scholarly journals Evaluation of How Depression and Anxiety Mediate the Relationship between Pain Catastrophizing and Prescription Opioid Misuse in a Chronic Pain Population

Pain Medicine ◽  
2015 ◽  
pp. n/a-n/a ◽  
Author(s):  
Javier Arteta ◽  
Briana Cobos ◽  
Yueqin Hu ◽  
Krista Jordan ◽  
Krista Howard
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Prescription Opioid ◽  
Depression And Anxiety ◽  
Opioid Misuse ◽  
Prescription Opioid Misuse ◽  
The Relationship

scholarly journals Social Media as an Emerging Tool for Reducing Prescription Opioid Misuse Risk Factors (Preprint)

2018 ◽  
Author(s):  
Sean Young ◽  
Sung-Jae Lee ◽  
Hendry Perez ◽  
Navkiran Gill ◽  
Lillian Gelberg ◽  
...  
Keyword(s):  
Social Media ◽  
Chronic Pain ◽  
Online Community ◽  
Prescription Opioid ◽  
Control Group ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Online Behavior ◽  
Prescription Opioid Misuse

BACKGROUND Interventions are urgently needed to reduce prescription opioid misuse risk factors, including anxiety and concomitant use of sedatives. However, only 5 randomized controlled opioid intervention trials have been conducted, with none showing improvements in anxiety. OBJECTIVE We sought to determine the feasibility of using an online behavior change community, compared to a control Facebook group, to reduce anxiety and opioid misuse among chronic pain patients. METHODS 51 high-risk non-cancer chronic pain patients were randomly assigned to either a Harnessing Online Peer Education (HOPE) peer-led online behavior change intervention or a control group (no peer leaders) on Facebook for 12 weeks. Inclusion criteria were: 18 years or older, a UCLA Health System patient, prescribed an opioid for non-cancer chronic pain between 3 and 12 months ago, and a score of ≥ 9 on the Current Opioid Misuse Measure (COMM) and/or concomitant use of benzodiazepines. Participation in the online community was voluntary. Patients completed baseline and follow-up assessments on Generalized Anxiety Disorder screener (GAD-7), COMM, and frequency of social media discussions about pain and opioid use. RESULTS Compared to control group participants, intervention participants showed a baseline-to-follow-up decrease in anxiety, and more frequently used social media to discuss pain, prescription opioid use, coping strategies, places to seek help, and alternative therapies for pain. Both groups showed a baseline to follow-up decrease in COMM score. CONCLUSIONS Results support the feasibility of using an online community interventions as a low-cost tool to decrease risk for prescription opioid misuse and its complications. CLINICALTRIAL ClinicalTrials.gov: NCT02735785

scholarly journals The Association Between Negative Affect and Prescription Opioid Misuse in Patients With Chronic Pain: The Mediating Role of Opioid Craving

2014 ◽  
Vol 15 (1) ◽  
pp. 90-100 ◽  
Author(s):  
Marc O. Martel ◽  
Andrew J. Dolman ◽  
Robert R. Edwards ◽  
Robert N. Jamison ◽  
Ajay D. Wasan
Keyword(s):  
Chronic Pain ◽  
Negative Affect ◽  
Prescription Opioid ◽  
Opioid Misuse ◽  
Mediating Role ◽  
Prescription Opioid Misuse

scholarly journals Distress Intolerance and Prescription Opioid Misuse Among Patients With Chronic Pain

2016 ◽  
Vol 17 (7) ◽  
pp. 806-814 ◽  
Author(s):  
R. Kathryn McHugh ◽  
Roger D. Weiss ◽  
Marise Cornelius ◽  
Marc O. Martel ◽  
Robert N. Jamison ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Prescription Opioid ◽  
Opioid Misuse ◽  
Distress Intolerance ◽  
Prescription Opioid Misuse

Training internal medicine residents to manage chronic pain and prescription opioid misuse

2017 ◽  
Vol 38 (2) ◽  
pp. 200-204 ◽  
Author(s):  
Allison L. Ruff ◽  
Daniel P. Alford ◽  
Robert Butler ◽  
J. Henry Isaacson
Keyword(s):  
Internal Medicine ◽  
Chronic Pain ◽  
Prescription Opioid ◽  
Opioid Misuse ◽  
Internal Medicine Residents ◽  
Prescription Opioid Misuse

scholarly journals Individuals with Chronic Pain Who Misuse Prescription Opioids Report Sex-Based Differences in Pain and Opioid Withdrawal

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 1942-1947 ◽  
Author(s):  
Andrew S Huhn ◽  
D Andrew Tompkins ◽  
Claudia M Campbell ◽  
Kelly E Dunn
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Opioid Withdrawal ◽  
Self Report ◽  
Amazon Mechanical Turk ◽  
Opiate Withdrawal ◽  
Opioid Overdose ◽  
Prescription Opioids ◽  
Opioid Misuse ◽  
The Relationship

Abstract Objective Individuals with chronic pain who misuse prescription opioids are at high risk for developing opioid use disorder and/or succumbing to opioid overdose. The current study conducted a survey to evaluate sex-based differences in pain catastrophizing, opioid withdrawal, and current pain in persons with co-occurring chronic pain and opioid misuse. We hypothesized that women with chronic pain who misused prescription opioids would self-report higher pain ratings compared with men and that the relationship between pain catastrophizing and self-reported current pain would be moderated by symptoms of opioid withdrawal in women only. Design Survey assessment of the relationship between pain and opioid misuse. Setting Online via Amazon Mechanical Turk. Participants Persons with ongoing chronic pain who also misused prescription opioids on one or more days in the last 30 days were eligible (N = 181). Methods Participants completed demographic and standardized assessments including the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), and Subjective Opiate Withdrawal Scale (SOWS). Results Women reported higher levels of current (P < 0.001), average (P < 0.001), and worst (P = .002) pain in the last 24 hours compared with men. Women also endorsed higher scores on the PCS (P = 0.006) and marginally higher past-30-day SOWS ratings (P = 0.068) compared with men. SOWS ratings moderated the relationship between PCS and BPI Worst Pain in women (ΔR2 < 0.127, ΔF(1, 78) = 12.39, P = 0.001), but not in men (ΔR2 < 0.000, ΔF(1, 98) = 0.003, P = 0.954). Conclusions These data suggest a strong relationship between opioid withdrawal, pain catastrophizing, and the experience of pain in women with chronic pain who misuse opioids.

scholarly journals The downward spiral of chronic pain, prescription opioid misuse, and addiction: Cognitive, affective, and neuropsychopharmacologic pathways

2013 ◽  
Vol 37 (10) ◽  
pp. 2597-2607 ◽  
Author(s):  
Eric L. Garland ◽  
Brett Froeliger ◽  
Fadel Zeidan ◽  
Kaitlyn Partin ◽  
Matthew O. Howard
Keyword(s):  
Chronic Pain ◽  
Prescription Opioid ◽  
Opioid Misuse ◽  
Downward Spiral ◽  
Prescription Opioid Misuse
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