Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management-Reference-Cited by-同舟云学术

Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management

Published:2023-10-11 Issue:2 Volume:40 Page:67-71
ISSN:1536-5409
Container-title:The Clinical Journal of Pain
language:en
Short-container-title:

Author:

Miller-Matero Lisa R.¹²,Yaldo Marissa²,Chohan Sikander³,Zabel Celeste²,Patel Shivali¹,Chrusciel Timothy⁴⁵⁶,Salas Joanne⁴⁵,Wilson Lauren⁴,Sullivan Mark D.⁷,Ahmedani Brian K.¹²,Lustman Patrick J.⁸,Scherrer Jeffrey F.⁴⁵⁹

Affiliation:

1. Henry Ford Health, Behavioral Health Services

2. Henry Ford Health, Center for Health Policy and Health Services Research

3. Wayne State University School of Medicine, Detroit, MI

4. Department of Family and Community Medicine

5. Advanced HEAlth Data (AHEAD) Research Institute

6. Department of Health and Clinical Outcomes Research

7. Department of Psychiatry and Behavioral Science, University of Washington School of Medicine, Seattle, WA

8. Department of Psychiatry, Washington University School of Medicine, St. Louis, MS

9. Department of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine

Abstract

Objective: Engagement in evidence-based psychological interventions for pain management is low. Identifying characteristics associated with interest in interventions can inform approaches to increase uptake and engagement. The purpose of this study was to examine factors associated with interest in psychological interventions among persons with chronic noncancer pain receiving prescription opioids. Methods: Participants with chronic noncancer pain and a new 30 to 90 day opioid prescription were recruited from 2 health systems. Participants (N=845) completed measures regarding pain, opioid use, psychiatric symptoms, emotional support, and interest in psychological interventions for pain management. Results: There were 245 (29.0%) participants who reported a high interest in psychological interventions for pain management. In bivariate analyses, variables associated with interest included younger age, female sex, greater pain severity, greater pain interference, greater number of pain sites, lower emotional support, depression, anxiety, and post-traumatic stress disorder (P<0.05). In a multivariate model, greater pain severity (odds ratio [OR]=1.17; CI: 1.04-1.32), depression (OR=2.10; CI: 1.39-3.16), post-traumatic stress disorder (OR=1.85; CI: 1.19-2.95), and lower emotional support (OR=0.69; CI: 0.5-0.97) remained statistically significant. Discussion: The rate of interest in psychological interventions for pain management was low, which may indicate that patients initiating opioid treatment of chronic noncancer pain have low interest in psychological interventions. Greater pain severity and psychiatric distress were related to interest, and patients with these characteristics may especially benefit from psychological interventions. Providers may want to refer to psychological interventions before or when opioids are initiated. Additional work is needed to determine whether this would reduce long-term opioid use.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference35 articles.

1. Association of long-term opioid therapy with functional status, adverse outcomes, and mortality among patients with polyneuropathy;Hoffman;JAMA Neurol,2017

2. Prescription opioid analgesics increase risk of major depression: new evidence, plausible neurobiological mechanisms and management to achieve depression prophylaxis;Semenkovich;Mol Med,2014

3. Long-term prescription opioid users’ risk for new-onset depression increases with frequency of use;Scherrer;Pain,2022

4. Depression and pain comorbidity: a literature review;Bair;Arch Intern Med,2003

5. Pain predicts longer time to remission during treatment of recurrent depression;Karp;J Clin Psychiatry,2005