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Examining the Relationship Between Pain Intensity and Emotional Eating Among Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

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Abstract

There is limited understanding of pain and its relationship to emotional eating among Latinos as well as knowledge about potential mechanisms that may underlie their association. We explored whether anxiety sensitivity (fear of the negative consequences of anxiety) explained the relation between pain intensity and emotional eating among a sample of Latinos. Participants were 79 (87.3% female; Mage = 42.04, SD = 12.01) predominately female Latino attendees of a Federally Qualified Health Center. As hypothesized, results indicated that pain intensity yielded a significant indirect effect through anxiety sensitivity for emotional eating. Alternative models wherein anxiety sensitivity served as the predictor and pain intensity as the indirect effect were also significant. Such novel data highlight the potential bi-directional relationship between pain intensity and anxiety sensitivity in terms of emotional eating. Overall, pain intensity and anxiety sensitivity may serve as mechanisms that underlie emotional eating among Latino adults.

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References

  1. Bureau U. S. C. Us summary: 2000. Washington, DC: Us Census Bureau, 2000

    Google Scholar 

  2. Pérez-Escamilla R. Acculturation, nutrition, and health disparities in Latinos. Am J Clin Nutr. 2011;93(5):1163S–7S

    PubMed  PubMed Central  Google Scholar 

  3. Sharma S. et al. Adherence to the food guide pyramid recommendations among African Americans and Latinos: results from the multiethnic cohort. J Am Diet Assoc. 2004;104(12):1873–7.

    PubMed  Google Scholar 

  4. Kolonel LN, et al. A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol. 2000;151(4):346–57.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Hubert HB, Snider J, And MA, Winkleby. Health status, health behaviors, and acculturation factors associated with overweight and obesity in Latinos from a community and agricultural labor camp survey. Prev Med. 2005;40(6):642–51.

    PubMed  Google Scholar 

  6. Pérez-Escamilla R, And P, Putnik. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr. 2007;137(4):860–70.

    PubMed  Google Scholar 

  7. Jackson B, et al. Motivations to eat: scale development and validation. J Res Pers. 2003;37(4):297–318.

    Google Scholar 

  8. Burgess EE, et al. Profiling motives behind hedonic eating. Preliminary validation of the palatable eating motives scale. Appetite. 2014;72:66–72.

    CAS  PubMed  Google Scholar 

  9. Van Strien T, et al. Emotional eating as a mediator between depression and weight gain. Appetite. 2016;100:216–24.

    PubMed  Google Scholar 

  10. Pompili S, Laghi F. Binge eating and binge drinking among adolescents: the role of drinking and eating motives. J Health Psychol. 2017. https://doi.org/10.1177/1359105317713359.

    Article  PubMed  Google Scholar 

  11. Van Strien T, et al. The Dutch Eating Behavior Questionnaire (Debq) for assessment of restrained emotional, and external eating behavior. Int J Eating Disord. 1986;5(2):295–315.

    Google Scholar 

  12. Ricca V, et al. Emotional eating in anorexia nervosa and bulimia nervosa. Compr Psychiatry. 2012;53(3):245–51.

    PubMed  Google Scholar 

  13. Ricca V, et al. Correlations between binge eating and emotional eating in a sample of overweight subjects. Appetite. 2009;53(3):418–21.

    PubMed  Google Scholar 

  14. Nguyen-Michel ST, Unger JB, And D, Spruijt-Metz. Dietary correlates of emotional eating in adolescence. Appetite. 2007;49(2):494–9.

    PubMed  PubMed Central  Google Scholar 

  15. Rollins BY, et al. Psychometrics of the eating in Emotional Situations Questionnaire (Eesq) among low-income Latino elementary-school children. Eat Behav. 2011;12(2):156–9.

    PubMed  PubMed Central  Google Scholar 

  16. Lopez-Cepero A, et al. Association of dysfunctional eating patterns and metabolic risk factors for cardiovascular disease among Latinos. J Acad Nutr Diet. 2018;118(5):849–56. https://doi.org/10.1016/j.jand.2017.06.007.

    Article  PubMed  Google Scholar 

  17. Lynn R-RM, et al. Eating disorder symptomatology: prevalence among Latino college freshmen students. J Clin Psychol. 2010;66(6):666–79.

    Google Scholar 

  18. Janke EA, And AT, Kozak, The More Pain I Have, The More I Want To Eat”: obesity in the context of chronic pain. Obesity. 2012;20(10):2027–34.

    Google Scholar 

  19. Janke EA, et al. Catastrophizing and anxiety sensitivity mediate the relationship between persistent pain and emotional eating. Appetite. 2016;103(Supplement C):64–71.

    PubMed  Google Scholar 

  20. Meleger AL, Froude CK, Walker AJ. Nutrition and eating behavior in patients with chronic pain receiving long-term opioid therapy. PM&R. 2014;6(1)7–12.E1.

    Google Scholar 

  21. Geliebter A, Carnell S, And ME, Gluck. Cortisol and ghrelin concentrations following a cold pressor stress test in overweight individuals with and without night eating. Int J Obes (Lond). 2013;37(8):1104–8.

    CAS  Google Scholar 

  22. Gluck ME, et al. Cortisol, hunger, and desire to binge eat following a cold stress test in obese women with binge eating disorder. Psychosom Med. 2004;66(6):876–81.

    CAS  PubMed  Google Scholar 

  23. Green CR, et al. The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Med. 2003;4(3):277.

    PubMed  Google Scholar 

  24. Epps CD, Ware LJ, Packard AA. Ethnic wait time differences in analgesic administration in the emergency department. Pain Manag Nurs. 2008;9(1):26–32.

    PubMed  Google Scholar 

  25. Nguyen M, et al. Access to care for chronic pain: racial and ethnic differences. J Pain. 2005;6(5):301–14.

    PubMed  Google Scholar 

  26. Portenoy RK, et al. Population-based survey of pain in the United States: differences among White, African American, and hispanic subjects. J Pain, 2004;5(6):317–28.

    PubMed  Google Scholar 

  27. Berry PH, Dahl JL. The new JCAHO pain standards: implications for pain management nurses. Pain Manag Nurs. 2000;1(1):3–12.

    CAS  PubMed  Google Scholar 

  28. Vega WA, Lopez SR. Priority issues in Latino mental health services research. Ment Health Serv Res. 2001;3(4):189–200.

    CAS  PubMed  Google Scholar 

  29. Reiss S, McNally RJ. Expectancy model of fear-theoretical issues in behavior therapy. In: S Reiss, RR Bootsin, editors. Theoretical issues in behavior therapy. San Diego: Academic Press; 1985. pp. 107–121

    Google Scholar 

  30. Otto MW. et al. Anxiety sensitivity and working memory capacity: risk factors and targets for health behavior promotion. Clin Psychol Rev. 2016;49:67–78.

    PubMed  Google Scholar 

  31. Ocañez KLS, Mchugh RK, MW Otto. A meta-analytic review of the association between anxiety sensitivity and pain. Depress Anxiety. 2010;27(8):760–7.

    PubMed  Google Scholar 

  32. Crombez G, et al. Fear-avoidance model of chronic pain: the next generation. Clin J Pain. 2012;28(6):475–83.

    PubMed  Google Scholar 

  33. Spoor ST, et al. Relations between negative affect, coping, and emotional eating. Appetite. 2007;48(3):368–76.

    PubMed  Google Scholar 

  34. Zvolensky MJ, Garey L, Bakhshaie J. Disparities in anxiety and its disorders. J Anxiety Disord. 2017;48:1–5.

    PubMed  Google Scholar 

  35. Wilson SM, et al. Predictors of emotional eating during adolescents’ transition to college: does body mass index moderate the association between stress and emotional eating? J Am Coll Health. 2015;63(3):163–70.

    PubMed  Google Scholar 

  36. (Who), W.H.O. Obesity: preventing and managing the global epidemic. Switzerland: World Health Organization, 2000.

    Google Scholar 

  37. Von Korff M, et al. Grading the severity of chronic pain. Pain. 1992;50(2):133–49.

    Google Scholar 

  38. Smith BH, et al. The Chronic Pain Grade Questionnaire: validation and reliability in postal research. Pain. 1997;71(2):141–7.

    CAS  PubMed  Google Scholar 

  39. Rogers AH, et al. The explanatory role of insomnia in the relationship between pain intensity and posttraumatic stress symptom severity among trauma-exposed Latinos in a federally qualified health center. J Racial Ethn Health Disparities. 2018;5(6):1389–96. https://doi.org/10.1007/s40615-018-0489-7.

    Article  PubMed  Google Scholar 

  40. Rogers AH, et al, Pain-related anxiety and opioid misuse in a racially/ethnically diverse young adult sample with moderate/severe pain. Cogn Behav Ther. 2018. https://doi.org/10.1080/16506073.2018.1436085.

    Article  PubMed  Google Scholar 

  41. Ferrer-Peña R, et al. Adaptation and validation of the spanish version of the graded chronic pain scale. Reumatología Clínica (English Edition). 2016;12(3):130–8.

    Google Scholar 

  42. Taylor S, et al. Robust dimensions of anxiety sensitivity: development and initial validation of the anxiety sensitivity index-3. Psychol Assess. 2007;19(2):176–88.

    PubMed  Google Scholar 

  43. Zvolensky MJ, et al. The role of anxiety sensitivity in the relation between experiential avoidance and anxious arousal. depressive, and suicidal symptoms among latinos in primary care. Cogn Ther Res. 2015;39(5):688–96.

    Google Scholar 

  44. Zvolensky MJ, et al. Anxiety sensitivity and subjective social status in relation to anxiety and depressive symptoms and disorders among Latinos in primary care. J Anxiety Disord. 2015;32(Supplement C):38–45.

    PubMed  Google Scholar 

  45. Zvolensky MJ, et al. Interactive effect of negative affectivity and anxiety sensitivity in terms of mental health among Latinos in primary care. Psychiatry Res. 2016;243:35–42.

    PubMed  Google Scholar 

  46. Cebolla A, et al. Validation of the Dutch Eating Behavior Questionnaire (Debq) in a sample of Spanish women. Appetite. 2014;73(Supplement C):58–64.

    CAS  PubMed  Google Scholar 

  47. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. methodology in the social sciences. New York: The Guilford Press; 2013.

    Google Scholar 

  48. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2004;36(4):717–731.

    PubMed  Google Scholar 

  49. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879–91.

    PubMed  Google Scholar 

  50. Hayes AF. Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76(4):408–20.

    Google Scholar 

  51. Zhao X, Lynch JG, Chen AQ. Reconsidering Baron and Kenny: myths and truths about mediation analysis. J Consum Res. 2010;37(2):197–206.

    Google Scholar 

  52. Torres L, Mata-Greve F. Anxiety sensitivity as a predictor of Latino alcohol use: a moderated mediational model. J Lat Psychol. 2017;5(2):61–75.

    Google Scholar 

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Acknowledgments

Funding was provided by National Institute on Drug Abuse (Grant No. 1F31DA046127-01).

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Correspondence to Michael J. Zvolensky.

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Kauffman, B.Y., Rogers, A.H., Bakhshaie, J. et al. Examining the Relationship Between Pain Intensity and Emotional Eating Among Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity. J Immigrant Minority Health 21, 1217–1223 (2019). https://doi.org/10.1007/s10903-019-00862-0

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