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Gepubliceerd in:

07-09-2015

Thought suppression as a mediator of the association between depressed mood and prescription opioid craving among chronic pain patients

Auteurs: Eric L. Garland, Samantha M. Brown, Matthew O. Howard

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2016

Abstract

Emerging research suggests that prescription opioid craving is associated with negative mood and depression, but less is known about cognitive factors linking depressive symptoms to opioid craving among adults with chronic pain. The present cross-sectional study examined thought suppression as a mediator of the relation between depression and prescription opioid craving in a sample of chronic pain patients receiving long-term opioid pharmacotherapy. Data were obtained from 115 chronic pain patients recruited from primary care, pain, and neurology clinics who had taken prescription opioids daily or nearly every day for ≥90 days prior to assessment. In this sample, 60 % of participants met DSM-IV criteria for current major depressive disorder. Depressed mood (r = .36, p < .001) and thought suppression (r = .33, p < .001) were significantly correlated with opioid craving. Multivariate path analyses with bootstrapping indicated the presence of a significant indirect effect of thought suppression on the association between depressed mood and opioid craving (indirect effect = .09, 95 % CI .01, .20). Sensitivity analyses showed a similar indirect effect of suppression linking major depressive disorder diagnosis and opioid craving. Attempts to suppress distressing and intrusive thoughts may result in increased craving to use opioids among chronic pain patients with depressive symptoms. Results highlight the need for interventions that mitigate thought suppression among adults with pain and mood disorders.

vorige artikel Health-related personal control predicts depression symptoms and quality of life but not health behaviour following coronary artery bypass graft surgery

volgende artikel An initial evaluation of a weight loss intervention for individuals who engage in emotional eating

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Titel: Thought suppression as a mediator of the association between depressed mood and prescription opioid craving among chronic pain patients
Auteurs: Eric L. Garland
Samantha M. Brown
Matthew O. Howard
Publicatiedatum: 07-09-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2016
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9675-9

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