Behavioral Preference for Viewing Drug Pleasant Images Predicts Current and Future Opioid Misuse Among Chronic Pain Patients

Overview

Journal Psychol Med

Publisher Cambridge University Press

Specialty Psychology

Date 2019 Apr 16

PMID 30982480

Citations 9

Authors

Scott J Moeller

Adam W Hanley

Eric L Garland

Affiliations

Soon will be listed here.

Abstract

Background: The USA is currently enduring an opioid crisis. Identifying cost-effective, easy-to-implement behavioral measures that predict treatment outcomes in opioid misusers is a crucial scientific, therapeutic, and epidemiological goal.

Methods: The current study used a mixed cross-sectional and longitudinal design to test whether a behavioral choice task, previously validated in stimulant users, was associated with increased opioid misuse severity at baseline, and whether it predicted change in opioid misuse severity at follow-up. At baseline, data from 100 prescription opioid-treated chronic pain patients were analyzed; at follow-up, data were analyzed in 34 of these participants who were non-misusers at baseline. During the choice task, participants chose under probabilistic contingencies whether to view opioid-related images in comparison with affectively pleasant, unpleasant, and neutral images. Following previous procedures, we also assessed insight into choice behavior, operationalized as whether (yes/no) participants correctly self-reported the image category they chose most often.

Results: At baseline, the higher choice for viewing opioid images in direct comparison with pleasant images was associated with opioid misuse and impaired insight into choice behavior; the combination of these produced especially elevated opioid-related choice behavior. In longitudinal analyses of individuals who were initially non-misusers, higher baseline opioid v. pleasant choice behavior predicted more opioid misuse behaviors at follow-up.

Conclusions: These results indicate that greater relative allocation of behavior toward opioid stimuli and away from stimuli depicting natural reinforcement is associated with concurrent opioid misuse and portends vulnerability toward future misuse. The choice task may provide important medical information to guide opioid-prescribing practices.

Citing Articles

Attentional Bias for Opioids in Taiwanese Heavy Smokers with Chronic Noncancer Pain.

Liu L, Lin E, Tsao S, Wang H, Ho M Medicina (Kaunas). 2024; 60(7).

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Tobacco Images Choice and its Association With Craving and Dependence in People Who Smoke Cigarettes.

Solinas M, Chauvet C, Lafay-Chebassier C, Vanderkam P, Barillot L, Moeller S Nicotine Tob Res. 2024; 26(12):1636-1645.

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Tobacco Images Choice and Its Association with Craving and Dependence in Cigarette Smokers.

Solinas M, Chauvet C, Lafay-Chebassier C, Vanderkam P, Barillot L, Moeller S bioRxiv. 2023; .

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Neurophysiological error processing and addiction self-awareness correlates of reduced insight in cannabis use disorder.

Macatee R, Schermitzler B, Minieri J, Moeller S, Afshar K, Preston T Addiction. 2023; 118(12):2397-2412.

PMID: 37612599 PMC: 10730014. DOI: 10.1111/add.16321.

Learning from addiction: Craving of prescription opioids in chronic pain sufferers.

Strigo I, Murphy E, Mitchell J, Spadoni A Neurosci Biobehav Rev. 2022; 142:104904.

PMID: 36202255 PMC: 10917419. DOI: 10.1016/j.neubiorev.2022.104904.

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