Pain catastrophizing and pain acceptance are associated with pain severity and interference among methadone-maintained patients.
Pain catastrophizing and pain acceptance are associated with pain severity and interference among methadone-maintained patients.
复制标题
疼痛灾难化和疼痛接受程度与美沙酮维持治疗患者的疼痛严重程度和干扰有关。
DOI：
10.1002/jclp.22842
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发表时间：
2019
影响因子：
3
通讯作者：
Barry,DeclanT
中科院分区：
文献类型：
--
作者：
Mun,ChungJung;Beitel,Mark;Oberleitner,Lindsay;Oberleitner,DavidE;Madden,LynnM;Bollampally,Pooja;Barry,DeclanT
本研究探讨是否疼痛灾难化和疼痛接受，两个重要的目标，慢性疼痛的心理社会干预，是唯一与疼痛的严重程度和疼痛的干扰美沙酮维持治疗（MMT）患者之间。使用多元回归来测试疼痛灾难化和疼痛接受是否与疼痛严重程度和疼痛干扰相关，并且超出协变量，包括人口统计学，情绪困扰，结果在控制协变量的同时，疼痛接受和灾难化与疼痛严重程度和疼痛干扰显著相关。结论与以前关于慢性疼痛但不使用阿片类药物患者的文献一致我们的研究结果表明，疼痛灾难化和疼痛接受是合并阿片类药物使用障碍和慢性疼痛的MMT患者中潜在的重要干预目标。
ObjectiveThe present study examined whether pain catastrophizing and pain acceptance, two important targets of psychosocial interventions for chronic pain, are uniquely associated with pain severity and pain interference among patients on methadone maintenance treatment (MMT).MethodA total of 133 MMT patients who reported experiencing some pain during the previous week completed a battery of self‐report measures. Multiple regression was used to test whether pain catastrophizing and pain acceptance are related to pain severity and pain interference above and beyond covariates including demographics, emotional distress, and current methadone dose.ResultsBoth pain acceptance and catastrophizing were significantly associated with pain severity and pain interference while controlling for covariates.ConclusionsConsistent with previous literature on patients with chronic pain but without opioid use disorder, our findings suggest that both pain catastrophizing and pain acceptance are potentially important intervention targets among MMT patients with co‐occurring opioid use disorder and chronic pain.