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- Title
The contribution of pain catastrophizing, depression and anxiety symptoms among patients with persistent pain and opioid misuse behaviours.
- Authors
Baranoff, John A.; Clubb, Bryce; Coates, Jason M.; Elphinston, Rachel A.; Loveday, William; Connor, Jason P.
- Abstract
Background: Anxiety, depression and pain catastrophizing are independently associated with risk of opioid misuse in patients with persistent pain but their relationship to current opioid misuse, when considered together, is poorly understood. This study will assess the relative contribution of these modifiable, and distinct psychological constructs to current opioid misuse in patients with persistent pain. Methods: One hundred and twenty-seven patients referred to a specialized opioid management clinic for prescription opioid misuse within a tertiary pain service were recruited for this study. The Pain Catastrophizing Scale, Depression, Anxiety and Stress Scales and the Current Opioid Misuse Measure were administered pre-treatment. Pain severity and morphine equivalent dose based on independent registry data were also recorded. Results: Higher levels of pain catastrophizing, depression, and anxiety were significantly associated with higher current opioid misuse (r =.475, 0.599, and 0.516 respectively, p <.01). Pain severity was significantly associated with pain catastrophizing (r =.301, p <.01). Catastrophizing, depression, and anxiety explained an additional 11.56% of the variance (R2 change = 0.34, p <.01) over and above age, gender, pain severity and morphine equivalent dose. Depression was the only significant variable at Step 2 (β = 0.62, p <.01). Conclusion: Findings show that in a sample of people with persistent pain referred for treatment for opioid misuse, depression contributes over and above that of anxiety and pain catastrophizing. Theoretical and clinical practice implications are presented.
- Subjects
MENTAL depression risk factors; SUBSTANCE abuse; RISK assessment; PAIN measurement; ANXIETY; TERTIARY care; AGE distribution; DESCRIPTIVE statistics; PRE-tests &; post-tests; DOSE-effect relationship in pharmacology; OPIOID analgesics; PAIN; PAIN catastrophizing; DISEASE complications
- Publication
Journal of Behavioral Medicine, 2024, Vol 47, Issue 2, p342
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-023-00452-4