Top

Journal of Behavioral Medicine

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

05-11-2021

Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain

Auteurs: Brooke Y. Kauffman, Ryan Kroeger, Andrew H. Rogers, Lorra Garey, Joseph W. Ditre, Michael J. Zvolensky

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2022

Abstract

Chronic pain is often comorbid with modifiable cardiovascular disease risk factors, such as obesity and tobacco use. Among individuals with chronic pain, psychological risk factors may increase pain which, in turn, may increase risk for modifiable cardiovascular disease correlates. Thus, the current study examined the explanatory role of pain intensity in the relationship between anxiety sensitivity and two well-documented modifiable cardiovascular disease risk factors. Participants included 396 adults with chronic pain who completed an online survey from a larger study examining chronic pain-mental health relations. Results revealed that higher levels of anxiety sensitivity were related to higher levels of body mass index (BMI) through greater levels of pain intensity. Bi-directional relations were observed between anxiety sensitivity and pain intensity for tobacco risk. The current study highlights a potential transdiagnostic cognitive vulnerability factor, anxiety sensitivity, which may be an important treatment target to reduce modifiable cardiovascular disease risk factors via reductions in pain intensity.

vorige artikel Perceived discrimination, adherence to antiretroviral therapy, and HIV care engagement among HIV-positive black adults: the mediating role of medical mistrust

volgende artikel Healthy or not? The impact of conflicting health-related information on attentional resources

Model was run for alcohol risk across the entire sample (N = 396) and anxiety sensitivity was not indirectly associated with alcohol risk through pain intensity. However, pain intensity was indirectly associated with alcohol risk through anxiety sensitivity (a*b = 0.13, SE = 0.04, CI_95% = 0.054, 0.217, CSE = 0.06). Sample size was insufficient (n = 33) to examine these relationships among daily or almost daily drinkers.

Among daily or almost daily smokers (n = 163) anxiety sensitivity was not indirectly associated with tobacco risk through pain intensity.

Among daily or almost daily smokers (n = 163) pain intensity was indirectly associated with tobacco risk through anxiety sensitivity (a*b = 0.11, SE = 0.05, CI_95% = 0.030, 0.278, CSE = 0.07).

Alzahrani, H., Mackey, M., Stamatakis, E., Zadro, J. R., & Shirley, D. (2019). The association between physical activity and low back pain: A systematic review and meta-analysis of observational studies. Science and Reports, 9, 8244. https://doi.org/10.1038/s41598-019-44664-8 CrossRef

Bastien, M., Poirier, P., Lemieux, I., & Després, J. P. (2014). Overview of epidemiology and contribution of obesity to cardiovascular disease. Progress in Cardiovascular Diseases, 56, 369–381. https://doi.org/10.1016/j.pcad.2013.10.016 CrossRefPubMed

Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind, M. S. V., Ferguson, J. F., Fornage, M., Jordan, L. C., Khan, S. S., Kissela, B. M., Knutson, K. L., Kwan, T. W., Lackland, D. T., Lewis, T. T., Lichtman, J. H., Longenecker, C. T., Loop, M. S., Lutsey, P. L., Martin, S. S., Matsushita, K., Moran, A. E., Mussolino, M. E., O’Flaherty, M., Pandey, A., Perak, A. M., Rosamond, W. D., Roth, G. A., Sampson, U. K. A., Satou, G. M., Schroeder, E. B., Shah, S. H., Spartano, N. L., Stokes, A., Tirschwell, D. L., Tsao, C. W., Turakhia, M. P., VanWagner, L. B., Wilkins, J. T., Wong, S. S., & Virani, S. S. (2019). Heart disease and stroke statistics-2014; 2019 update: A report from the American Heart Association. Circulation, 139, e56–e528. https://doi.org/10.1161/CIR.0000000000000659.

Broman-Fulks, J. J., Berman, M. E., Rabian, B. A., & Webster, M. J. (2004). Effects of aerobic exercise on anxiety sensitivity. Behaviour Research and Therapy, 42, 125–136. https://doi.org/10.1016/s0005-7967(03)00103-7 CrossRefPubMed

Broman-Fulks, J. J., & Storey, K. M. (2008). Evaluation of a brief aerobic exercise intervention for high anxiety sensitivity. Anxiety Stress and Coping, 21, 117–128. https://doi.org/10.1080/10615800701762675 CrossRef

Burns, J. W., Quartana, P. J., Bruehl, S., Janssen, I., Dugan, S. A., Appelhans, B., Matthews, K. A., & Kravitz, H. M. (2015). Chronic pain, body mass index and cardiovascular disease risk factors: Tests of moderation, unique and shared relationships in the Study of Women’s Health Across the Nation (SWAN). Journal of Behavioral Medicine, 38, 372–383. https://doi.org/10.1007/s10865-014-9608-z CrossRefPubMed

Capron, D. W., & Schmidt, N. B. (2016). Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behaviour Research and Therapy, 81, 47–55. https://doi.org/10.1016/j.brat.2016.04.001 CrossRefPubMed

Cheung, M. W. (2009). Comparison of methods for constructing confidence intervals of standardized indirect effects. Behavior Research Methods, 41, 425–438. https://doi.org/10.3758/brm.41.2.425 CrossRefPubMed

Dagmar, S., Erik, S., Karel, F., & Aleš, S. (2011). Gender differences in physical activity, sedentary behavior and BMI in the Liberec Region: The IPAQ study in 2002–2009. Journal of Human Kinetics, 28, 123–131. https://doi.org/10.2478/v10078-011-0029-6 CrossRefPubMedPubMedCentral

Ditre, J. W., Heckman, B. W., Butts, E. A., & Brandon, T. H. (2010). Effects of expectancies and coping on pain-induced motivation to smoke. Journal of Abnormal Psychology, 119, 524–533. https://doi.org/10.1037/a0019568 CrossRefPubMedPubMedCentral

Ditre, J. W., Brandon, T. H., Zale, E. L., & Meagher, M. M. (2011). Pain, nicotine, and smoking: Research findings and mechanistic considerations. Psychological Bulletin, 137, 1065–1093. https://doi.org/10.1037/a0025544 CrossRefPubMedPubMedCentral

Ditre, J. W., Heckman, B. W., Zale, E. L., Kosiba, J. D., & Maisto, S. A. (2016a). Acute analgesic effects of nicotine and tobacco in humans: A meta-analysis. Pain, 157, 1373–1381. https://doi.org/10.1097/j.pain.0000000000000572 CrossRefPubMedPubMedCentral

Ditre, J. W., Kosiba, J. D., Zale, E. L., Zvolensky, M. J., & Maisto, S. A. (2016b). Chronic pain status, nicotine withdrawal, and expectancies for smoking cessation among lighter smokers. Annals of Behavioral Medicine, 50, 427–435. https://doi.org/10.1007/s12160-016-9769-9 CrossRefPubMed

Ditre, J. W., Zale, E. L., & LaRowe, L. R. (2019). A reciprocal model of pain and substance use: Transdiagnostic considerations, clinical implications, and future directions. Annual Review of Clinical Psychology, 15, 503–528. https://doi.org/10.1146/annurev-clinpsy-050718-095440 CrossRefPubMed

Ditre, J. W., Heckman, B. W., LaRowe, L. R., & Powers, J. M. (2020). Pain status as a predictor of smoking cessation initiation, lapse, and relapse. Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntaa111 CrossRef

Fayaz, A., Ayis, S., Panesar, S. S., Langford, R. M., & Donaldson, L. J. (2016a). Assessing the relationship between chronic pain and cardiovascular disease: A systematic review and meta-analysis. Scandinavian Journal of Pain, 13, 76–90. https://doi.org/10.1016/j.sjpain.2016.06.005 CrossRefPubMed

Fayaz, A., Watt, H. C., Langford, R. M., & Donaldson, L. J. (2016b). The association between chronic pain and cardiac disease: A cross-sectional population study. Clinical Journal of Pain, 32, 1062–1068. https://doi.org/10.1097/ajp.0000000000000359 CrossRef

Goodson, N. J., Smith, B. H., Hocking, L. J., McGilchrist, M. M., Dominiczak, A. F., Morris, A., Porteous, D. J., & Goebel, A. (2013). Cardiovascular risk factors associated with the metabolic syndrome are more prevalent in people reporting chronic pain: Results from a cross-sectional general population study. Pain, 154, 1595–1602. https://doi.org/10.1016/j.pain.2013.04.043 CrossRefPubMed

Group W. A. W. (2002). The alcohol, smoking and substance involvement screening test (ASSIST): Development, reliability and feasibility Addiction, 97(9), 1183–1194. https://doi.org/10.1046/j.1360-0443.2002.00185.x.

Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017–2018. NCHS Data Brief, no 360.

Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420. https://doi.org/10.1080/03637750903310360 CrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.

Hurtubise, J., McLellan, K., Durr, K., Onasanya, O., Nwabuko, D., & Ndisang, J. F. (2016). The different facets of dyslipidemia and hypertension in atherosclerosis. Current Atherosclerosis Reports, 18, 82. https://doi.org/10.1007/s11883-016-0632-z CrossRefPubMed

Janke, E. A., & Kozak, A. T. (2012). “The more pain i have, the more i want to eat”: Obesity in the context of chronic pain. Obesity, 20, 2027–2034. https://doi.org/10.1038/oby.2012.39 CrossRef

Janke, E. A., Jones, E., Hopkins, C. M., Ruggieri, M., & Hruska, A. (2016). Catastrophizing and anxiety sensitivity mediate the relationship between persistent pain and emotional eating. Appetite, 103, 64–71. https://doi.org/10.1016/j.appet.2016.03.022 CrossRefPubMed

Kelley, K. (2005). The effects of nonnormal distributions on confidence intervals around the standardized mean difference: Bootstrap and parametric confidence intervals. Educational and Psychological Measurement, 65, 51–69. https://doi.org/10.1177/0013164404264850 CrossRef

Kirby, K. N., & Gerlanc, D. (2013). BootES: An R package for bootstrap confidence intervals on effect sizes. Behavior Research Methods, 45, 905–927. https://doi.org/10.3758/s13428-013-0330-5 CrossRefPubMed

Koliaki, C., Liatis, S., & Kokkinos, A. (2019). Obesity and cardiovascular disease: Revisiting an old relationship. Metabolism, 92, 98–107. https://doi.org/10.1016/j.metabol.2018.10.011 CrossRefPubMed

Kraemer, H. C., Kiernan, M., Essex, M., & Kupfer, D. J. (2008). How and why criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches. Health Psychology, 27, S101-108. https://doi.org/10.1037/0278-6133.27.2(Suppl.).S101 CrossRefPubMedPubMedCentral

Kroska, E. B. (2016). A meta-analysis of fear-avoidance and pain intensity: The paradox of chronic pain. Scandinavian Journal of Pain, 13, 43–58. https://doi.org/10.1016/j.sjpain.2016.06.011 CrossRefPubMed

Kuehn, B. (2018). Chronic pain prevalence. JAMA, 320, 1632–1632. https://doi.org/10.1001/jama.2018.16009 CrossRefPubMed

LaRowe, L. R., & Ditre, J. W. (2020). Pain, nicotine, and tobacco smoking: Current state of the science. Pain. https://doi.org/10.1097/j.pain.0000000000001874 CrossRefPubMedPubMedCentral

LaRowe, L. R., Zvolensky, M. J., & Ditre, J. W. (2019). The role of anxiety-relevant transdiagnostic factors in comorbid chronic pain and tobacco cigarette smoking. Cognit Ther Res, 43, 102–113. https://doi.org/10.1007/s10608-018-9957-y CrossRef

Lavie, C. J., McAuley, P. A., Church, T. S., Milani, R. V., & Blair, S. N. (2014). Obesity and cardiovascular diseases: Implications regarding fitness, fatness, and severity in the obesity paradox. Journal of the American College of Cardiology, 63, 1345–1354. https://doi.org/10.1016/j.jacc.2014.01.022 CrossRefPubMed

Leeuw, M., Goossens, M. E., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. (2007). The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence. Journal of Behavioral Medicine, 30, 77–94. https://doi.org/10.1007/s10865-006-9085-0 CrossRefPubMed

Lethem, J., Slade, P. D., Troup, J. D., & Bentley, G. (1983). Outline of a Fear-Avoidance Model of exaggerated pain perception–I. Behaviour Research and Therapy, 21, 401–408. https://doi.org/10.1016/0005-7967(83)90009-8 CrossRefPubMed

Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12, 23. CrossRef

Maxwell, S. E., Cole, D. A., & Mitchell, M. A. (2011). Bias in cross-sectional analyses of longitudinal mediation: Partial and complete mediation under an autoregressive model. Multivariate Behav Res, 46, 816–841. CrossRef

McNally, R. J. (2002). Anxiety sensitivity and panic disorder. Biological Psychiatry, 52(10), 938–946. CrossRef

McVinnie, D. S. (2013). Obesity and pain. British Journal of Pain, 7, 163–170. https://doi.org/10.1177/2049463713484296 CrossRefPubMedPubMedCentral

Ocañez, K. L. S., McHugh, R. K., & Otto, M. W. (2010). A meta-analytic review of the association between anxiety sensitivity and pain. Depression and Anxiety, 27, 760–767. https://doi.org/10.1002/da.20681 CrossRefPubMed

Okifuji, A., & Hare, B. D. (2015). The association between chronic pain and obesity. Journal of Pain Research, 8, 399–408. https://doi.org/10.2147/JPR.S55598 CrossRefPubMedPubMedCentral

Oliveira, C. B., Maher, C. G., Franco, M. R., Kamper, S. J., Williams, C. M., Silva, F. G., & Pinto, R. Z. (2020). Co-occurrence of chronic musculoskeletal pain and cardiovascular diseases: A systematic review with meta-analysis. Pain Medicine, 21, 1106–1121. https://doi.org/10.1093/pm/pnz217 CrossRefPubMed

Olthuis, J. V., & Asmundson, G. J. G. (2019). Optimizing outcomes for pain conditions by treating anxiety sensitivity. In Smits, J. A. J., W. Otto, M., Powers, M. B., & Baird, S. O. (Eds.), The clinician’s guide to anxiety sensitivity treatment and assessment. Academic Press, (pp. 77–100). https://doi.org/10.1016/B978-0-12-813495-5.00005-X.

Orhurhu, V. J., Pittelkow, T. P., & Hooten, W. M. (2015). Prevalence of smoking in adults with chronic pain. Tobacco Induced Diseases, 13, 17. https://doi.org/10.1186/s12971-015-0042-y CrossRefPubMedPubMedCentral

Ormazabal, V., Nair, S., Elfeky, O., Aguayo, C., Salomon, C., & Zuñiga, F. A. (2018). Association between insulin resistance and the development of cardiovascular disease. Cardiovascular Diabetology, 17, 122. https://doi.org/10.1186/s12933-018-0762-4 CrossRefPubMedPubMedCentral

Otto, M. W., & Smits, J. A. J. (2018). Anxiety sensitivity, health behaviors, and the prevention and treatment of medical illness. Clinical Psychology: A Publication of the Division of Clinical Psychology of the American Psychological Association, 25, e12253. https://doi.org/10.1111/cpsp.12253 CrossRef

Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., Smits, J. A., & Doan, S. N. (2016). Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion. Clinical Psychology Review, 49, 67–78. https://doi.org/10.1016/j.cpr.2016.07.003 CrossRefPubMed

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903. https://doi.org/10.1037/0021-9010.88.5.879 CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. https://doi.org/10.3758/bf03206553 CrossRef

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. https://doi.org/10.3758/brm.40.3.879 CrossRefPubMed

Prevention. (2020). Heart disease statistics and factors. https://www.cdc.gov/heartdisease/facts.htm#:~:text=Heart%20disease%20is%20the%20leading,1%20in%20every%204%20deaths.

Reyes del Paso, G. A., Garrido, S., Pulgar, Á., & Duschek, S. (2011). Autonomic cardiovascular control and responses to experimental pain stimulation in fibromyalgia syndrome. Journal of Psychosomatic Research, 70, 125–134. https://doi.org/10.1016/j.jpsychores.2010.09.012 CrossRefPubMed

Rogers, A. H., Bakhshaie, J., Orr, M. F., Ditre, J. W., & Zvolensky, M. J. (2019a). Health literacy, opioid misuse, and pain experience among adults with chronic pain. Pain Medicine, 21, 670–676. https://doi.org/10.1093/pm/pnz062 CrossRef

Rogers, A. H., Bakhshaie, J., Zvolensky, M. J., & Vowles, K. E. (2019b). Pain anxiety as a mechanism linking pain severity and opioid misuse and disability among individuals with chronic pain. Journal of Addiction Medicine. https://doi.org/10.1097/adm.0000000000000538 CrossRefPubMed

Ross, R. (2013). Is Exercise for weight loss overrated? Canadian Journal of Diabetes, 37, S236. https://doi.org/10.1016/j.jcjd.2013.03.125 CrossRef

Roy, A., Rawal, I., Jabbour, S., & Prabhakaran, D. (2017). Tobacco and cardiovascular disease: A summary of evidence. In Prabhakaran, D., Anand, S., Gaziano, T.A., Mbanya, J. C., Wu, Y., & Nugent, R. (Eds.), Cardiovascular, respiratory, and related disorders. The International Bank for Reconstruction and Development/The World Bank© 2017 International Bank for Reconstruction and Development/The World Bank. https://doi.org/10.1596/978-1-4648-0518-9_ch4.

Ryan, C. G., McDonough, S., Kirwan, J. P., Leveille, S., & Martin, D. J. (2014). An investigation of association between chronic musculoskeletal pain and cardiovascular disease in the Health Survey for England (2008). European Journal of Pain, 18, 740–750. https://doi.org/10.1002/j.1532-2149.2013.00405.x CrossRefPubMed

Schmidt, N. B., Eggleston, A. M., Woolaway-Bickel, K., Fitzpatrick, K. K., Vasey, M. W., & Richey, J. A. (2007). Anxiety Sensitivity Amelioration Training (ASAT): A longitudinal primary prevention program targeting cognitive vulnerability. Journal of Anxiety Disorders, 21, 302–319. https://doi.org/10.1016/j.janxdis.2006.06.002 CrossRefPubMed

Shrout, P. E. (2011). Commentary: Mediation analysis, causal process, and cross-sectional data. Multivariate Behav Res, 46, 852–860. CrossRef

Smith, P. H., Bessette, A. J., Weinberger, A. H., Sheffer, C. E., & McKee, S. A. (2016). Sex/gender differences in smoking cessation: A review. Preventive Medicine, 92, 135–140. https://doi.org/10.1016/j.ypmed.2016.07.013 CrossRefPubMedPubMedCentral

Smits, J. A., Berry, A. C., Rosenfield, D., Powers, M. B., Behar, E., & Otto, M. W. (2008). Reducing anxiety sensitivity with exercise. Depression and Anxiety, 25, 689–699. https://doi.org/10.1002/da.20411 CrossRefPubMed

Smits, J. A., Zvolensky, M. J., Davis, M. L., Rosenfield, D., Marcus, B. H., Church, T. S., Powers, M. B., Frierson, G. M., Otto, M. W., Hopkins, L. B., Brown, R. A., & Baird, S. O. (2016). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity: A randomized controlled trial. Psychosomatic Medicine, 78, 354–364. https://doi.org/10.1097/psy.0000000000000264 CrossRefPubMedPubMedCentral

Strine, T. W., & Hootman, J. M. (2007). US national prevalence and correlates of low back and neck pain among adults. Arthritis and Rheumatism, 57, 656–665. https://doi.org/10.1002/art.22684 CrossRefPubMed

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. https://doi.org/10.1037/1040-3590.19.2.176 CrossRefPubMed

Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317–332. https://doi.org/10.1016/s0304-3959(99)00242-0 CrossRefPubMed

Von Korff, M. (2011). Assessment of chronic pain in epidemiological and health services research: Empirical bases and new directions. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 455–473). The Guilford Press.

Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149. https://doi.org/10.1016/0304-3959(92)90154-4 CrossRef

Vowles, K. E., Sowden, G., & Ashworth, J. (2014). A comprehensive examination of the model underlying acceptance and commitment therapy for chronic pain. Behavior Therapy, 45, 390–401. https://doi.org/10.1016/j.beth.2013.12.009 CrossRefPubMed

World Health Organization, W. (2017). Cardiovascular diseases (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).

Zale, E. L., & Ditre, J. W. (2015). Pain-related fear, disability, and the fear-avoidance model of chronic pain. Current Opinion in Psychology, 5, 24–30. https://doi.org/10.1016/j.copsyc.2015.03.014 CrossRefPubMedPubMedCentral

Zhang, Q., & Wang, Y. (2004). Socioeconomic inequality of obesity in the United States: Do gender, age, and ethnicity matter? Social Science & Medicine, 58, 1171–1180. https://doi.org/10.1016/S0277-9536(03)00288-0 CrossRef

Zvolensky, M. J., Goodie, J. L., McNeil, D. W., Sperry, J. A., & Sorrell, J. T. (2001). Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population. Behaviour Research and Therapy, 39, 683–696. https://doi.org/10.1016/s0005-7967(00)00049-8 CrossRefPubMed

Titel: Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain
Auteurs: Brooke Y. Kauffman
Ryan Kroeger
Andrew H. Rogers
Lorra Garey
Joseph W. Ditre
Michael J. Zvolensky
Publicatiedatum: 05-11-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00262-6

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain

Abstract

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2022

Healthy or not? The impact of conflicting health-related information on attentional resources

Psychological Impact of Ambiguous Health Messages about COVID-19

Loneliness and multiple health domains: associations among emerging adults

Psychosocial and behavioral correlates of weight loss 12 to 15 years after bariatric surgery

U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences

Changes in physical activity associated with the COVID-19 pandemic in individuals with overweight and obesity: an interrupted time series analysis with historical controls