Examining the Relationship Between Pain Intensity and Emotional Eating Among Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

Kauffman, Brooke Y.; Rogers, Andrew H.; Bakhshaie, Jafar; Mayorga, Nubia A.; Garza, Monica; Ochoa-Perez, Melissa; Lemaire, Chad; Zvolensky, Michael J.

doi:10.1007/s10903-019-00862-0

J Immigrant Minority Health

2019

DOI: 10.1007/s10903-019-00862-0

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Examining the Relationship Between Pain Intensity and Emotional Eating Among Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

Brooke Y. Kauffman

Andrew H. Rogers

Jafar Bakhshaie

et al.

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Cited by 6 publications

(5 citation statements)

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“…Furthermore, since AS amplifies the affective response to somatic perturbation (Drahovzal et al 2006 ; Varela et al 2007 ), AS may be particularly important to the Latinx population. Consistent with this formulation, non-COVID-19 related research has found that AS is associated with greater anxiety (Zvolensky et al 2018b ), depression (Zvolensky et al 2020b ), stress (Viana et al 2020 ), posttraumatic stress (Zvolensky et al 2020d ), pain (Bakhshaie et al 2019 ; Kauffman et al 2019 ), and substance use problems (Zvolensky et al 2020a ) among Latinx adults. Work among trauma-exposed Latinx samples, which is likely relevant to the current COVID-19 pandemic, suggests that AS is associated both with elevated mental health complaints as well as acculturative stress (Zvolensky et al 2018a ).…”

mentioning

confidence: 88%

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

et al. 2021

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Background The novel 2019 SARS2-Coronavirus (COVID-19) has had a devastating physical health, mental health, and economic impact, causing millions of infections and hundreds of thousands of deaths. While COVID-19 has impacted the entire world, COVID-19 has disproportionately impacted low-income countries, particularly in South America, causing not only increased mortality but also increased associated mental health complaints. Anxiety sensitivity (AS), reflecting fear of anxiety-related physical sensations, may be particularly important to understand COVID-19 mental health effects among Latinx individuals in South America (Argentina). Past work suggests that Latinx individuals report greater somatization of mental health symptoms, and AS has been specifically linked to greater mental health symptoms. Yet, to date, no work has examined AS as a vulnerability factor for the negative mental health effects of COVID-19. Method Therefore, the current manuscript examined the association of AS with COVID-19 worry, functional impairment, anxiety, and symptom severity across two samples of adults in Argentina: a community sample (n = 105, M age = 38.58, SD = 14.07, 69.5% female) and a clinical sample comprised of individuals with an anxiety disorder (n = 99, M age = 34.99, SD = 10.83, 66.7% female). Results Results from the current study provide support for AS as a potential vulnerability factor for COVID-19-related mental health problems across both samples, and these effects were evident over and above the variance accounted for by age, sex, pre-existing medical conditions, and COVID-19 exposure. Conclusions These data identify AS as a potential intervention target to reduce COVID-19 mental health burden among adults in Argentina.

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confidence: 88%

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

et al. 2021

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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).…”

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 (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.

show abstract

“…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

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Examining the Relationship Between Pain Intensity and Emotional Eating Among Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

Cited by 6 publications

References 49 publications

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

COVID-19 and Anxiety Sensitivity Across Two Studies in Argentina: Associations with COVID-19 Worry, Symptom Severity, Anxiety, and Functional Impairment

Sweet taste does not modulate pain perception in adult humans

Sweet taste does not modulate pain perception in adult humans

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