Associations between pain catastrophizing and clinical characteristics in adults with substance use disorders and co-occurring chronic pain
Associations between pain catastrophizing and clinical characteristics in adults with substance use disorders and co-occurring chronic pain
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DOI：
10.1080/00952990.2019.1581793
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发表时间：
2019-04-14
影响因子：
2.7
通讯作者：
McHugh, R. Kathryn
中科院分区：
文献类型：
--
作者：
Kneeland, Elizabeth T.;Griffin, Margaret L.;McHugh, R. Kathryn
背景：疼痛灾难化是指将疼痛解释为有害的、无法忍受的或无法控制的倾向。更大的疼痛灾难化与更多与疼痛相关的负面现象有关，如疼痛反应，疼痛残疾和与疼痛相关的情绪困扰。对寻求慢性疼痛治疗的患者进行的几项研究已经确定了疼痛灾难化与阿片类药物和酒精滥用之间的关联;然而，尚不清楚这种关联是否同样存在于寻求物质使用障碍治疗的慢性疼痛患者中。目的：目前的研究探讨了疼痛灾难化是否与接受住院物质使用障碍治疗的患者的疼痛相关结局和心理功能恶化相关，这些患者认可当前的慢性疼痛。研究方法：在一系列回归模型中，我们测试了疼痛灾难化和功能之间的关联，特别是疼痛干扰，渴望，焦虑和情绪困难的天数，在寻求物质使用障碍治疗的患者的横截面样本中，同时发生慢性疼痛（N = 244，67.6%女性）。结果如下：根据人口统计学特征和疼痛严重程度进行调整后，更大的疼痛灾难化与更多的疼痛干扰，更高水平的渴望，更多的焦虑症状和更多的情绪困难天数有关。结论：在患有共病物质使用障碍和慢性疼痛的患者中，疼痛灾难化可能提供一个潜在的治疗靶点，以改善物质使用治疗的结果。
Background: Pain catastrophizing refers to the tendency to interpret pain as harmful, intolerable, or uncontrollable. Greater pain catastrophizing is associated with more pain-related negative phenomena, such as pain reactivity, pain disability, and emotional distress related to pain. Several studies of patients seeking chronic pain treatment have identified an association between pain catastrophizing and misuse of opioids and alcohol; however, it is unknown whether this association would be similarly present in patients with chronic pain seeking substance use disorder treatment. Objectives: The current study examined whether pain catastrophizing is associated with worse pain-related outcomes and psychological functioning in individuals receiving inpatient substance use disorder treatment who endorsed current chronic pain. Methods: In a series of regression models, we tested the associations between pain catastrophizing and functioning, specifically pain interference, craving, anxiety, and days of mood difficulties in a cross-sectional sample of patients seeking substance use disorder treatment with co-occurring chronic pain (N = 244, 67.6% female). Results: Greater pain catastrophizing was associated with more pain interference, higher levels of craving, more anxiety symptoms and more days of mood difficulties, adjusted for demographic characteristics and pain severity. Conclusion: In patients with comorbid substance use disorder and chronic pain, pain catastrophizing may offer a potential therapeutic target to improve substance use treatment outcomes.