Skip to main content
Top
Gepubliceerd in:

07-10-2023 | Brief Report

The contribution of pain catastrophizing, depression and anxiety symptoms among patients with persistent pain and opioid misuse behaviours

Auteurs: John A. Baranoff, Bryce Clubb, Jason M. Coates, Rachel A. Elphinston, William Loveday, Jason P. Connor

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Anxiety, depression and pain catastrophizing are independently associated with risk of opioid misuse in patients with persistent pain but their relationship to current opioid misuse, when considered together, is poorly understood. This study will assess the relative contribution of these modifiable, and distinct psychological constructs to current opioid misuse in patients with persistent pain.

Methods

One hundred and twenty-seven patients referred to a specialized opioid management clinic for prescription opioid misuse within a tertiary pain service were recruited for this study. The Pain Catastrophizing Scale, Depression, Anxiety and Stress Scales and the Current Opioid Misuse Measure were administered pre-treatment. Pain severity and morphine equivalent dose based on independent registry data were also recorded.

Results

Higher levels of pain catastrophizing, depression, and anxiety were significantly associated with higher current opioid misuse (r = .475, 0.599, and 0.516 respectively, p < .01). Pain severity was significantly associated with pain catastrophizing (r = .301, p < .01). Catastrophizing, depression, and anxiety explained an additional 11.56% of the variance (R2 change = 0.34, p < .01) over and above age, gender, pain severity and morphine equivalent dose. Depression was the only significant variable at Step 2 (β = 0.62, p < .01).

Conclusion

Findings show that in a sample of people with persistent pain referred for treatment for opioid misuse, depression contributes over and above that of anxiety and pain catastrophizing. Theoretical and clinical practice implications are presented.
Literatuur
go back to reference Barlow, D. H., Harris, B. A., Eustis, E. H., & Farchione, T. J. (2020). The unified protocol for transdiagnostic treatment of emotional disorders. World Psychiatry, 19(2), 245–246.CrossRefPubMedPubMedCentral Barlow, D. H., Harris, B. A., Eustis, E. H., & Farchione, T. J. (2020). The unified protocol for transdiagnostic treatment of emotional disorders. World Psychiatry, 19(2), 245–246.CrossRefPubMedPubMedCentral
go back to reference Beck, A. T., Steer, R. A., & Brown, O. K. (1996). Beck Depression Inventory manual (2nd ed.). Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, O. K. (1996). Beck Depression Inventory manual (2nd ed.). Psychological Corporation.
go back to reference Dunn, L. K., Durieux, M. E., Fernández, L. G., Tsang, S., Smith-Straesser, E. E., Jhaveri, H. F., & Naik, B. I. (2017). Influence of catastrophizing, anxiety, and depression on in-hospital opioid consumption, pain, and quality of recovery after adult spine surgery. Journal of Neurosurgery: Spine, 28(1), 119–126. https://doi.org/10.3171/2017.5.SPINE1734.CrossRefPubMed Dunn, L. K., Durieux, M. E., Fernández, L. G., Tsang, S., Smith-Straesser, E. E., Jhaveri, H. F., & Naik, B. I. (2017). Influence of catastrophizing, anxiety, and depression on in-hospital opioid consumption, pain, and quality of recovery after adult spine surgery. Journal of Neurosurgery: Spine, 28(1), 119–126. https://​doi.​org/​10.​3171/​2017.​5.​SPINE1734.CrossRefPubMed
go back to reference Hoots, B. E., Xu, L., Kariisa, M., Wilson, N. O., Rudd, R. A., Scholl, L., & Seth, P. (2018). 2018 Annual surveillance report of drug-related risks and outcomes–United States. Hoots, B. E., Xu, L., Kariisa, M., Wilson, N. O., Rudd, R. A., Scholl, L., & Seth, P. (2018). 2018 Annual surveillance report of drug-related risks and outcomes–United States.
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression anxiety stress scales (DASS). Psychology Foundation Monograph. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression anxiety stress scales (DASS). Psychology Foundation Monograph.
go back to reference Rogers, A. H., Garey, L., Allan, N. P., & Zvolensky, M. J. (2021). Exploring transdiagnostic processes for chronic pain and opioid misuse among two studies of adults with chronic pain. Behaviour Research and Therapy, 136, 103786.CrossRefPubMed Rogers, A. H., Garey, L., Allan, N. P., & Zvolensky, M. J. (2021). Exploring transdiagnostic processes for chronic pain and opioid misuse among two studies of adults with chronic pain. Behaviour Research and Therapy, 136, 103786.CrossRefPubMed
go back to reference Smithson, M. (2001). Correct confidence intervals for various regression effect sizes and parameters: The importance of noncentral distributions in computing intervals. Educational and Psychological Measurement, 61(4), 605–632.MathSciNetCrossRef Smithson, M. (2001). Correct confidence intervals for various regression effect sizes and parameters: The importance of noncentral distributions in computing intervals. Educational and Psychological Measurement, 61(4), 605–632.MathSciNetCrossRef
go back to reference Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7(4), 524.CrossRef Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7(4), 524.CrossRef
go back to reference Tardif, H., Hayes, C., & Allingham, S. F. (2021). Opioid cessation is associated with reduced pain and improved function in people attending specialist chronic pain services. The Medical Journal of Australia, 214(9), 430–432.CrossRefPubMed Tardif, H., Hayes, C., & Allingham, S. F. (2021). Opioid cessation is associated with reduced pain and improved function in people attending specialist chronic pain services. The Medical Journal of Australia, 214(9), 430–432.CrossRefPubMed
Metagegevens
Titel
The contribution of pain catastrophizing, depression and anxiety symptoms among patients with persistent pain and opioid misuse behaviours
Auteurs
John A. Baranoff
Bryce Clubb
Jason M. Coates
Rachel A. Elphinston
William Loveday
Jason P. Connor
Publicatiedatum
07-10-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 2/2024
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-023-00452-4

Andere artikelen Uitgave 2/2024

Journal of Behavioral Medicine 2/2024 Naar de uitgave