Decreased Interoceptive Awareness as a Risk Factor for Moderate to Severe Pain in Japanese Full-Time Workers: A Longitudinal Cohort Study

Saki Takaoka, Kenta Wakaizumi, Chisato Tanaka, Shintaro Tanaka, Morihiko Kawate, Reiko Hoshino, Ko Matsudaira, Daisuke Fujisawa, Hiroshi Morisaki, Shizuko Kosugi

Research output: Contribution to journalArticlepeer-review

Abstract

Interoceptive awareness, the conscious perception of internal bodily states, is a key construct of mind-body interaction. Decreases in interoceptive awareness, as measured by the Multidimensional Assessment of Interoceptive Awareness (MAIA), are found in chronic pain patients. In this study, we explored whether a specific aspect of interoceptive awareness is a risk for the onset and chronicity of pain. A longitudinal cohort study was conducted in 2018 and 2020 among a sample of full-time workers in an industrial manufacturing company in Japan. Participants completed a questionnaire on pain intensity, MAIA, exercise habits, kinesiophobia, psychological distress and work stress. Principal component analyses using the MAIA identified two principal components: self-control and emotional stability. Low emotional stability was associated with the prevalence of moderate to severe pain in 2020 among people with mild or no pain in 2018 (p < 0.01). Lack of exercise habits were associated with the prevalence of moderate to severe pain in 2020 among people with pain in 2018 (p < 0.01). Furthermore, exercise habits were associated with reduction in kinesiophobia among people with moderate to severe pain in 2018 (p = 0.047). Overall, these findings indicate that low emotional stability may be a risk for the onset of moderate to severe pain; lack of exercise habits may sustain kinesiophobia and be a risk for the chronicity of pain.

Original languageEnglish
Article number2896
JournalJournal of Clinical Medicine
Volume12
Issue number8
DOIs
Publication statusPublished - 2023 Apr

Keywords

  • chronic pain
  • emotional stability
  • exercise
  • interoceptive awareness
  • multidimensional assessment of interoceptive awareness (MAIA)

ASJC Scopus subject areas

  • General Medicine

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