Abstract：
BACKGROUND:The U.S. prevalence of misuse of prescription opioid analgesics has increased substantially over the past decade but research on the factors influencing misuse of these medications remains preliminary. In the literature on alcohol, marijuana and stimulants, substance-related expectancies have been found to predict level of substance use. A similar line of research is needed to better understand reasons for misusing pain medications. METHODS:This study utilized a sample of adults presenting to a large residential addictions treatment program (N=351). Participants were administered a new instrument, the Pain Medication Expectancy Questionnaire (PMEQ) as well as questions about current alcohol, illegal drug and pain medication misuse. Exploratory factor analysis was used to determine underlying factors of the PMEQ. RESULTS:Results of the factor analysis supported a three-factor solution focusing on pleasure/social enhancement, pain reduction and negative experience reduction. In general, greater perceived expectancy of the positive effects of Prescription Opiate Analgesics (POAs) in all three domains were correlated with greater frequency of substance use and poorer mental health functioning. Expectancies directly related to the pain-reducing properties of POAs were also related to greater pain and poorer physical functioning. CONCLUSIONS:This new measure of pain medication expectancies had sound psychometric properties and the resulting factors were associated with other clinically important aspects of patient functioning. The results highlight the need to assess for and address perceptions related to pain medication use in patients presenting to addictions treatment.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Ilgen MA,Roeder KM,Webster L,Mowbray OP,Perron BE,Chermack ST,Bohnert ASdoi
10.1016/j.drugalcdep.2010.10.007subject
Has Abstractpub_date
2011-05-01 00:00:00pages
51-6issue
1-2eissn
0376-8716issn
1879-0046pii
S0376-8716(10)00359-5journal_volume
115pub_type
杂志文章abstract：BACKGROUND:Previous studies have examined associations between alcohol use in pregnancy and offspring birth size but evidence on whether associations persist during childhood is limited. METHODS:We examined the association between maternal drinking during pregnancy and trajectories of offspring weight and height from ...
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journal_title：Drug and alcohol dependence
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,评审
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更新日期：2017-09-01 00:00:00
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更新日期：2003-05-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1995-10-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 杂志文章,多中心研究
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
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更新日期：2009-12-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：2021-02-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：2011-05-01 00:00:00
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更新日期：2020-05-01 00:00:00
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journal_title：Drug and alcohol dependence
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更新日期：2013-12-01 00:00:00
