Are Pain and Negative Affect Coping Distinct Motives for Opioid Misuse?
Are Pain and Negative Affect Coping Distinct Motives for Opioid Misuse?
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DOI：
10.1080/10826084.2022.2046094
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发表时间：
2022
影响因子：
2
通讯作者：
Weiss, Roger D.
中科院分区：
文献类型：
--
作者：
McHugh, R. Kathryn;Chase, Alexandra;Trinh, Catherine D.;Weiss, Roger D.
据报道，应对疼痛是阿片类药物滥用的一个常见动机。阿片类药物还可以缓解压力和负面影响，因此经常被滥用来应对这些情绪状态。尽管有几项研究调查了滥用阿片类药物的人的应对动机，但仍不清楚疼痛应对和负面情绪应对是否是滥用阿片类药物的独特或重叠动机。在这项研究中，我们以 52 名寻求阿片类药物使用障碍治疗的成年人为样本，研究了阿片类药物的使用动机（增强、社交、负面情绪应对和疼痛应对）。我们使用了药物使用动机问卷的改编版本，其中包括额外的 5 个项目来评估使用药物的疼痛应对动机。结果表明，疼痛应对与其他使用动机（包括负面情绪应对）没有显着相关。疼痛应对动机与疼痛严重程度 (r = .51) 和疼痛干扰 (r = .39) 密切相关，但与焦虑严重程度无关。相反，消极情绪应对动机与焦虑严重程度密切相关（r = .45），但与疼痛严重程度或干扰无关。这些结果表明，疼痛应对动机可能与负面影响应对动机不同，应单独评估。
Coping with pain is a commonly reported motive for opioid misuse. Opioids also provide relief of stress and negative affect and thus are often misused to cope with these emotional states. Although several studies have investigated coping motives in people who misuse opioids, it remains unclear whether pain coping and negative affect coping are distinct or overlapping motives for misuse. In this study, we examined opioid use motives (enhancement, social, negative affect coping, and pain coping) in a sample of 52 adults seeking treatment for opioid use disorder. We used an adaptation of the Drug Use Motives Questionnaire that included an additional 5 items to assess pain coping motives for use. Results indicated that pain coping was not significantly associated with other motives for use, including negative affect coping. Pain coping motives were strongly correlated with both pain severity (r = .51) and pain interference (r = .39), but not anxiety severity. Conversely, negative affect coping motives were strongly correlated with anxiety severity (r = .45), but not pain severity or interference. These results suggest that pain coping motives may be distinct from negative affect coping motives and should be assessed separately.
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影响因子：
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影响因子：
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