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- Title
Distress tolerance among emergency department patients in acute pain: Associations with substance use treatment.
- Authors
Pacella‐LaBarbara, Maria L.; Maltese, Caroline; McConaghy, Madelyn; Porter, James; Young, Michael L.; Suffoletto, Brian
- Abstract
Managing acute pain in individuals with a history of substance use disorders (SUD) is complex. Distress tolerance (DT) (e.g., the ability to handle uncomfortable sensations) may serve as an ideal non‐pharmacological intervention target in this population. Among 293 emergency department (ED) patients seeking treatment for pain (Mage = 41; 42% Female; 43% Black), we examined rates of SUD treatment and DT, whether an objective DT task is feasible to conduct in the ED, and relationships between DT and SUD. Patients completed a self‐report DT survey, an objective DT task, and brief surveys of pain, drug use, current or past SUD treatment, and depression/anxiety. Average DT was 18.50 (SD = 9.4) out of 50; patients with past or current SUD treatment (n = 43; 14.7%) reported lower DT than patients with no SUD treatment history (n = 250; 85.3%). Controlling for demographics, depression/anxiety, and pain severity, lower subjective DT (adjusted odds ratio [aOR] = 1.05) and objective DT (aOR = 1.02) was associated a current or past history or SUD treatment. Assessing subjective and objective DT in ED patients with acute pain is feasible; interventions aimed at boosting DT may improve outcomes among patients with acute pain and SUD.
- Subjects
SUBSTANCE abuse treatment; PAIN management; PATIENTS; SURVEYS; EMERGENCY medical services; DESCRIPTIVE statistics; ODDS ratio; ACUTE diseases; PSYCHOLOGICAL distress; DRUG abusers
- Publication
Stress & Health: Journal of the International Society for the Investigation of Stress, 2021, Vol 37, Issue 3, p588
- ISSN
1532-3005
- Publication type
Article
- DOI
10.1002/smi.3020