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Anxiety sensitivity and Pain Experience: a prospective investigation among World Trade Center Responders.

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Title: Anxiety sensitivity and Pain Experience: a prospective investigation among World Trade Center Responders.
Authors: Rogers, Andrew H., Zvolensky, Michael J., Vujanovic, Anka A., Ruggero, Camilo J., Oltmanns, Joshua, Waszczuk, Monika A., Luft, Benjamin J., Kotov, Roman
Source: Journal of Behavioral Medicine. Dec2022, Vol. 45 Issue 6, p947-953. 7p. 3 Charts.
Subjects: Terrorism & psychology, Disasters & psychology, Anxiety, Chronic pain, Emergency medical technicians, Fire fighters, Cognition, Psychosocial factors, Police psychology, Longitudinal method, Psychological stress, Disease risk factors
Abstract: Chronic pain is a significant public health problem and is exacerbated by stress. The World Trade Center (WTC) Disaster represents a unique stressor, and responders to the WTC disaster are at increased risk for pain and other health complaints. Therefore, there is a significant need to identify vulnerability factors for exacerbated pain experience among this high-risk population. Anxiety sensitivity (AS), defined as fear of anxiety-related sensations, is one such vulnerability factor associated with pain intensity and disability. Yet, no work has tested the predictive effects of AS on pain, limiting conclusions regarding the predictive utility and direction of associations. Therefore, the current study examined the prospective associations of AS, pain intensity, and pain interference among 452 (Mage = 55.22, SD = 8.73, 89.4% male) responders to the WTC disaster completing a 2-week daily diary study. Using multi-level modeling, AS total score was positively associated with both pain intensity and pain interference, and that AS cognitive concerns, but not social or physical concerns, were associated with increased pain. These results highlight the importance of AS as a predictor of pain complaints among WTC responders and provide initial empirical evidence to support AS as a clinical target for treating pain complaints among WTC responders. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Anxiety sensitivity and Pain Experience: a prospective investigation among World Trade Center Responders.
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  Data: <searchLink fieldCode="AR" term="%22Rogers%2C+Andrew+H%2E%22">Rogers, Andrew H.</searchLink><br /><searchLink fieldCode="AR" term="%22Zvolensky%2C+Michael+J%2E%22">Zvolensky, Michael J.</searchLink><br /><searchLink fieldCode="AR" term="%22Vujanovic%2C+Anka+A%2E%22">Vujanovic, Anka A.</searchLink><br /><searchLink fieldCode="AR" term="%22Ruggero%2C+Camilo+J%2E%22">Ruggero, Camilo J.</searchLink><br /><searchLink fieldCode="AR" term="%22Oltmanns%2C+Joshua%22">Oltmanns, Joshua</searchLink><br /><searchLink fieldCode="AR" term="%22Waszczuk%2C+Monika+A%2E%22">Waszczuk, Monika A.</searchLink><br /><searchLink fieldCode="AR" term="%22Luft%2C+Benjamin+J%2E%22">Luft, Benjamin J.</searchLink><br /><searchLink fieldCode="AR" term="%22Kotov%2C+Roman%22">Kotov, Roman</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Dec2022, Vol. 45 Issue 6, p947-953. 7p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Terrorism+%26+psychology%22">Terrorism & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Disasters+%26+psychology%22">Disasters & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+technicians%22">Emergency medical technicians</searchLink><br /><searchLink fieldCode="DE" term="%22Fire+fighters%22">Fire fighters</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Police+psychology%22">Police psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
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  Data: Chronic pain is a significant public health problem and is exacerbated by stress. The World Trade Center (WTC) Disaster represents a unique stressor, and responders to the WTC disaster are at increased risk for pain and other health complaints. Therefore, there is a significant need to identify vulnerability factors for exacerbated pain experience among this high-risk population. Anxiety sensitivity (AS), defined as fear of anxiety-related sensations, is one such vulnerability factor associated with pain intensity and disability. Yet, no work has tested the predictive effects of AS on pain, limiting conclusions regarding the predictive utility and direction of associations. Therefore, the current study examined the prospective associations of AS, pain intensity, and pain interference among 452 (Mage = 55.22, SD = 8.73, 89.4% male) responders to the WTC disaster completing a 2-week daily diary study. Using multi-level modeling, AS total score was positively associated with both pain intensity and pain interference, and that AS cognitive concerns, but not social or physical concerns, were associated with increased pain. These results highlight the importance of AS as a predictor of pain complaints among WTC responders and provide initial empirical evidence to support AS as a clinical target for treating pain complaints among WTC responders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10865-022-00336-z
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        Text: English
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        PageCount: 7
        StartPage: 947
    Subjects:
      – SubjectFull: Terrorism & psychology
        Type: general
      – SubjectFull: Disasters & psychology
        Type: general
      – SubjectFull: Anxiety
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      – SubjectFull: Chronic pain
        Type: general
      – SubjectFull: Emergency medical technicians
        Type: general
      – SubjectFull: Fire fighters
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      – SubjectFull: Police psychology
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Psychological stress
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      – SubjectFull: Disease risk factors
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      – TitleFull: Anxiety sensitivity and Pain Experience: a prospective investigation among World Trade Center Responders.
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              M: 12
              Text: Dec2022
              Type: published
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