Examining Sex Differences in Associations between Pain and Alcohol Use among College Student-Athletes

Zale, Emily L.; Williams, Callon M; Reynolds, Linda R.; Mastroleo, Nadine R.

doi:10.1080/10826084.2021.2019784

Cited by 3 publications

(3 citation statements)

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“…The high prevalence rate of chronic pain in college students compared to the general public warrants further research. Understanding risk factors such as participation in college athletics ( 16 , 77 ) and mental health vulnerabilities like depression and anxiety may help to develop interventions that can help mitigate or prevent persistent pain in emerging adults ( 14 ). Psychological interventions with known benefits to mental health in other age groups may help emerging adults with chronic pain whether or not they attend college.…”

Section: Discussionmentioning

confidence: 99%

“…Many college athletes experience chronic pain as a result of athletic injuries ( 16 ) and report higher levels of chronic pain and pain interference in their daily lives after college compared to their non-athlete alumni counterparts ( 17 ). Whereas pain perception in athletes is similar to that of non-athletes, in competitive situations, athletes may be less likely to report pain ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Psychological/behavioral interventions for emerging adults with chronic pain

Foy,

Kechichian,

Foy

et al. 2024

Front. Pain Res.

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BackgroundEmerging adults, of whom significant numbers report chronic pain, are characterized as having unique needs and challenges. Psychological/behavioral treatments found to be beneficial for reducing pain outcomes in children and adults are understudied in emerging adults. Following a systematic review of the literature, our objective is to report on quantitative studies of psychological/behavioral interventions for chronic pain in emerging adults.MethodWe conducted a search of six databases (Cochrane Central Register of Controlled Trials, Google Scholar, ProQuest, PsycINFO, PubMed, and Web of Science) and reference sections in dissertations and systematic reviews to 4/29/2023. Keywords and phrases were search term combinations of “chronic/persistent pain”, “emerging/young adults,” and “intervention/treatment” using Boolean logic.ResultsOur review resulted in identifying 37 articles, of which 2 duplicates were removed, and 31 were further excluded by a screening process based on various inclusionary and exclusionary criteria. The search yielded four studies on psychological/behavioral interventions (yoga, acceptance and commitment therapy and relaxation), all of which positively affected the pain experience and/or pain-related outcomes. These studies presented issues in design such as not being blinded or randomized, having a small sample size, and potential confounds that were not reported or examined.DiscussionThe low number of studies reveals a large gap in the literature and is a call-to-action to further expand our understanding of effective and safer psychological/behavioral therapies for chronic pain in emerging adults. Successful pain management during this developmental phase may help young adults achieve positive trajectories for personal, occupational, relational, and health aspects of their lives.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychological/behavioral interventions for emerging adults with chronic pain

Foy,

Kechichian,

Foy

et al. 2024

Front. Pain Res.

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“…Indeed, the influence of pain on alcohol use is highly sexually dimorphic. In a study of college athletes, Zale et al (2022) found that while pain intensity is associated with decreased alcohol consumption in AFABs, pain interference is more closely associated with increased alcohol‐related problems in AMABs. Further, AMABs, but not AFABs, display increased negative alcohol‐related outcomes with increases in pain‐related anxiety (Zale et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Sex‐specific biobehavioral regulation of persistent inflammatory pain by alcohol

Cucinello‐Ragland,

Alrashed,

Lee

et al. 2023

Alcohol: Clinical and Experimental Research

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Background Although a large percentage of chronic pain patients consume alcohol to manage their pain, there is a significant gap in knowledge regarding the mechanisms underlying the antinociceptive effects of alcohol. Methods To determine the longitudinal analgesic effects of alcohol, we utilized the complete Freund's adjuvant (CFA) model of inflammatory pain in adult female and male Wistar rats. Both somatic and negative motivational aspects of pain were measured using the electronic von Frey (mechanical nociception) system, thermal probe test (thermal nociception), and mechanical conflict avoidance task (pain avoidance‐like behavior). Tests were conducted at baseline and 1 and 3 weeks following intraplantar CFA or saline administration. At both time points post‐CFA, animals were treated with each of three doses of alcohol (intraperitoneal; 0, 0.5, and 1.0 g/kg) over separate days in a Latin square design. Results Alcohol produced dose‐dependent mechanical analgesia and antihyperalgesia in females but only antihyperalgesia in males. Although alcohol continued to attenuate CFA‐induced decreases in both thermal and mechanical nociceptive thresholds between 1 and 3 weeks post‐CFA, it appeared less effective at increasing thresholds 3 weeks after CFA induction. Conclusions These data suggest that individuals may develop tolerance to alcohol's ability to alleviate both somatic and negative motivational symptoms of chronic pain over time. We also discovered sex‐specific neuroadaptations in protein kinase A‐dependent phosphorylation of GluR1 subunits and extracellular signal‐regulated kinase (ERK 1/2) phosphorylation in nociceptive brain centers of animals receiving an alcohol challenge 1 week post‐CFA. Together, these findings illustrate a sex‐specific regulation of behavioral and neurobiological indices of persistent pain by alcohol.

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