title: Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population.
abstract: The present study evaluated anxiety sensitivity, along with depression and pain severity, as predictors of pain-related fear and anxiety in a heterogeneous chronic pain population (n=68). The results indicated that the global anxiety sensitivity factor, as indexed by the Anxiety Sensitivity Index (ASI: Reiss, Peterson, Gursky & McNally, 1986: Reiss, S., Peterson, R. A., Gursky, M. & McNally, R. J. (1986). Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1-8) total score, was a better predictor of fear of and anxiety about pain relative to the other relevant variables. Additionally, the physical concerns subscale of the ASI was a better predictor of pain-related fear dimensions characterized by high degrees of physiological symptoms and behavioral activation on both the Fear of Pain Questionnaire-III (FPQ-III; McNeil & Rainwater, 1998: McNeil, D. W. & Rainwater, A. J. (1998). Development of the Fear of Pain Questionnaire-III. Journal of Behavioral Medicine.) and Pain Anxiety Symptoms Scale (PASS; McCracken, Zayfert & Gross, 1992: McCracken, L. M., Zayfert, C. & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain. Pain, 50, 67-73). In a related way, the ASI psychological concerns subscale was a better predictor of pain-related anxiety dimensions characterized by cognitive symptoms of anxiety. Overall, these findings reiterate the importance of anxiety sensitivity in understanding pain-related fear and anxiety, and suggest anxious and fearful responding can be predicted more accurately with higher levels of correspondence between a particular anxiety sensitivity domain and events that closely match that fear.
authors.affiliation: West Virginia University, Department of Psychology, Morgantown 26506-6040, USA. zvolensky@aol.com
authors.forename: M J
authors.initials: MJ
authors.lastname: Zvolensky
authors.forename: J L
authors.initials: JL
authors.lastname: Goodie
authors.forename: D W
authors.initials: DW
authors.lastname: McNeil
authors.forename: J A
authors.initials: JA
authors.lastname: Sperry
authors.forename: J T
authors.initials: JT
authors.lastname: Sorrell
mesh_terms: D000328:Adult; D001007:Anxiety / Q000175:diagnosis*; D002908:Chronic Disease; D003863:Depression / Q000523:psychology; D005239:Fear; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis* / Q000523:psychology*; D010147:Pain Measurement; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires