Open AccessConcurrent and lagged associations of prescription opioid use with pain and negative affect in the daily lives of chronic pain patients.
Author(s) -
Ryan W. Carpenter,
Sean P. Lane,
Stephen Bruehl,
Timothy J. Trull
Publication year - 2019
Publication title -
journal of consulting and clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.582
H-Index - 240
eISSN - 1939-2117
pISSN - 0022-006X
DOI - 10.1037/ccp0000402
Subject(s) - affect (linguistics) , chronic pain , psychology , opioid , medical prescription , clinical psychology , psychiatry , medicine , pharmacology , receptor , communication
Prescribed opioids for chronic pain management contribute significantly to the opioid crisis. There is a need to understand the real-world benefits that, despite risks, lead chronic pain patients to persist in opioid use. Negative reinforcement models of addiction posit that individuals use substances to reduce aversive states but have seldom been applied to prescribed opioids. Using ecological momentary assessment, we examined reciprocal associations between opioid use and physical pain, for which opioids are prescribed, and negative affect (NA), for which they are not.