Opioid coping motives and pain intensity among adults with chronic low back pain: associations with mood, pain reactivity, and opioid misuse

Rogers, Andrew H.; Heggeness, Luke F.; Smit, Tanya; Zvolensky, Michael J.

doi:10.1007/s10865-023-00416-8

Cited by 1 publication

(4 citation statements)

References 93 publications

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Section: Discussionsupporting

confidence: 53%

“…Further, perceived discrimination demonstrated the strongest association with problematic opioid use, even when controlling for distress tolerance, pain avoidance, age, and employment status. This association also persisted when controlling for pain intensity, which has previously been found to predict problematic opioid use among individuals with chronic pain (A. H. Rogers et al, 2023;Smit et al, 2020Smit et al, , 2023. This suggests that perceived discrimination may be a particularly important intervention target for reducing the risk of opioid dependence among Black individuals with chronic pain-both at a structural (e.g., disassembling racist systems/practices in society and health care) and individual level (e.g., helping patients process and cope with discrimination).…”

Section: Discussionmentioning

confidence: 55%

“…In the present study, we examined whether perceived discrimination was associated with self-reported problematic opioid use (e.g., impaired control, anxiety about missed doses, difficulties abstaining from use; henceforth referred to as "problematic opioid use")-a key predictor of opioid use disorder (e.g., Iraurgi Castillo et al, 2010)among 401 Black adults with CMP using prescribed opioids. Using hierarchical linear regression, we also examined whether perceived discrimination was uniquely associated with problematic opioid use after accounting for relevant demographic factors, pain intensity-a primary catalyst for opioid use and potential problematic use among individuals with CMP (e.g., A. H. Rogers et al, 2023;Smit et al, 2020)-and psychological factors (distress tolerance and pain avoidance). We hypothesized that (a) perceived discrimination will be positively associated with problematic opioid use, (b) (lower) distress tolerance and (higher) pain avoidance will also be associated with problematic opioid use, and (c) perceived discrimination will be uniquely associated with problematic opioid use after accounting for pain, distress tolerance, pain avoidance, and relevant demographic factors (age and employment status).…”

mentioning

confidence: 99%

mentioning

confidence: 99%

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Perceived discrimination and problematic opioid use among Black individuals with chronic musculoskeletal pain.

Doorley,

Hooker,

Briskin

et al. 2024

Psychology of Addictive Behaviors

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Objective: Chronic musculoskeletal pain (CMP) is prevalent, burdensome, and associated with an increased risk for opioid use disorder. Evidence suggests that perceived racial/ethnic discrimination is associated with problematic substance use among Black individuals, but studies have not focused on problematic opioid use among Black individuals with CMP specifically or explored the contribution of perceived discrimination, pain intensity, and pain-relevant psychological factors to this association. Method: We recruited 401 Black individuals (M age = 35.98, 51.9% female) with self-reported CMP and prescription opioid use. We tested whether perceived discrimination (a) was associated with self-reported problematic opioid use and (b) explained unique variance in this outcome after accounting for pain intensity, demographic factors, and psychological factors previously implicated in problematic opioid/substance use (distress tolerance and pain avoidance). Results: Hierarchical linear regression analysis revealed that our model as a whole explained significant variance in problematic opioid use, R 2 = .30, F(6, 394) = 28.66, p < .001. Perceived discrimination specifically was associated with more problematic opioid use (β = .39, SE = .05, p < .001) and explained unique variance in this outcome even after accounting for pain intensity (β = .06, SE = .04, p = .20), distress tolerance (β = −.10, SE = .05, p = .04), pain avoidance (β = .12, SE = .05, p = .02), age (β = −.10, SE = .05, p < .05), and employment status (β = .13, SE = .11, p < .01). Conclusions: Systemic efforts to combat racism along with individualized therapeutic approaches to process and cope with perceived racial discrimination may be particularly important to prevent and reduce problematic opioid use among Black individuals with CMP. Public Health Significance StatementThis study found that perceived discrimination was associated with self-reported problematic opioid use among Black individuals with CMP above and beyond pain intensity, distress tolerance, pain avoidance, age, and employment status. This suggests that perceived discrimination may be a particularly important intervention target for reducing the risk of problematic opioid use and opioid use disorder among Black individuals with chronic pain.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 55%

mentioning

confidence: 99%

mentioning

confidence: 99%

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