Top

Gepubliceerd in:

16-06-2020 | Original Article

The Role of Anxiety Sensitivity in Terms of Weight-Related Impairment and Fatigue Severity Among Adults with Obesity and Chronic Low Back Pain

Auteurs: Brooke Y. Kauffman, Kara Manning, Andrew H. Rogers, Lorra Garey, Matthew W. Gallagher, Andres G. Viana, Michael J. Zvolensky

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2020

Abstract

Background

Obesity and chronic low back pain often co-occur and are associated with psychosocial and physical impairments such as weight-related impairment and fatigue. Yet, there is little understanding of psychological factors that may be associated with weight-related impairment and fatigue (a psychosocial factor) among this vulnerable population.

Methods

Thus, the current study examined the role of anxiety sensitivity as it relates to self-reported weight-related impairment and fatigue severity among persons with obesity and chronic low back pain. Participants included a nationally representative sample of adults (N = 616) with co-occurring obesity and chronic low back pain (77.3% female, M_age = 45.9 years, SD = 11.53).

Results

Results revealed that anxiety sensitivity was associated with greater levels of weight-related impairment and fatigue severity after controlling for age, sex, body mass index, pain interference, and perceived general health.

Conclusions

The findings suggest that anxiety sensitivity may be a mechanistic target for better understanding and addressing weight-related impairment and fatigue severity among individuals with obesity and chronic low back pain.

vorige artikel Anxiety Sensitivity Accelerates the Temporal Changes in Obsessions and Compulsions During Cognitive Behavioral Therapy

volgende artikel The Interaction Between Mentalizing, Empathy and Symptoms in People with Eating Disorders: A Network Analysis Integrating Experimentally Induced and Self-report Measures

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. Scientific Reports, 9(1), 8244. https://doi.org/10.1038/s41598-019-44664-8.CrossRefPubMedPubMedCentral

Asmundson, G. J., Wright, K. D., & Hadjistavropoulos, H. D. (2000). Anxiety sensitivity and disabling chronic health conditions state of the art and future directions. Scandinavian Journal of Behaviour Therapy, 29(3/4), 100–117. https://doi.org/10.1080/028457100300049719.CrossRef

Ball, K., Crawford, D., & Owen, N. (2000). Too fat to exercise? Obesity as a barrier to physical activity. Australian and New Zealand Journal of Public Health, 24(3), 331–333. https://doi.org/10.1111/j.1467-842x.2000.tb01579.x.CrossRefPubMed

Bond, J., Dickinson, H. O., Matthews, F., Jagger, C., & Brayne, C. (2006). Self-rated health status as a predictor of death, functional and cognitive impairment: A longitudinal cohort study. European Journal of Ageing, 3(4), 193–206. https://doi.org/10.1007/s10433-006-0039-8.CrossRefPubMedPubMedCentral

Bonner, A., Wellard, S., & Caltabiano, M. (2010). The impact of fatigue on daily activity in people with chronic kidney disease. Journal of Clinical Nursing, 19(21–22), 3006–3015. https://doi.org/10.1111/j.1365-2702.2010.03381.x.CrossRefPubMed

Bowring, A. L., Peeters, A., Freak-Poli, R., Lim, M. S., Gouillou, M., & Hellard, M. (2012). Measuring the accuracy of self-reported height and weight in a community-based sample of young people. BMC Medical Research Methodology, 12, 175. https://doi.org/10.1186/1471-2288-12-175.CrossRefPubMedPubMedCentral

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(2), 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(2), 117–128. https://doi.org/10.1080/10615800701762675.CrossRefPubMed

Chaput, J.-P., & Tremblay, A. (2012). Insufficient sleep as a contributor to weight gain: An update. Current Obesity Reports, 1(4), 245–256. https://doi.org/10.1007/s13679-012-0026-7.CrossRef

Chin, S. H., Kahathuduwa, C. N., & Binks, M. (2016). Physical activity and obesity: What we know and what we need to know. Obesity Reviews, 17(12), 1226–1244. https://doi.org/10.1111/obr.12460.CrossRefPubMed

Chu, D. T., Nguyet, N. T. M., Nga, V. T., Thai Lien, N. V., Vo, D. D., Lien, N., et al. (2019). An update on obesity: Mental consequences and psychological interventions. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 155–160. https://doi.org/10.1016/j.dsx.2018.07.015.CrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.

Gandhi, S. K., Salmon, J. W., Zhao, S. Z., Lambert, B. L., Gore, P. R., & Conrad, K. (2001). Psychometric evaluation of the 12-item short-form health survey (SF-12) in osteoarthritis and rheumatoid arthritis clinical trials. Clinical Therapeutics, 23(7), 1080–1098. https://doi.org/10.1016/s0149-2918(01)80093-x.CrossRefPubMed

Geurts, J. W., Willems, P. C., Kallewaard, J. W., van Kleef, M., & Dirksen, C. (2018). The impact of chronic discogenic low back pain: Costs and patients' burden. Pain Research and Management, 2018, 4696180. https://doi.org/10.1155/2018/4696180.CrossRefPubMed

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. Retrieved from Hyattsville, MD: National Center for Health Statistics:

Hearon, B. A., Quatromoni, P. A., Mascoop, J. L., & Otto, M. W. (2014). The role of anxiety sensitivity in daily physical activity and eating behavior. Eating Behaviors, 15(2), 255–258. https://doi.org/10.1016/j.eatbeh.2014.03.007.CrossRefPubMed

Hearon, B. A., Utschig, A. C., Smits, J. A. J., Moshier, S. J., & Otto, M. W. (2013). The role of anxiety sensitivity and eating expectancy in maladaptive eating behavior. Cognitive Therapy and Research, 37(5), 923–933. https://doi.org/10.1007/s10608-012-9491-2.CrossRef

Johnson, A. L., McLeish, A. C., Alsaid-Habia, T., Shear, P. K., & Privitera, M. (2019). Anxiety sensitivity as a predictor of epilepsy-related quality of life and illness severity among adult epilepsy. Cognitive Therapy and Research, 43(1), 6–13. https://doi.org/10.1007/s10608-018-9951-4.CrossRef

Kauffman, B. Y., Garey, L., Jardin, C., Otto, M. W., Raines, A. M., Schmidt, N. B., et al. (2017). Body mass index and functional impairment: The explanatory role of anxiety sensitivity among treatment-seeking smokers. Psychology, Health & Medicine.. https://doi.org/10.1080/13548506.2017.1344357.CrossRef

Korte, K. J., Brown, M.-A. S., & Schmidt, N. B. (2013). Anxiety sensitivity and impairment: Evidence for a direct association and partial mediation by subclinical anxiety symptoms. Journal of Affective Disorders, 151(3), 875–881. https://doi.org/10.1016/j.jad.2013.07.026.CrossRefPubMed

Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121–1123.CrossRef

Lackner, J. M., Gudleski, G. D., DiMuro, J., Keefer, L., & Brenner, D. M. (2013). Psychosocial predictors of self-reported fatigue in patients with moderate to severe irritable bowel syndrome. Behaviour Research and Therapy, 51(6), 323–331. https://doi.org/10.1016/j.brat.2013.03.001.CrossRefPubMedPubMedCentral

Louati, K., & Berenbaum, F. (2015). Fatigue in chronic inflammation—A link to pain pathways. Arthritis Research and Therapy, 17, 254. https://doi.org/10.1186/s13075-015-0784-1.CrossRefPubMed

Marchesini, G., Bellini, M., Natale, S., Belsito, C., Isacco, S., Nuccitelli, C., et al. (2003). Psychiatric distress and health-related quality of life in obesity. Diabetes, Nutrition & Metabolism, 16(3), 145–154.

McLeish, A. C., Zvolensky, M. J., Smits, J. A., Bonn-Miller, M. O., & Gregor, K. L. (2007). Concurrent associations between anxiety sensitivity and perceived health and health disability among young adult daily smokers. Cognitive Behaviour Therapy, 36(1), 1–11. https://doi.org/10.1080/16506070600794653.CrossRefPubMed

McVinnie, D. S. (2013). Obesity and pain. British Journal of Pain, 7(4), 163–170. https://doi.org/10.1177/2049463713484296.CrossRefPubMedPubMedCentral

Moshier, S., Hearon, B., Calkins, A., Szuhany, K., Utschig, A., Smits, J., et al. (2013). Clarifying the link between distress intolerance and exercise: Elevated anxiety sensitivity predicts less vigorous exercise. Cognitive Therapy & Research, 37(3), 476–482. https://doi.org/10.1007/s10608-012-9489-9.CrossRef

Moshier, S. J., Szuhany, K. L., Hearon, B. A., Smits, J. A., & Otto, M. W. (2016). Anxiety sensitivity uniquely predicts exercise behaviors in young adults seeking to increase physical activity. Behavior Modification, 40(1–2), 178–198. https://doi.org/10.1177/0145445515603704.CrossRefPubMed

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(8), 760–767. https://doi.org/10.1002/da.20681.CrossRefPubMed

Oh, H. S., & Seo, W. S. (2011). Systematic review and meta-analysis of the correlates of cancer-related fatigue. Worldviews on Evidence Based Nursing, 8(4), 191–201. https://doi.org/10.1111/j.1741-6787.2011.00214.x.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

Organization, W. H. (2000). Obesity: Preventing and managing the global epidemic. Retrieved from Geneva, Switzerland: https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/

Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., et al. (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

Pearl, R. L., Wadden, T. A., Hopkins, C. M., Shaw, J. A., Hayes, M. R., Bakizada, Z. M., et al. (2017). Association between weight bias internalization and metabolic syndrome among treatment-seeking individuals with obesity. Obesity (Silver Spring), 25(2), 317–322. https://doi.org/10.1002/oby.21716.CrossRefPubMedCentral

Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319–326. https://doi.org/10.1111/obr.12266.CrossRefPubMedPubMedCentral

Prevention, C. f. D. C. a. (2020). Adult obesity causes & consequences. Adult Overweight and Obesity. Retrieved from https://www.cdc.gov/obesity/adult/causes.html

Reiss, S., & McNally, R. J. (1985). Expectancy model of fear-theoretical issues in behavior therapy. In S. Reiss & R. R. Bootsin (Eds.), Theoretical issues in behavior therapy (pp. 107–121). San Diego, CA: Academic Press.

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

Services, U. S. D. o. H. a. H. (2020). Healthy People 2020 topics and objectives: Nutrition and weight status. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status

Shiri, R., Karppinen, J., Leino-Arjas, P., Solovieva, S., & Viikari-Juntura, E. (2010). The association between obesity and low back pain: A meta-analysis. American Journal of Epidemiology, 171(2), 135–154. https://doi.org/10.1093/aje/kwp356.CrossRefPubMed

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(8), 689–699. https://doi.org/10.1002/da.20411.CrossRefPubMed

Smits, J. A., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39(1), 28–36. https://doi.org/10.1080/16506070902915261.CrossRefPubMed

Snekkevik, H., Eriksen, H. R., Tangen, T., Chalder, T., & Reme, S. E. (2014). Fatigue and depression in sick-listed chronic low back pain patients. Pain Medications, 15(7), 1163–1170. https://doi.org/10.1111/pme.12435.CrossRef

Storch, E. A., Wu, M. S., Small, B. J., Crawford, E. A., Lewin, A. B., Horng, B., et al. (2014). Mediators and moderators of functional impairment in adults with obsessive–compulsive disorder. Comprehensive Psychiatry, 55(3), 489–496. https://doi.org/10.1016/j.comppsych.2013.10.014.CrossRefPubMed

Strine, T. W., & Hootman, J. M. (2007). US national prevalence and correlates of low back and neck pain among adults. Arthritis & Rheumatology, 57(4), 656–665. https://doi.org/10.1002/art.22684.CrossRef

Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188. https://doi.org/10.1037/1040-3590.19.2.176.CrossRefPubMed

Thorsteinsson, E. B., & Brown, R. F. (2009). Mediators and moderators of the stressor-fatigue relationship in nonclinical samples. Journal of Psychosomatic Research, 66(1), 21–29. https://doi.org/10.1016/j.jpsychores.2008.06.010.CrossRefPubMed

Vgontzas, A. N., Bixler, E. O., & Chrousos, G. P. (2006). Obesity-related sleepiness and fatigue. Annals of the New York Academy of Sciences, 1083(1), 329–344. https://doi.org/10.1196/annals.1367.023.CrossRefPubMed

Vincent, H., Seay, A. N., Vincent, K., Montero, C., Conrad, B., & Hurley, R. (2012). Low back strength adversely affects exercise capacity in obese, older adults with chronic back pain. Medicine & Science in Sports & Exercise, 44, S342.

Vincent, N., & Walker, J. (2001). Anxiety sensitivity: Predictor of sleep-related impairment and medication use in chronic insomnia. Depress Anxiety, 14(4), 238–243. https://doi.org/10.1002/da.1073.CrossRefPubMed

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. https://doi.org/10.1097/00005650-199603000-00003.CrossRefPubMed

Zabelina, D. L., Erickson, A. L., Kolotkin, R. L., & Crosby, R. D. (2009). The effect of age on weight-related quality of life in overweight and obese individuals. Obesity (Silver Spring), 17(7), 1410–1413. https://doi.org/10.1038/oby.2009.43.CrossRef

Zdziarski, L. A., Wasser, J. G., & Vincent, H. K. (2015). Chronic pain management in the obese patient: A focused review of key challenges and potential exercise solutions. Journal of Pain Research, 8, 63–77. https://doi.org/10.2147/jpr.s55360.CrossRefPubMedPubMedCentral

Zvolensky, M. J., & Forsyth, J. P. (2002). Anxiety sensitivity dimensions in the prediction of body vigilance and emotional avoidance. Cognitive Therapy & Research, 26(4), 449.CrossRef

Zvolensky, M. J., Garey, L., Fergus, T. A., Gallagher, M. W., Viana, A. G., Shepherd, J. M., et al. (2018a). Refinement of anxiety sensitivity measurement: The Short Scale Anxiety Sensitivity Index (SSASI). Psychiatric Research, 269, 549–557. https://doi.org/10.1016/j.psychres.2018.08.115.CrossRef

Zvolensky, M. J., Mayorga, N. A., & Garey, L. (2018b). Worry, anxiety sensitivity, and electronic cigarettes among adults. Psychiatric Research, 269, 321–327. https://doi.org/10.1016/j.psychres.2018.08.087.CrossRef

Titel: The Role of Anxiety Sensitivity in Terms of Weight-Related Impairment and Fatigue Severity Among Adults with Obesity and Chronic Low Back Pain
Auteurs: Brooke Y. Kauffman
Kara Manning
Andrew H. Rogers
Lorra Garey
Matthew W. Gallagher
Andres G. Viana
Michael J. Zvolensky
Publicatiedatum: 16-06-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2020
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10124-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Background

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2020

Overcoming a Poor Early Response with Cognitive Behavioral Therapy Skills

Cognitive Control Training as an Augmentation Strategy to CBT in the Treatment of Fear of Failure in Undergraduates

Emotion Malleability Beliefs and Emotion Experience and Regulation in the Daily Lives of People with High Trait Social Anxiety

Evaluation of the Factor Structure and Content Specificity of the Interpretation Bias Task (IBT)

Cognitive Fusion Mediates the Impact of Attachment Imagery on Paranoia and Anxiety

The Impact of Two Brief Web-Based Psychological Interventions on Functional Outcomes