Kauffman Brooke Y, Manning Kara, Rogers Andrew H, Garey Lorra, Gallagher Matthew W, Viana Andres G, Zvolensky Michael J
Department of Psychology, University of Houston, Houston, Texas, USA.
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Cognit Ther Res. 2020 Dec;44(6):1132-1139. doi: 10.1007/s10608-020-10124-1. Epub 2020 Jun 16.
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.
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, 45.9 years, = 11.53).
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 (BMI), pain interference, and perceived general health.
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.
肥胖与慢性腰痛常常同时出现，并与心理社会和身体损伤相关，如体重相关损伤和疲劳。然而，对于这一弱势群体中可能与体重相关损伤和疲劳（一种心理社会因素）相关的心理因素，人们了解甚少。
因此，本研究考察了焦虑敏感性在肥胖和慢性腰痛患者自我报告的体重相关损伤和疲劳严重程度方面所起的作用。参与者包括一个具有全国代表性的同时患有肥胖和慢性腰痛的成年人样本（N = 616）（77.3%为女性，平均年龄45.9岁，标准差 = 11.53）。
结果显示，在控制了年龄、性别、体重指数（BMI）、疼痛干扰和感知的总体健康状况后，焦虑敏感性与更高水平的体重相关损伤和疲劳严重程度相关。
研究结果表明，焦虑敏感性可能是一个机制靶点，有助于更好地理解和解决肥胖和慢性腰痛患者的体重相关损伤和疲劳严重程度问题。
