Objectives: To investigate the associations between three bodily pain dimensions (intensity, frequency, severity) and depressive symptoms among middle-aged and older Latinxs ages 40–94 and to determine whether loneliness conditioned the pain-depressive symptoms associations. Methods: Data are from a community-based study of community-dwelling residents in Florida (N = 527). Multivariable linear regression models assessed the impact of each pain dimension on depressive symptoms, controlling for sociodemographic factors. Interactions determined whether loneliness moderated the pain-depressive symptoms relationships. Results: Each pain dimension was positively associated with depressive symptoms (p < .01). Loneliness modified the impact of pain frequency and pain severity on depressive symptoms. Those with moderate and high loneliness levels experienced an amplified pain-depressive symptoms association. Discussion: Findings underscore the synergistic effects of pain and loneliness in exacerbating depressive symptomatology among middle-aged and older Latinx adults. Loneliness is an important point of intervention to improve mental health among aging Latinxs.
AlvirezD.BeanF. D. (2014). Interdisciplinary perspectives on the new immigration: Volume 4: The new immigrant and the American family. The Mexican American family. https://doi.org/10.4324/9781315054209-17
2.
BarrioC.PalinkasL. A.YamadaA. M.FuentesD.CriadoV.GarciaP.JesteD. V. (2008). Unmet needs for mental health services for latino older adults: Perspectives from consumers, family members, advocates, and service providers. Community Mental Health Journal, 44(1), 57–74. https://doi.org/10.1007/s10597-007-9112-9
3.
BauerH.EmenyR. T.BaumertJ.LadwigK. H. (2016). Resilience moderates the association between chronic pain and depressive symptoms in the elderly. European Journal of Pain, 20(8), 1253–1265. https://doi.org/10.1002/ejp.850
4.
BeutelM. E.KleinE. M.BrählerE.ReinerI.JüngerC.MichalM.WiltinkJ.WildP. S.MünzelT.LacknerK. J.TibubosA. N. (2017). Loneliness in the general population: Prevalence, determinants and relations to mental health. BMC Psychiatry, 17(1), 97. https://doi.org/10.1186/s12888-017-1262-x
5.
BiermanA.LeeY. (2018). Chronic pain and psychological distress among older adults: A national longitudinal study. Research on Aging, 40(5), 432–455. https://doi.org/10.1177/0164027517704970
6.
BosteanG.AndradeF. C. D.Viruell-FuentesE. A. (2019). Neighborhood stressors and psychological distress among US latinos: Measuring the protective effects of social support from family and friends. Stress and Health, 35(2), 115–126. https://doi.org/10.1002/smi.2843
7.
BrownR. L. (2014). Psychological distress and the intersection of gender and physical disability: Considering gender and disability-related risk fac-tors. Sex Roles, 71, 171–181. https://doi.org/10.1007/s11199-014-0385-5
8.
CamposB.SchetterC. D.AbdouC. M.HobelC. J.GlynnL. M.SandmanC. A. (2008). Familialism, social support, and stress: Positive implications for pregnant latinas. Cultural Diversity & Ethnic Minority Psychology, 14(2), 155–162. https://doi.org/10.1037/1099-9809.14.2.155
9.
CamposB.UllmanJ. B.AguileraA.Dunkel SchetterC. (2014). Familism and psychological health: The intervening role of closeness and social support. Cultural Diversity & Ethnic Minority Psychology, 20(2), 191–201. https://doi.org/10.1037/a0034094
10.
CastañedaS. F.BuelnaC.GiacintoR. E.GalloL. C.Sotres-AlvarezD.GonzalezP.FortmannA. L.Wassertheil-SmollerS.GellmanM. D.GiachelloA. L.TalaveraG. A. (2016). Cardiovascular disease risk factors and psychological distress among hispanics/latinos: The hispanic community health study/study of latinos (HCHS/SOL). Preventive Medicine, 87, 144–150. https://doi.org/10.1016/j.ypmed.2016.02.032
11.
ChangE. C.HirschJ. K.SannaL. J.JeglicE. L.FabianC. G. (2011). A preliminary study of perfectionism and loneliness as predictors of depressive and anxious symptoms in latinas: A top-down test of a model. Journal of Counseling Psychology, 58(3), 441–448. https://doi.org/10.1037/a0023255
12.
ClarkeD. M.CurrieK. C. (2009). Depression, anxiety and their relationship with chronic diseases: A review of the epidemiology, risk and treatment evidence. Medical Journal of Australia, 190, S54–S60. https://doi.org/10.5694/j.1326-5377.2009.tb02471.x
13.
DaudK. A. M.KhidzirN. Z.IsmailA. R.AbdullahF. A. (2018). Validity and reliability of instrument to measure social media skills among small and medium entrepreneurs at Pengkalan Datu River. International Journal of Development and Sustainability, 7(3), 1026–1037.
14.
EdwardsR. R.MoricM.HusfeldtB.BuvanendranA.IvankovichO. (2005). Ethnic similarities and differences in the chronic pain experience: A comparison of african american, hispanic, and white patients. Pain Medicine, 6(1), 88–98. https://doi.org/10.1111/j.1526-4637.2005.05007.x
15.
EmersonK.BoggeroI.OstirG.JayawardhanaJ. (2018). Pain as a risk factor for loneliness among older adults. Journal of Aging And Health, 30, 1450–1461. https://doi.org/10.1177/0898264317721348
EstrellaM. L.Durazo-ArvizuR. A.GalloL. C.TarrafW.IsasiC. R.PerreiraK. M.ZengD.MarquineM. J.LiptonR. B.GonzálezH. M.DaviglusM. L. (2021). Psychosocial factors associated with cognitive function among middle-aged and older Hispanics/Latinos: The hispanic community health study/study of Latinos and its sociocultural ancillary study. Journal of Alzheimer's Disease, 79(1), 433–449. https://doi.org/10.3233/JAD-200612
18.
FullerH. R.Huseth-ZoselA. (2022). Older adults’ loneliness in early COVID-19 social distancing: Implications of rurality. The Journals of Gerontology: Series B, 77(7), e100–e105. https://doi.org/10.1093/geronb/gbab053
19.
GalloL. C.PenedoF. J.Espinosa De Los MonterosK.ArguellesW. (2009). Resiliency in the face of disadvantage: Do hispanic cultural characteristics protect health outcomes?Journal of Personality, 77(6), 1707–1746. https://doi.org/10.1111/j.1467-6494.2009.00598.x
20.
GaymanM. D.BrownR. L.CuiM. (2011). Depressive symptoms and bodily pain: The role of physical disability and social stress. Stress and Health, 27(1), 52–63. https://doi.org/10.1002/smi.1319
21.
GaymanM. D.Lennox KailB.SpringA.GreenidgeG. R. (2017). Risk and protective factors for depressive symptoms among african American men: An application of the stress process model. The Journals of Gerontology: Series B, 73(2), 219–229. https://doi.org/10.1093/geronb/gbx076
22.
GaymanM. D.TurnerR. J.CuiM. (2008). Physical limitations and depressive symptoms: Exploring the nature of the association. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 63(4), S219–S228. https://doi.org/10.1093/geronb/63.4.S219
23.
Gerst-emersonK.ShovaliT. E.MarkidesK. S. (2014). Loneliness among very old Mexican Americans: Findings from the Hispanic established populations epidemiologic studies of the elderly. Loneliness, 59(1), 145–149. https://doi.org/10.1016/j.archger.2014.01.007
24.
GutierrezA.CainR.DiazN.ArandaM. P. (2022). The digital divide exacerbates disparities in Latinx recruitment for alzheimer's disease and related dementias online education during covid-19. Gerontology and Geriatric Medicine, 8, 1–9. https://doi.org/10.1177/23337214221081372
25.
GutierrezA.Thomas TobinC. (2021). Profiles of social coping resources among latinos: A latent class Analysis. In AngelJ. L.Lopez OrtegaM.Gutierrez RobledoL. M. (Eds.), Understanding the context of cognitive aging: Mexico and the United States (pp. 353–376).
26.
HawkleyL. C.CacioppoJ. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine, 40(2), 218–227. https://doi.org/10.1007/s12160-010-9210-8
27.
HeinrichL. M.GulloneE. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26, 695–718. https://doi.org/10.1016/j.cpr.2006.04.002
28.
HollingsheadA. B. (1957). Two factor index of social position. New Haven: Yale University Press.
29.
HookerK.PhibbsS.IrvinV. L.Mendez-LuckC. A.DoanL. N.LiT.TurnerS.ChounS. (2019). Depression among older adults in the United States by disaggregated race and ethnicity. Gerontologist, 59(5), 886–891. https://doi.org/10.1093/geront/gny159
30.
HouseJ. S.LantzP. M.HerdP. (2005). Continuity and change in the social stratification of aging and health over the life course: Evidence from a nationally representative longitudinal study from 1986 to 2001/2002 (Americans' changing lives study). The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60, S15–S26. https://doi.org/10.1093/geronb/60.Special_Issue_2.S15
31.
JaremkaL. M.FagundesC. P.GlaserR.BennettJ. M.MalarkeyW. B.Kiecolt-GlaserJ. K. (2013). Loneliness predicts pain, depression, and fatigue: Understanding the role of immune dysregulation. Psychoneuroendocrinology, 38(8), 1310–1317. https://doi.org/10.1016/j.psyneuen.2012.11.016
32.
JimenezN.DansieE.BuchwaldD.GoldbergJ. (2013). Pain among older hispanics in the United States: Is acculturation associated with pain?Pain Medicine (United States), 14(8), 1134–1139. https://doi.org/10.1111/pme.12147
33.
JohannesC. B.LeT. K.ZhouX.JohnstonJ. A.DworkinR. H. (2010). The prevalence of chronic pain in United States adults: Results of an internet-based survey. Journal of Pain, 11(11), 1230–1239. https://doi.org/10.1016/j.jpain.2010.07.002
34.
LandaleN. S.OropesaR. S.BradatanC. (2006). Hispanic families in the United States: Family structure and process in an era of family change. In TiendaM.MitchellF. (Eds.), National research council (US) panel on hispanics in the United States. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK19902/
LermanS.JungM.ArredondoE. M.BarnhartJ. M.CaiJ.CastañedaS. F.DaviglusM. L.EspinozaR. A.GiachelloA. L.MolinaK. M.PerreiraK.SalgadoH.Wassertheil-SmollerS.KaplanR. C. (2018). Religiosity prevalence and its association with depression and anxiety symptoms among Hispanic/Latino adults. Plos One, 13(2), e0185661. https://doi.org/10.1371/journal.pone.0185661
37.
MartinezI. L.ChavesP. H.BaronA. C.LargaespadaV. (2019). Social correlates of depressive symptoms among Cuban and other Latino older adults in south Florida. Journal of Cultural Diversity, 26(4).
38.
MazzaM. G.RossettiA.CrespiG.ClericiM. (2020). Prevalence of co-occurring psychiatric disorders in adults and adolescents with intellectual disability: A systematic review and meta-analysis. Journal of Applied Research In Intellectual Disabilities, 33, 126–138. https://doi.org/10.1111/jar.12654
39.
NamC. B.BoydM. (2004). Occupational Status in 2000: Over a Century of Census-based Measurement. Population Research and Policy Review, 23, 327–358. https://doi.org/10.1111/jar.12654
40.
National Academies of Sciences, Engineering, and Medicine. (2020). Social isolation and loneliness in older adults: Opportunitites for the health care system. National Academies Press (US).
Padilla-FraustoD. I.BabeyS. H.WolsteinJ.TseH. W. (2021). Uncovering unique challenges: Variation in unmet mental health needs among latinx ethnic groups in California. UCLA Center for Health Policy Research.
44.
PallantJ. (2001). SPSS survival manual - a step by step guide to data analysis using SPSS for windows (version 10). Buckingham Open University Press.
45.
PaulusD. J.BakhshaieJ.GarzaM.Ochoa-PerezM.MayorgaN. A.BogiaizianD.RoblesZ.LuQ.DitreJ.VowlesK.SchmidtN. B.ZvolenskyM. J. (2016). Pain severity and emotion dysregulation among latinos in a community health care setting: Relations to mental health. General Hospital Psychiatry, 42, 41–48. https://doi.org/10.1016/j.genhosppsych.2016.07.002
46.
PearlinL. I. (1999). Reflections on concepts and their interrelationships. Inhandbook of the sociology of mental health (pp. 395–415). The Stress Process Revisited. https://doi.org/10.1007/0-387-36223-1_19
47.
RadloffL. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
48.
RamosA. K.SuD.LanderL.RiveraR. (2015). Stress factors contributing to depression among latino migrant farmworkers in Nebraska. Journal of Immigrant and Minority Health, 17(6), 1627–1634. https://doi.org/10.1007/s10903-015-0201-5
49.
Reyes-GibbyC. C.AdayL. A.ToddK. H.CleelandC. S.AndersonK. O. (2007). Pain in aging community-dwelling adults in the United States: Non-hispanic Whites, non-hispanic blacks, and hispanics. Journal of Pain, 8(1), 75–84. https://doi.org/10.1016/j.jpain.2006.06.002
50.
RutledgeD. N.CanteroP. J.RuizJ. E. (2013). Chronic pain management strategies used by low-income overweight Latinos. Chronic Illness, 9(2), 133–144. https://doi.org/10.1177/1742395312464719
51.
SarmientoI. A.CardemilE. V. (2009). Family functioning and depression in low-income latino couples. Journal of Marital and Family Therapy, 35, 432–445. https://doi.org/10.1111/j.1752-0606.2009.00139.x
52.
SchwartzS. J.WeisskirchR. S.HurleyE. A.ZamboangaB. L.ParkI. J. K.KimS. Y.Umaña-TaylorA.CastilloL. G.BrownE.GreeneA. D. (2010). Communalism, familism, and filial piety: Are they birds of a collectivist feather?Cultural Diversity & Ethnic Minority Psychology, 16(4), 548–560. https://doi.org/10.1037/a0021370
53.
SodhiJ.KarmarkarA.RajiM.MarkidesK. S.OttenbacherK. J.Al SnihS. (2020). Pain as a predictor of frailty over time among older Mexican Americans. Pain, 161(1), 109. https://doi.org/10.1097/j.pain.0000000000001711
54.
StataCorp. (2013). Stata statistical software: Release 13.StataCorp LP.
55.
TurnerR. J.LloydD. A.TaylorJ. (2006). Physical disability and mental health: An epidemiology of psychiatric and substance disorders. Rehabilitation Psychology, 51(3), 214–223. https://doi.org/10.1037/0090-5550.51.3.214
56.
UpchurchD. M.SteinJ.GreendaleG. A.ChyuL.TsengC. H.HuangM. H.SeemanT. (2015). A longitudinal investigation of race, socioeconomic status, and psychosocial mediators of allostatic load in midlife women: Findings from the study of women’s health across the nation. Psychosomatic Medicine, 77(4), 402. https://doi.org/10.1097/PSY.0000000000000175
57.
U.S. Census Bureau. (2018a). 2013-2017 American community survey 5-year estimates.
VillatoroA. P.MoralesE. S.MaysV. M. (2014). Family culture in mental health help-seeking and utilization in a nationally representative sample of latinos in the United States: The NLAAS. American Journal of Orthopsychiatry, 84(4), 353–363. https://doi.org/10.1037/h0099844
60.
VilagutG.ForeroC. G.BarbagliaG.AlonsoJ. (2016). Screening for depression in the general population with the center for epidemiologic studies depression (CES-D): A systematic review with meta-analysis. PloS one, 11(5), e0155431. https://doi.org/10.1371/journal.pone.0155431
61.
Viruell-FuentesE. A.MorenoffJ. D.WilliamsD. R.HouseJ. S. (2013). Contextualizing nativity status, Latino social ties, and ethnic enclaves: An examination of the immigrant social ties hypothesis. Ethnicity & Health, 18(6), 586–609. https://doi.org/10.1080/13557858.2013.814763
62.
VranyE. A.PolankaB. M.HsuehL.Hill-BriggsF.StewartJ. C. (2021). Race/ethnicity moderates associations between depressive symptoms and diet composition among US adults. Health Psychology, 40(8), 513. https://doi.org/10.1037/hea0001078
63.
WardJ. B.AlbrechtS. S.RobinsonW. R.PenceB. W.MaselkoJ.HaanM. N.AielloA. E. (2018). Neighborhood language isolation and depressive symptoms among elderly US Latinos. Annals of Epidemiology, 28(11), 774–782. https://doi.org/10.1016/j.annepidem.2018.08.009
64.
Wassertheil-SmollerS.ArredondoE. M.CaiJ. W.CastanedaS. F.ChocaJ. P.GalloL. C.JungM.LaVangeL. M.Lee-ReyE. T.MosleyT.PenedoF. J.SantistabanD. A.ZeeP. C. (2014). Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology, 24(11), 822–830. https://doi.org/10.1016/j.annepidem.2014.09.003
65.
WeiJ.LuY.LiK.GoodmanM.XuH. (2022). The associations of late-life depression with all-cause and cardiovascular mortality: The NHANES 2005–2014. Journal of Affective Disorders, 300, 189–194. https://doi.org/10.1016/j.jad.2021.12.104
66.
WolfL. D.DavisM. C. (2014). Loneliness, daily pain, and perceptions of interpersonal events in adults with fibromyalgia. Health Psychology, 33(9), 929–937. https://doi.org/10.1037/hea0000059
67.
YangF. M.Cazorla-LancasterY.JonesR. N. (2008). Within-group differences in depression among older Hispanics living in the United States. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(1), P27–P32. https://doi.org/10.1093/geronb/63.1.P27
68.
ZvolenskyM. J.BakhshaieJ.PaulusD. J.LangdonK. J.GarzaM.ValdiviesoJ.DitreJ.Ochoa-PerezM.LemaireC.BogiaizianD.RoblesZ.Rodríguez-CanoR.ManningK. (2017). Exploring the mechanism underlying the association between pain intensity and mental health among latinos. Journal of Nervous and Mental Disease, 205(4), 300–307. https://doi.org/10.1097/NMD.0000000000000638
69.
ZvolenskyM. J.KauffmanB. Y.ShepherdJ. M.BogiaizianD.BakhshaieJ.VianaA. G.PerazaN.NizioP. (2021). Pain intensity, pain-related anxiety, and somatic and mental health symptoms: A test among latinx young adults. Psychology, Health & Medicine, 26(3), 289–297. https://doi.org/10.1080/13548506.2020.1764598
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