Catastrophizing and anxiety sensitivity mediate the relationship between persistent pain and emotional eating

Janke, E. Amy; Jones, Elizabeth; Hopkins, Christina M.; Ruggieri, Madelyn; Hruska, Alesha

doi:10.1016/j.appet.2016.03.022

Cited by 30 publications

(18 citation statements)

References 57 publications

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“…In studies of people with both, it is apparent that the model of pain limiting mobility thereby worsening weight control in turn leading to worsening pain or obesity generating pain, limiting mobility and thereby worsening obesity is potentially far too simplistic. A study of people with pain suggests that stress-induced eating is a consequence, in part, of catastrophizing about the longer term outcomes of chronic pain [ 23 ]. This may mean that any model seeking to define causes-and-effects is likely to be a complex relationship that requires careful consideration of all the contributing factors.…”

Section: Discussionmentioning

confidence: 99%

Two colliding epidemics – obesity is independently associated with chronic pain interfering with activities of daily living in adults 18 years and over; a cross-sectional, population-based study

et al. 2016

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BackgroundChronic pain interfering with activities of daily living is highly prevalent in the community. More than 600 million people worldwide are obese. The aim of this paper is to assess if such chronic pain is associated independently with obesity across the adult population, having controlled for other key factors.MethodsThe South Australian Health Omnibus is an annual, population-based, cross-sectional study. Data on 2616 participants were analysed for episodes of daily pain for three of the preceding six months. Obesity was derived from self-reported height and weight. Multivariable logistic regression analysed the associations between chronic pain interfering with activities of daily living, body mass index (BMI) and key socio-demographic factors.ResultsChronic pain interfering with activities of daily living peaks in people ≥75 years of age while obesity peaks in the 45-54 age group. Pain and obesity together peak in the 55-74 year age group. In the adjusted multinominal logistic regression model, compared to those with no pain, there was a strong association between obesity and pain that interfered moderately or extremely with day-to-day activities (OR 2.25; 95 % CI 1.57-3.23; p < 0.001) having controlled for respondents’ age, gender, rurality, country of birth and highest educational attainment. People over 65 years of age and those with lower educational levels were more likely to experience such chronic pain related to obesity.ConclusionThis study demonstrates a strong association between chronic pain and obesity/morbid obesity in the South Australian population. Prospective, longitudinal data are needed to understand the dynamic interaction between these two prevalent conditions.

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Section: Discussionmentioning

confidence: 99%

Two colliding epidemics – obesity is independently associated with chronic pain interfering with activities of daily living in adults 18 years and over; a cross-sectional, population-based study

et al. 2016

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“…Anecdotal evidence suggests chronic pain sufferers seek solace in the form of hedonic consumption (Janke & Kozak, 2012), which may be driven indirectly through anxietytriggered sensitivity for emotional eating (Janke et al, 2016;Kauffman et al, 2019). Chronic pain has also been associated with an increased prevalence of eating disorders in young people, and may include over-eating as well as under-eating conditions (Sim et al, 2017).…”

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confidence: 99%

“…"It is commonly observed that humans who are in a negative emotional state seek solace in the form of sweet foods and drinks (Gibson, 2006). Recent evidence further suggest a relationship between pain suffering and emotional eating that is driven by anxiety sensitivity (Janke et al, 2016;Kauffman et al, 2019) and chronic pain has been associated with an increased prevalence of eating disorders in young people (Sim et al, 2017). Studies in rats show that, similarly to humans, highly palatable foods are sought in response to stress (Ulrich-Lai et al, 2011), or anxiety (Ghitza et al, 2006), and suggest that limited intake of sucrose may in fact dampen the physiological responses to stress (Ulrich-Lai et al, 2010;Ulrich-Lai et al, 2011)."…”

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confidence: 99%

Sweet taste does not modulate pain perception in adult humans

Mooney¹,

Davies²,

Pickering³

2020

Wellcome Open Res

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Background: It is commonly observed that humans who are in pain or discomfort seek solace in the form of sweet foods and drinks. Sugar is routinely used to comfort neonates undergoing painful procedures, and animal studies have shown that sucrose increases the time to withdrawal from painful stimuli. However, there are no published studies examining the effects of sweet substances on heat pain thresholds and percept in adult humans. Methods: Healthy adult volunteers (n=27, aged 18-48 years) were recruited to a controlled, double-blind, randomised, cross-over study to characterise the effect of tasting solutions of equivalent sweetness (10% sucrose and 0.016% sucralose) on warm detection and heat pain thresholds and the percept ratings of painfully hot stimuli. The effect of anticipation of a sweet taste on heat pain threshold was also assessed. Results: Tasting either sucrose or sucralose had no significant effect on the percept of an individually titrated hot stimulus (54.5±4.2 and 54.9±3.2 vs 53.2±3.5 for water, 0-100 visual analogue scale), on the warm detection or heat pain threshold (43.3±0.8, 43.2±0.8 vs 43.0±0.8°C). Anticipation of a sweet substance similarly did not affect heat pain thresholds. Conclusions: Sucrose and sucralose solutions had no analgesic effect when assessed using heat detection thresholds and percept ratings of painfully hot stimuli despite being perceived as sweeter and more pleasant than water. These findings are in contrast to results reported from previous animal studies in which thermal analgesia from sweet solutions is robust. Given the ubiquitous availability of sugar rich drinks in the modern environment, the lack of observable effect may be due to an insufficient hedonic value of the test solutions when compared to the experience of a laboratory rodent. Alternatively, sweet tastes may have a specific effect on pain tolerance rather than the threshold and acute percept measures assayed in this study.

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“…Anecdotal evidence suggests chronic pain sufferers seek solace in the form of hedonic consumption , which may be driven indirectly through anxietytriggered sensitivity for emotional eating (Janke et al, 2016;Kauffman et al, 2019). Chronic pain has also been associated with an increased prevalence of eating disorders in young people, and may include over-eating as well as under-eating conditions .…”

mentioning

confidence: 99%

“…"It is commonly observed that humans who are in a negative emotional state seek solace in the form of sweet foods and drinks (Gibson, 2006). Recent evidence further suggest a relationship between pain suffering and emotional eating that is driven by anxiety sensitivity (Janke et al, 2016;Kauffman et al, 2019) and chronic pain has been associated with an increased prevalence of eating disorders in young people . Studies in rats show that, similarly to humans, highly palatable foods are sought in response to stress (Ulrich-Lai et al, 2011), or anxiety (Ghitza et al, 2006), and suggest that limited intake of sucrose may in fact dampen the physiological responses to stress (Ulrich-Lai et al, 2010;Ulrich-Lai et al, 2011)."…”

mentioning

confidence: 99%

Sweet taste does not modulate pain perception in adult humans

Mooney¹,

Davies²,

Pickering³

2020

Wellcome Open Res

View full text Add to dashboard Cite

Background: Sugar is routinely used to comfort neonates undergoing painful procedures, and animal studies have shown that sucrose increases the time to withdrawal from painful stimuli. However, there are no published studies examining the effects of sweet substances on heat pain thresholds and percept in adult humans. Methods: Healthy adult volunteers (n=27, aged 18-48 years) were recruited to a controlled, double-blind, randomised, cross-over study to characterise the effect of tasting solutions of equivalent sweetness (10% sucrose and 0.016% sucralose) on warm detection and heat pain thresholds and the percept ratings of painfully hot stimuli. The effect of anticipation of a sweet taste on heat pain threshold was also assessed. Results: Tasting either sucrose or sucralose had no significant effect on the percept of an individually titrated hot stimulus (54.5±4.2 and 54.9±3.2 vs 53.2±3.5 for water, 0-100 visual analogue scale), on the warm detection or heat pain threshold (43.3±0.8, 43.2±0.8 vs 43.0±0.8°C). Anticipation of a sweet substance similarly did not affect heat pain thresholds. Conclusions: Sucrose and sucralose solutions had no analgesic effect when assessed using heat detection thresholds and percept ratings of painfully hot stimuli despite being perceived as sweeter and more pleasant than water. These findings are in contrast to results reported from previous animal studies in which thermal analgesia from sweet solutions is robust. Given the ubiquitous availability of sugar rich drinks in the modern environment, the lack of observable effect may be due to an insufficient hedonic value of the test solutions when compared to the experience of a laboratory rodent. Alternatively, sweet tastes may have a specific effect on pain tolerance rather than the threshold and acute percept measures assayed in this study.

show abstract

Catastrophizing and anxiety sensitivity mediate the relationship between persistent pain and emotional eating

Cited by 30 publications

References 57 publications

Two colliding epidemics – obesity is independently associated with chronic pain interfering with activities of daily living in adults 18 years and over; a cross-sectional, population-based study

Two colliding epidemics – obesity is independently associated with chronic pain interfering with activities of daily living in adults 18 years and over; a cross-sectional, population-based study

Sweet taste does not modulate pain perception in adult humans

Sweet taste does not modulate pain perception in adult humans

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