Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Rhodes, Amanda; Marks, Donald; Block-Lerner, Jennifer; Lomauro, Timothy

doi:10.1007/s10880-020-09729-1

Published: 09 June 2020

Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Amanda Rhodes ORCID: orcid.org/0000-0002-7987-1188¹,
Donald Marks¹,
Jennifer Block-Lerner¹ &
Timothy Lomauro²

Journal of Clinical Psychology in Medical Settings volume 28, pages 405–417 (2021)Cite this article

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Abstract

Chronic pain has an estimated annual prevalence rate between 10 and 35%. In the US, first-line treatment for chronic pain is often opioids. Objective: To our knowledge, this is the first study exploring psychological flexibility and its association with pain severity, pain interference and risk of opioid misuse in chronic pain patients. Methods: Data were collected at two outpatient pain clinics in the northeastern United States. Adults (N = 99) completed a cross-sectional survey with validated measures. Pain severity and pain interference were hypothesized to uniquely predict the risk of opioid misuse. Pain severity was hypothesized to predict pain interference. Finally, psychological flexibility was hypothesized as an indirect effect in these relationships. Results: Main findings suggest that pain severity predicts risk of opioid misuse, mediated by psychological flexibly. Pain interference also predicts risk of opioid misuse, mediated by psychological flexibility. Finally, results suggest pain severity predicts pain interference, mediated by psychological flexibility. Discussion: Implications of findings are discussed in terms of future psychological and medical assessments and interventions for chronic pain patients seeking prescription opioids.

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Department of Advanced Studies in Psychology, Nathan Weiss Graduate College, Kean University, Union, NJ, USA
Amanda Rhodes, Donald Marks & Jennifer Block-Lerner
Radiation Oncology/Palliative & Hospice Care, VA New Jersey Health Care System, East Orange, NJ, USA
Timothy Lomauro

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Amanda Rhodes
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Donald Marks
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Jennifer Block-Lerner
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Timothy Lomauro
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Correspondence to Amanda Rhodes.

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Rhodes, A., Marks, D., Block-Lerner, J. et al. Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients. J Clin Psychol Med Settings 28, 405–417 (2021). https://doi.org/10.1007/s10880-020-09729-1

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Published: 09 June 2020
Issue Date: June 2021
DOI: https://doi.org/10.1007/s10880-020-09729-1

Keywords

Chronic pain
Opioids
Pain interference
Pain severity
Psychological flexibility