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Opioid coping motives and pain intensity among adults with chronic low back pain: associations with mood, pain reactivity, and opioid misuse.
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- Author(s): Rogers, Andrew H.; Heggeness, Luke F.; Smit, Tanya; Zvolensky, Michael J.
- Source:
Journal of Behavioral Medicine. Oct2023, Vol. 46 Issue 5, p860-870. 11p. 2 Charts. - Source:
- Additional Information
- Subject Terms: LUMBAR pain; CHRONIC pain; PAIN measurement; SUBSTANCE abuse; MOTIVATION (Psychology); SELF-evaluation; MENTAL health; REGRESSION analysis; SELF-efficacy; COMPARATIVE studies; MENTAL depression; DESCRIPTIVE statistics; OPIOID analgesics; PSYCHOLOGICAL adaptation; ANXIETY; PAIN catastrophizing; PSYCHOLOGICAL distress; PAIN management; ADULTS
- Abstract: Chronic low back pain (CLBP) is a significant public health problem that is associated with opioid misuse and use disorder. Despite limited evidence for the efficacy of opioids in the management of chronic pain, they continue to be prescribed and people with CLBP are at increased risk for misuse. Identifying individual difference factors involved in opioid misuse, such as pain intensity as well as reasons for using opioids (also known as motives), may provide pertinent clinical information to reduce opioid misuse among this vulnerable population. Therefore, the aims of the current study were to examine the relationships between opioid motives-to cope with pain-related distress and pain intensity, in terms of anxiety, depression, pain catastrophizing, pain-related anxiety, and opioid misuse among 300 (Mage= 45.69, SD = 11.17, 69% female) adults with CLBP currently using opioids. Results from the current study suggest that both pain intensity and motives to cope with pain-related distress with opioids were associated with all criterion variables, but the magnitude of variance explained by coping motives was larger than pain intensity in terms of opioid misuse. The present findings provide initial empirical evidence for the importance of motives to cope with pain-related distress with opioids and pain intensity in efforts to better understand opioid misuse and related clinical correlates among adults with CLBP. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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.)
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