Stress versus discrete negative emotions in the prediction of physical complaints: Does predictive utility vary across ethnic groups?

Consedine, Nathan S.; Magai, Carol; Kudadjie-Gyamfi, Elizabeth; Longfellow, Jean Kaluk; Ungar, Tracey; King, Anthony

doi:10.1037/1099-9809.12.3.541

Cited by 23 publications

(26 citation statements)

References 80 publications

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“…Effect sizes for the anxiety variables were modest but on par with classic correlates such as income and, in some cases, exceeded the effects of demographic and structural variables other than years of screening. Although demographics are difficult to intervene with directly, psychological characteristics are amenable to intervention (70) and small effects may be of considerable clinical significance (71).…”

Section: Discussionmentioning

confidence: 99%

An Object Lesson: Source Determines the Relations That Trait Anxiety, Prostate Cancer Worry, and Screening Fear Hold with Prostate Screening Frequency

Consedine

Adjei²,

Ramírez³

et al. 2008

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Fears regarding prostate cancer and the associated screening are widespread. However, the relations between anxiety, cancer worry, and screening fear and screening behavior are complex, because anxieties stemming from different sources have different effects on behavior. In differentiating among anxieties from different sources (trait anxiety, cancer worry, and screening fear), we expected that cancer worry would be associated with more frequent screening, whereas fear of screening would be associated with less frequent screening. Hypotheses were tested in a sample of 533 men (ages 45-70 years) recruited using a stratified cluster-sampling plan. Men provided information on demographic and structural variables (age, education, income, marital status, physician discussion of risk and screening, access, and insurance) and completed a set of anxiety measures (trait anxiety, cancer worry, and screening fear). As expected, two-step multiple regressions controlling for demographics, health insurance status, physician discussion, and health-care system barriers showed that prostate-specific antigen and digital rectal examination frequencies had unique associations with cancer worry and screening fear. Specifically, whereas cancer worry was associated with more frequent screening, fear of screening was associated with less frequent screening at least for digital rectal examination; trait anxiety was inconsistently related to screening. Data are discussed in terms of their implications for male screening and the understanding of how anxiety motivates health behaviors. It is suggested that understanding the source of anxiety and the manner in which health behaviors such as cancer screenings may enhance or reduce felt anxiety is a likely key to understanding the associations between anxiety and behavioral outcomes. (Cancer Epidemiol Biomarkers Prev 2008;17(7):1631 -9)

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Section: Discussionmentioning

confidence: 99%

An Object Lesson: Source Determines the Relations That Trait Anxiety, Prostate Cancer Worry, and Screening Fear Hold with Prostate Screening Frequency

Consedine

Adjei²,

Ramírez³

et al. 2008

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Thus, the health-compromising effects of anger expression may not be evident across other cultural contexts, wherein expression of anger may serve different functions (Consedine, Magai, & Horton, 2005; Consedine et al, 2006). In the current work, using large probability samples of Americans and Japanese, we tested the hypothesis that the association between anger expression and biological health risk (BHR) is moderated by culture.…”

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confidence: 99%

Expression of Anger and Ill Health in Two Cultures

et al. 2015

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Expression of anger is associated with biological health risk (BHR) in Western cultures. However, recent evidence documenting culturally divergent functions of anger expression suggests that the link between anger expression and BHR may be moderated by culture. To test this prediction, we examined large probability samples of both Japanese and Americans with multiple measures of BHR including pro-inflammatory markers (Interleukin-6 and C-reactive protein) and indices of cardiovascular malfunction (systolic blood pressure and Total/HDL cholesterol ratio). We found that the positive link between anger expression and increased BHR was robust for Americans. As predicted, however, this association was diametrically reversed for Japanese, with anger expression predicting reduced BHR. The pattern was unique to the expressive facet of anger and remained after controlling for age, gender, health status, health behaviors, social status, and reported experience of negative emotions. Implications for socio-cultural modulation of bio-physiological responses are discussed.

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“…This study, conducted by members of the Psychology Department at Long Island University, included 207 U.S.born European American, U.S.-born African American, black English-speaking Caribbean and Dominican men aged 40 years and older. The authors conclude: 'The results underscore the importance of differentiating among discrete emotions and stress and considering ethnic interactions when examining reports of somatic symptomology' (Consedine et al 2006: 541; see also Chelsea et al 2000).…”

Section: Discussionmentioning

confidence: 84%

“…In one study, for example, it was found that adolescent females of Afro-Latino descent tended to show higher levels of depressive symptoms than those of other ethnic groups (Duddu et al 2006). Another study reported that levels of sadness were associated with greater psychosomatic symptoms in U.S.-born European American and Dominican men, but negatively associated among black English-speaking Caribbean men (Consedine et al 2006). This study, conducted by members of the Psychology Department at Long Island University, included 207 U.S.born European American, U.S.-born African American, black English-speaking Caribbean and Dominican men aged 40 years and older.…”

Section: Discussionmentioning

confidence: 95%

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Saudi Patients and Health Care Providers: Divergent Perceptions of Illnesses and Their Symptoms

Harakati¹,

Shaheen²,

Tamim³

et al. 2011

Anthropology of the Middle East

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This cross-sectional survey study analyses the degree of concordance between Saudi patients and their nurses and physicians in four areas: (1) perceived causation of diseases and drivers of cure, (2) symptom ranking and perception, (3) views on social habits and traditional medicine, and (4) assessment of health care providers' empathy. The doctors and nurses were asked to predict their patients' responses to the survey. Significant divergence was found between the patients' responses and the health care providers' predictions. Cultural and background differences between the two groups, as well as a large educational gap, might account for this disparity. Such discordance could conceivably lead to wrong diagnoses being made, due to the different levels of importance that patients and doctors accord to symptoms.

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Stress versus discrete negative emotions in the prediction of physical complaints: Does predictive utility vary across ethnic groups?

Cited by 23 publications

References 80 publications

An Object Lesson: Source Determines the Relations That Trait Anxiety, Prostate Cancer Worry, and Screening Fear Hold with Prostate Screening Frequency

An Object Lesson: Source Determines the Relations That Trait Anxiety, Prostate Cancer Worry, and Screening Fear Hold with Prostate Screening Frequency

Expression of Anger and Ill Health in Two Cultures

Saudi Patients and Health Care Providers: Divergent Perceptions of Illnesses and Their Symptoms

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