Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain.
Anxiety sensitivity and modifiable cardiovascular disease risk factors: the role of pain intensity among individuals with chronic pain.
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DOI：
10.1007/s10865-021-00262-6
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发表时间：
2022-04
影响因子：
3.1
通讯作者：
Zvolensky, Michael J
中科院分区：
文献类型：
--
作者：
Kauffman, Brooke Y;Kroeger, Ryan;Rogers, Andrew H;Garey, Lorra;Ditre, Joseph W;Zvolensky, Michael J
慢性疼痛通常与肥胖和吸烟等可改变的心血管疾病风险因素并存。在患有慢性疼痛的个体中，心理风险因素可能会增加疼痛，这反过来可能会增加患可改变的心血管疾病的风险。因此，目前的研究考察了疼痛强度在焦虑敏感性和两个有充分证据的可改变的心血管疾病危险因素之间的关系中的解释作用。参与者包括396名患有慢性疼痛的成年人，他们完成了一项更大规模的研究慢性疼痛与心理健康关系的在线调查。结果显示，焦虑敏感度越高，通过疼痛强度越大，身体质量指数(BMI)越高。吸烟风险焦虑敏感度与疼痛强度之间存在双向关系。目前的研究强调了一个潜在的跨诊断认知易感性因素，焦虑敏感性，这可能是一个重要的治疗目标，通过降低疼痛强度来减少可改变的心血管疾病危险因素。
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.