Pain moderates changes in psychological flexibility but not substance use symptoms during substance use disorder treatment.

Pain moderates changes in psychological flexibility but not substance use symptoms during substance use disorder treatment.
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在药物滥用障碍治疗期间,疼痛会减轻心理灵活性的变化,但不会减轻药物使用症状。

DOI:
10.1016/j.psychres.2016.08.014
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发表时间:
2016
影响因子:
11.3
通讯作者:
Hosanagar,Avinash
Hosanagar,Avinash
中科院分区:
医学2区
文献类型:
--
作者:
Foster,KatherineT;Ehrnstrom,Colleen;Chermack,Stephen;Hosanagar,Avinash

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疼痛相关问题经常使物质使用障碍(SUD)的病程和预后复杂化。然而,目前尚不清楚与共同发生的疼痛相关的负面结果是否是由于其与更大的SUD严重程度,SUD治疗过程的中断或与第三种心理过程的联系。目前的研究模拟了在为期4周的强化门诊治疗(IOP)期间疼痛对SUD症状和有限的心理灵活性(PF)的纵向影响,这是SUD和疼痛患者中通常受到限制的心理健康的共同特征。在控制了SUD症状的初始严重程度后,治疗摄入时的当前疼痛水平缓和了PF的子成分的变化,重视承诺,但不是IOP期间的SUD症状。在治疗期间,疼痛水平也限制了PF的改善,但不限制自我报告的SUD症状。在SUD治疗期间,针对围绕对价值观的承诺的心理灵活性的额外增加可能有助于改善开始治疗时有显著疼痛症状的患者的结局。
Pain-related problems frequently complicate substance use disorder (SUD) course and prognosis. However, it is unclear if the negative outcomes associated with co-occurring pain are due to its link with greater SUD severity, disruption of SUD treatment processes, or connection to a third psychological process. The current study modeled the longitudinal effects of pain during a 4-week intensive outpatient treatment (IOP) on SUD symptoms and limited psychological flexibility (PF), a common feature of psychological well being that is commonly restricted in both SUD and pain patients. After controlling for initial severity of SUD symptoms, current pain level at treatment intake moderated change in a sub-component of PF, values commitment, but not SUD symptoms during the IOP. During the treatment, pain level also limited improvement in PF but not self-reported SUD symptoms. Targeting additional increases in psychological flexibility surrounding commitment to values during SUD treatment may help improve outcomes among patients who began treatment with significant pain symptoms.
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