These findings suggest future work should continue to explore experiential avoidance in the association between perceived racial discrimination and other psychiatric and medical problems among the Hispanic population.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Health (social science)

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