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Addressing social stressors in a brief motivational interview improve mental health symptoms for Latinx heavy drinkers
Author(s) -
Lee Christina S.,
Rosales Robert,
Colby Suzanne M.,
Martin Rosemarie,
Cox Koriann,
Rohsenow Damaris J.
Publication year - 2020
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22976
Subject(s) - motivational interviewing , psychology , anxiety , stressor , clinical psychology , mental health , depression (economics) , psychiatry , psychological intervention , economics , macroeconomics
Objective Depressive and anxiety symptoms co‐occur with hazardous drinking among Latinxs. This secondary analysis of a clinical trial to reduce hazardous drinking (motivational interviewing adapted to address social stressors [CAMI] vs. motivational interviewing [MI]) examined effects on anxiety/depressive symptoms. Discrimination and acculturation were examined as moderators. Methods Latinx ( n = 296) hazardous drinkers (2+ occasions/month of heavy drinking; 4/5 drinks/occasion, females/males) were randomized to CAMI/MI. Generalized estimating equations analyzed how treatment conditions and interactions were related to depressive and anxiety symptoms after controlling for covariates. Results Baseline symptoms (anxiety, depression) exceeded clinical thresholds (Anxiety ≥8, M = 14.62, SD = 13.52; Depression ≥ 12, M = 18.78, SD = 12.57). Cultural adaptation of motivational interviewing (CAMI) showed significantly lower anxiety and depressive symptoms (6/12 months, respectively) than MI. CAMI with high baseline discrimination reported significantly less depression than MI (12 months). Conclusions Explicitly addressing social stressors may be a beneficial adjunct to treatment for Latinx drinkers.