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Gepubliceerd in: Journal of Behavioral Medicine 1/2021

27-06-2020

Anxiety, depression, and opioid misuse among adults with chronic pain: the role of emotion dysregulation

Auteurs: Andrew H. Rogers, Michael F. Orr, Justin M. Shepherd, Jafar Bakhshaie, Joseph W. Ditre, Julia D. Buckner, Michael J. Zvolensky

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2021

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Abstract

The opioid epidemic is a significant public health concern in the United States, particularly among adults with chronic pain. Considerable research suggests that people with mental health problems, including anxiety and depression, may experience more opioid-related problems in the context of chronic pain. Yet, little work has examined potential mechanisms underyling these relations. Emotion dysregulation is one mechanistic factor that may link anxiety and depression and opioid-related problems among persons with chronic pain. Therefore, the current study examined the explanatory role of emotion dysregulation in the cross-sectional relationship between anxiety and depression problems and current opioid misuse and severity of opioid dependence among 431 adults with chronic pain who reported currently using opioid medications (74% female, Mage=38.32 years, SD = 11.11). Results indicated that emotion dysregulation explained, in part, the relationship between anxiety and depression symptoms and opioid-related problems. These findings highlight the need to further consider the role of emotion dysregulation among adults with chronic pain who use prescription opioids and experience symptoms of anxiety or depression. Future prospective research will be needed to further establish emotion dysregulation as a mechanism in anxiety/depression-opioid misuse/dependence processes.
Literatuur
go back to reference Chou, R., Turner, J. A., Devine, E. B., Hansen, R. N., Sullivan, S. D., Blazina, I., et al. (2015). The effectiveness and risks of long-term opioid therapy for chronic pain: A systematic review for a National Institutes of Health Pathways to Prevention Workshop. Annals of Internal Medicine, 162, 276–286. https://doi.org/10.7326/M14-2559CrossRefPubMed Chou, R., Turner, J. A., Devine, E. B., Hansen, R. N., Sullivan, S. D., Blazina, I., et al. (2015). The effectiveness and risks of long-term opioid therapy for chronic pain: A systematic review for a National Institutes of Health Pathways to Prevention Workshop. Annals of Internal Medicine, 162, 276–286. https://​doi.​org/​10.​7326/​M14-2559CrossRefPubMed
go back to reference Ditlevsen, S., Christensen, U., Lynch, J., Damsgaard, M. T., & Keiding, N. (2005). The mediation proportion: A structural equation approach for estimating the proportion of exposure effect on outcome explained by an intermediate variable. Epidemiology, 16, 114–120. https://doi.org/10.2307/20486008CrossRefPubMed Ditlevsen, S., Christensen, U., Lynch, J., Damsgaard, M. T., & Keiding, N. (2005). The mediation proportion: A structural equation approach for estimating the proportion of exposure effect on outcome explained by an intermediate variable. Epidemiology, 16, 114–120. https://​doi.​org/​10.​2307/​20486008CrossRefPubMed
go back to reference Farris, S. G., DiBello, A. M., & Zvolensky, M. J. (2018). Development and validation of a contextual behavioral distress intolerance task in cigarette smokers. Addictive behaviors, 87, 260–266.CrossRefPubMedPubMedCentral Farris, S. G., DiBello, A. M., & Zvolensky, M. J. (2018). Development and validation of a contextual behavioral distress intolerance task in cigarette smokers. Addictive behaviors, 87, 260–266.CrossRefPubMedPubMedCentral
go back to reference Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication monographs, 76(4), 408–420.CrossRef Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication monographs, 76(4), 408–420.CrossRef
go back to reference Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
go back to reference Hayes, A. F., & Preacher, K. J. (2013). Conditional process modeling using structural equation modeling to examine contingent causal processes. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modeling: A second course (2nd ed., pp. 219–266). Charlotte: Information Age Publishing. Hayes, A. F., & Preacher, K. J. (2013). Conditional process modeling using structural equation modeling to examine contingent causal processes. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modeling: A second course (2nd ed., pp. 219–266). Charlotte: Information Age Publishing.
go back to reference Heen, M. S., Lieberman, J. D., & Miethe, T. D. (2014). A comparison of different online sampling approaches for generating national samples. Center for Crime and Justice Policy, 1(9), 1–8. Heen, M. S., Lieberman, J. D., & Miethe, T. D. (2014). A comparison of different online sampling approaches for generating national samples. Center for Crime and Justice Policy, 1(9), 1–8.
go back to reference Iraurgi Castillo, I., González Saiz, F., Lozano Rojas, O., Landabaso Vázquez, M. A., & Jiménez Lerma, J. M. (2010). Estimation of cutoff for the Severity of Dependence Scale (SDS) for opiate dependence by ROC analysis. Actas Espanolas De Psiquiatria, 38, 270–277.PubMed Iraurgi Castillo, I., González Saiz, F., Lozano Rojas, O., Landabaso Vázquez, M. A., & Jiménez Lerma, J. M. (2010). Estimation of cutoff for the Severity of Dependence Scale (SDS) for opiate dependence by ROC analysis. Actas Espanolas De Psiquiatria, 38, 270–277.PubMed
go back to reference Manchikanti, L., Giordano, J., Boswell, M. V., Fellows, B., Manchukonda, R., & Pampati, V. (2007). Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients. Journal of Opioid Management, 3, 89–100.CrossRefPubMed Manchikanti, L., Giordano, J., Boswell, M. V., Fellows, B., Manchukonda, R., & Pampati, V. (2007). Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients. Journal of Opioid Management, 3, 89–100.CrossRefPubMed
go back to reference Manchikanti, L., Helm, S., Fellows, B., Janata, J. W., Pampati, V., Grider, J. S., et al. (2012). Opioid epidemic in the United States. Pain Physician, 15, ES9–ES38.PubMed Manchikanti, L., Helm, S., Fellows, B., Janata, J. W., Pampati, V., Grider, J. S., et al. (2012). Opioid epidemic in the United States. Pain Physician, 15, ES9–ES38.PubMed
go back to reference Martins, S. S., Fenton, M. C., Keyes, K. M., Blanco, C., Zhu, H., & Storr, C. L. (2012). Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: Longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychological Medicine, 42, 1261–1272. https://doi.org/10.1017/S0033291711002145CrossRefPubMed Martins, S. S., Fenton, M. C., Keyes, K. M., Blanco, C., Zhu, H., & Storr, C. L. (2012). Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: Longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychological Medicine, 42, 1261–1272. https://​doi.​org/​10.​1017/​S003329171100214​5CrossRefPubMed
go back to reference McEwen, B. S. (2005). Stressed or stressed out: What is the difference? Journal of Psychiatry and Neuroscience, 30, 315–318.PubMedPubMedCentral McEwen, B. S. (2005). Stressed or stressed out: What is the difference? Journal of Psychiatry and Neuroscience, 30, 315–318.PubMedPubMedCentral
go back to reference Rogers, A. H., Bakhshaie, J., Buckner, J. D., Orr, M. F., Paulus, D. J., Ditre, J. W., & Zvolensky, M. J. (2019). Opioid and cannabis co-use among adults with chronic pain: Relations to substance misuse, mental health, and pain experience. Journal of Addiction Medicine, 13(4), 287–294.CrossRefPubMed Rogers, A. H., Bakhshaie, J., Buckner, J. D., Orr, M. F., Paulus, D. J., Ditre, J. W., & Zvolensky, M. J. (2019). Opioid and cannabis co-use among adults with chronic pain: Relations to substance misuse, mental health, and pain experience. Journal of Addiction Medicine, 13(4), 287–294.CrossRefPubMed
go back to reference Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149.CrossRef Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149.CrossRef
go back to reference Walter, S. L., Seibert, S. E., Goering, D., & O’Boyle, E. H. (2019). A tale of two sample sources: Do results from online panel data and conventional data converge?. Journal of Business and Psychology, 34(4), 425–452.CrossRef Walter, S. L., Seibert, S. E., Goering, D., & O’Boyle, E. H. (2019). A tale of two sample sources: Do results from online panel data and conventional data converge?. Journal of Business and Psychology, 34(4), 425–452.CrossRef
Metagegevens
Titel
Anxiety, depression, and opioid misuse among adults with chronic pain: the role of emotion dysregulation
Auteurs
Andrew H. Rogers
Michael F. Orr
Justin M. Shepherd
Jafar Bakhshaie
Joseph W. Ditre
Julia D. Buckner
Michael J. Zvolensky
Publicatiedatum
27-06-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-020-00169-8

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