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Pain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emotion dysregulation among patients with chronic pain receiving treatment in Appalachia. Two hundred and twelve patients presenting to a multidisciplinary pain center completed the Difficulties in Emotion Regulation Scale (DERS-18), Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R), and short-form McGill Pain Questionnaire (SF-MPQ). The sensory experience of pain was unrelated to emotion dysregulation ( r  = 0.06,  p  = 0.57) and weakly related to opioid misuse risk ( r  = 0.182,  p  < 0.05). In contrast, the affective experience of pain was moderately related to emotion dysregulation ( r  = 0.217,  p  < 0.05) and strongly related to opioid misuse risk ( r  = 0.37,  p  < 0.01). In addition, emotion dysregulation predicted variance in opioid misuse risk above and beyond the affective and sensory experiences of pain (( b  = 0.693,  p  < 0.001). The results suggest patients with a strong affective experience versus sensory experience of pain and challenges with emotion regulation may require a more comprehensive intervention to address these underlying components in order to reduce their risk of misusing opioid medications.

Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation