Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Overview

Journal J Clin Psychol Med Settings

Publisher Springer

Specialty Psychology

Date 2020 Jun 11

PMID 32519037

Citations 5

Authors

Amanda Rhodes

Donald Marks

Jennifer Block-Lerner

Timothy Lomauro

Affiliations

Soon will be listed here.

Abstract

Objective: To our knowledge, this is the first study exploring psychological flexibility and its association with pain severity, pain interference and risk of opioid misuse in chronic pain patients.

Methods: Data were collected at two outpatient pain clinics in the northeastern United States. Adults (N = 99) completed a cross-sectional survey with validated measures. Pain severity and pain interference were hypothesized to uniquely predict the risk of opioid misuse. Pain severity was hypothesized to predict pain interference. Finally, psychological flexibility was hypothesized as an indirect effect in these relationships.

Results: Main findings suggest that pain severity predicts risk of opioid misuse, mediated by psychological flexibly. Pain interference also predicts risk of opioid misuse, mediated by psychological flexibility. Finally, results suggest pain severity predicts pain interference, mediated by psychological flexibility.

Discussion: Implications of findings are discussed in terms of future psychological and medical assessments and interventions for chronic pain patients seeking prescription opioids.

Citing Articles

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Which outcome variables are associated with psychological inflexibility/flexibility for chronic pain patients? A three level meta-analysis.

Fang S, Ding D Front Psychol. 2022; 13:1069748.

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Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis.

Ding D, Zheng M Front Psychiatry. 2022; 13:893150.

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Pain Acceptance Creates an Emotional Context That Protects against the Misuse of Prescription Opioids: A Study in a Sample of Patients with Chronic Noncancer Pain.

Esteve R, Marcos E, Reyes-Perez A, Lopez-Martinez A, Ramirez-Maestre C Int J Environ Res Public Health. 2021; 18(6).

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Opioid Pain Medication Prescription for Chronic Pain in Primary Care Centers: The Roles of Pain Acceptance, Pain Intensity, Depressive Symptoms, Pain Catastrophizing, Sex, and Age.

Ramirez-Maestre C, Reyes-Perez A, Esteve R, Lopez-Martinez A, Bernardes S, Jensen M Int J Environ Res Public Health. 2020; 17(17).

PMID: 32899359 PMC: 7503487. DOI: 10.3390/ijerph17176428.

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