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
Datos Bibliográficos
| ID | 15499352 |
|---|---|
| Autores | Rosa Esteve (0000-0003-4474-7432, Instituto de Investigación Biomédica de Málaga), Estefanía Marcos (0000-0001-7895-3512, Instituto de Investigación Biomédica de Málaga), Ángela Reyes-Pérez (0000-0003-3722-8212, Instituto de Investigación Biomédica de Málaga), Alicia E López‐Martínez (0000-0003-4038-7863, Instituto de Investigación Biomédica de Málaga), Carmen Ramírez‐Maestre (0000-0002-3245-7844, Instituto de Investigación Biomédica de Málaga, autor de correspondencia) |
| Año | 2021 |
| Volumen | 18 |
| Número | 6 |
| Páginas | 3054-3054 |
| Fecha de publicación | 2021-03-16 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | International Journal of Environmental Research and Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Editorial | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18063054 |
| PMID | 33809628 |
| OpenAlex | W3138730327 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 87 |
There is solid evidence of an association between several psychological flexibility processes, particularly pain acceptance, and adaptation to chronic pain. However, there are relatively few studies on the relationship between pain acceptance and opioid misuse in chronic pain patients. Thus, the aim of the present study was to test a hypothetical model in which pain acceptance would regulate pain sensations and pain-related thoughts and emotions, which would be related to opioid misuse. The sample comprised 140 chronic pain patients attending two hospitals. All patients were receiving pharmacological treatment, including opioid analgesics. Structural equation modelling analyses showed a significant association between higher pain acceptance and lower pain intensity and catastrophizing, and lower levels of anxiety and depression. Only higher anxiety and depression were significantly associated with increased opioid misuse. The results suggest that levels of anxiety, depression, and pain acceptance must be assessed before opioids are prescribed. Pain acceptance implies a relationship with internal events that protects against anxiety and depression and thus against opioid misuse. Acceptance and Commitment Therapy appears to be particularly appropriate for these patients
Acceptance and commitment therapy · Anxiety · Chronic pain · Context (archaeology · Depression (economics · Intervention (counseling · Medical prescription · Opioid · Pain catastrophizing · Psychiatry · Clinical Psychology · Medicine · Mindfulness and Compassion Interventions · Musculoskeletal pain and rehabilitation · Pain Mechanisms and Treatments · Psychology · Internal Medicine
Chronic pain as a symptom or a disease
Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014
Measuring experiential avoidance
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
A validation study of the hospital anxiety and depression scale (Hads) in a Spanish population
The use of coping strategies in chronic low back pain patients
Acceptance of chronic pain
The Impact of Treatment Components Suggested by the Psychological Flexibility Model
Addiction Motivation Reformulated
The Pain Catastrophizing Scale
Acceptance and commitment therapy and mindfulness for chronic pain
The Economic Costs of Pain in the United States
Experiential avoidance and behavioral disorders
Revisiting Sample Size and Number of Parameter Estimates
Cutoff criteria for fit indexes in covariance structure analysis
Acceptance and Commitment Therapy
Fit indices in covariance structure modeling
The Hospital Anxiety and Depression Scale
Opioid Pain Medication Prescription for Chronic Pain in Primary Care Centers
Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain
Substance abuse and psychological flexibility
Reducing self-stigma in substance abuse through acceptance and commitment therapy
The relative contribution of pain and psychological factors to opioid misuse
Comparative fit indexes in structural models
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 0,2 |
| Intervalo de citas | 2021 - 2021 (1) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |