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

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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, Mage = 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.

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Funding

This work was funded by a pre-doctoral National Research Service Award awarded to Ms. Brooke Kauffman (F31-DA046127).

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Authors

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Correspondence to Michael J. Zvolensky.

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Conflict of Interest

Brooke Y. Kauffman, Kara Manning, Andrew H. Rogers, Lorra Garey, Matthew W. Gallagher, Andres G. Viana and Michael J. Zvolensky declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all participants prior to participating in the study. Participants who completed the survey were compensated by preference to receive various forms of compensations (e.g., gift cards, reward miles, reward points, etc.). The study protocol was approved by the Institutional Review Board where the study took place.

Animal Rights

No animal studies were carried out by the authors for this article.

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Kauffman, B.Y., Manning, K., Rogers, A.H. et al. The Role of Anxiety Sensitivity in Terms of Weight-Related Impairment and Fatigue Severity Among Adults with Obesity and Chronic Low Back Pain. Cogn Ther Res 44, 1132–1139 (2020). https://doi.org/10.1007/s10608-020-10124-1

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  • DOI: https://doi.org/10.1007/s10608-020-10124-1

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