Abstract:
BACKGROUND:The opioid epidemic is a significant public health crisis and prescription opioids are often used to manage chronic pain, despite questionable long-term efficacy. Furthermore, co-substance (mis)use is also common among individuals with chronic pain who use opioids. Alcohol has been consistently used to manage chronic pain, partly due to its acute analgesic properties. Cannabis has also recently garnered attention in the context of pain management, though research examining its efficacy for pain has produced mixed results. Nevertheless, there is accumulating evidence that concurrent substance co-use is positively associated with use and misuse of additional substances, particularly among individuals with chronic pain. Thus, the goal of this study was to examine the main and interactive effects of alcohol use problems and cannabis use problems in relation to opioid misuse among adults with chronic pain who use opioids. METHODS:The current sample was comprised of 440 adults with chronic pain using prescription opioids. Substance use problems were assessed using the ASSIST, Current Opioid Misuse Measure, and the Severity of Dependence Scale. Moderated regressions using the PROCESS macro were utilized. RESULTS:Results indicated that alcohol use problems and cannabis use problems each uniquely related to opioid dependence severity and opioid misuse. The interaction of alcohol and cannabis use problems was uniquely related to only opioid misuse, whereby alcohol use was most strongly associated to opioid misuse among those with higher levels of cannabis use problems. CONCLUSIONS:Collectively, these findings suggest there may be utility in assessing and treating alcohol and cannabis use problems among persons with chronic pain who are using opioids for pain management.
journal_name
Int J Behav Medjournal_title
International journal of behavioral medicineauthors
Rogers AH,Shepherd JM,Paulus DJ,Orr MF,Ditre JW,Bakhshaie J,Zvolensky MJdoi
10.1007/s12529-019-09813-3subject
Has Abstractpub_date
2019-10-01 00:00:00pages
569-575issue
5eissn
1070-5503issn
1532-7558pii
10.1007/s12529-019-09813-3journal_volume
26pub_type
杂志文章abstract:BACKGROUND:The psychological factors underlying physical inactivity in vulnerable cardiac adult populations remain understudied. Anxiety sensitivity, a cognitive vulnerability defined as fear of the physical, cognitive, and social consequences of anxiety, may be an important modifiable determinant of physical inactivit...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-020-09881-w
更新日期:2020-10-01 00:00:00
abstract::Increased activity in the sympathetic nervous system is part of the physiological stress response and is expressed in the heart rate variability (HRV). The objective of this study was to examine associations of HRV and intima media thickness (IMT). In 2002, satisfactory measurements of HRV of 78 voluntary participants...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm1303_3
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:The Spanish version of the Pain Vigilance and Awareness Questionnaire has not been validated. PURPOSE:The aims of this study were to examine the factor structure of the Spanish version of the Pain Vigilance and Awareness Questionnaire and present empirical evidence regarding its validity. METHOD:A sample o...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-011-9216-z
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Psoriasis is an incurable and chronic disease that includes unpredictable periods of remission and relapse requiring long-term therapy. PURPOSE:This paper focuses on the relationship among family coping, psychological morbidity, body image, dyadic adjustment and quality of life in psoriatic patients and the...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-011-9174-5
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Non-compaction cardiomyopathy (NCCM) is a cardiomyopathy characterized by left ventricular tribeculae and deep intertrabecular recesses. Because of its genetic underpinnings and physical disease burden, noncompaction cardiomyopathy is expected to be associated with a lower health status and increase in pscyh...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-015-9475-1
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Although international guidelines on pulmonary rehabilitation acknowledge that psychological factors contribute to exercise intolerance in patients with chronic obstructive pulmonary disease (COPD), the few empirical studies investigating this association have found inconsistent results. PURPOSE:The purpose...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9130-9
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Adolescent smoking has been associated with general parenting style, although potential differences between fathers and mothers were seldom investigated, especially in non-Western populations. PURPOSE:The aim of this study is to investigate associations between Hong Kong adolescents' smoking and their perce...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-014-9436-0
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Tobacco use among cancer patients is associated with adverse health outcomes. Little attention has been paid to tobacco use among cancer patients in developing countries, including Russia, where tobacco use is extremely high, and there is little public health infrastructure to address this issue. PURPOSE:Th...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9131-8
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Most of the few studies that exist on the longitudinal associations between health behaviors and work ability target to single health behaviors. PURPOSE:To investigate how lifetime clusters of unhealthy behaviors associate with perceived work ability in early midlife. METHODS:The study population consisted...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-015-9512-0
更新日期:2016-04-01 00:00:00
abstract::This study examined labor force participation as a risk factor for coronary heart disease. The participants were 224 women aged 45 to 64, residing in a rural district in Japan. The working women spent a significantly greater number of working hours (paid and unpaid) and had a more "Westernized" food preference than ho...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm0304_6
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Low socioeconomic position is widely reported to associate with high body mass index (BMI). We, however, lack scientific evidence if health behaviours mediate the association between socioeconomic position and BMI. PURPOSE:The aims of the study were to explore associations of education and income with BMI a...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9138-1
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Population screening reduces mortality from colorectal cancer, yet factors associated with uptake of screening are incompletely understood. PURPOSE:The purpose of the study was to determine demographic and psychosocial factors associated with participation in faecal occult blood test (FOBT)-based colorectal...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9101-1
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:This study seeks to investigate and compare the efficacy of self-monitoring and implementation intentions-two post-intentional behaviour change techniques-for improving sleep hygiene behaviours and sleep outcomes in university students. METHOD:Seventy-two undergraduate students completed baseline measures of f...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-015-9467-1
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Many studies have investigated the relationships between cardiovascular diseases and patients' depression; nevertheless, few is still known as regard the impact of illness severity on depression and whether psychosocial variables mediate this association. PURPOSE:The aim of this study is to investigate the ...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-013-9290-5
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:The Type D (distressed) personality refers to a general propensity to psychological distress defined by the combination of negative affectivity and social inhibition. Type D personality predicts poor mental and physical health in cardiac patients, but it has been argued that its assessment is affected by the...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9096-7
更新日期:2011-06-01 00:00:00
abstract::An expanding body of research using the transtheoretical model with both self-change and treatment programs suggests that differences in readiness for smoking cessation are important predictors of successful abstinence. Understanding the cognitive processes underlying these differences may hold tremendous potential fo...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm0502_5
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:This study aimed (1) to identify different personality types in adolescents with congenital heart disease (CHD), and (2) to relate these personality types to psychosocial functioning and several domains of perceived health, both concurrently and prospectively. Hence, this study aimed to expand previous research...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-016-9547-x
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:To investigate dispositional mindfulness, psychiatric symptoms, and their relationship with insomnia severity among female chronic hypnotic users. METHODS:Observational, cross-sectional study, including 76 women with chronic hypnotic use. Participants completed several self-report questionnaires: sociodemograp...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-018-9724-1
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:This study investigated the role of anxiety sensitivity, resilience, pain catastrophizing, depression, pain fear-avoidance beliefs, and pain intensity in patients with acute back pain-related disability. METHOD:Two hundred and thirty-two patients with acute back pain completed questionnaires on anxiety sensiti...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-016-9600-9
更新日期:2017-04-01 00:00:00
abstract::This study tested the hypothesis that patients with a congenital heart disease are sensitive regarding heartbeat perception, reflected in enhanced attention for heartbeat, estimation of own heart rate, and a vulnerability to become anxious by listening to heartbeat sounds. Twenty adults with a congenital heart disease...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm1104_3
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Studies proposed that the physical activity and quality of life (QoL) relationship may not be entirely direct but mediated through other variables; however, few studies have examined these relationships in diverse population's older adults. PURPOSE:This study aims to examine the roles of self-efficacy and m...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9086-9
更新日期:2010-12-01 00:00:00
abstract::The influence of academic examination stress on eating behavior and lipid profiles and the moderating effect of dietary restraint, trait anxiety, and social support availability was assessed in university students. One hundred and seventy-nine students were divided into exam-stress groups (51 women, 64 men) and contro...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm0204_2
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Chronic abdominal pain (CAP) in childhood is widely prevalent and has adverse effects on mental health and quality of life. Earlier research emphasized the positive effects of psychological intervention on pain symptoms. This study describes the results of a cognitive-behavioral pain management program for c...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章,随机对照试验
doi:10.1007/s12529-012-9228-3
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Supportive studies of the demand-control (DC) model were more likely to measure specific demands combined with a corresponding aspect of control. PURPOSE:A longitudinal test of Karasek's (Adm Sci Q. 24:285-308, 1) job strain hypothesis including specific measures of job demands and job control, and both sel...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9081-1
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Academic work as well as compensated employment has been found adversely associated with frequent headache; headache remains a costly disorder to the person and to society. However, little is known of factors--other than prior headache complaints--that may predict headache frequency over extended periods of ...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-010-9137-2
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Individuals construct beliefs about an illness based on their own perceptions, interpretation, and understanding of the illness and its treatment. These beliefs (collectively referred to as "illness cognitions" or "representations") can have implications for psychological outcomes in family members and carer...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-019-09793-4
更新日期:2019-10-01 00:00:00
abstract::This article examines the association between three dimensions of perceived parenting--warmth, strictness, and expectation--and adult cognitive and socioeconomic achievement outcomes. Structural equation models (N = 7,035) were used to examine simultaneously the influence of parenting on adult achievement while contro...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1207/s15327558ijbm1304_7
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Syndemic approaches explore the synergistic relationships between social and health inequities. Such approaches are particularly salient for the Northwest Territories, Canada, that experiences national social (food insecurity, intimate partner violence [IPV]) and health (sexually transmitted infections [STI]...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-019-09797-0
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:The beliefs patients hold about their disease and corresponding treatment have been shown to predict recovery in cardiac patients. PURPOSE:However, it is not known to what extent these beliefs change during participation in cardiac rehabilitation and whether this is related to psychological indicators of ou...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-012-9260-3
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:The perception of cardiovascular risk factors is believed to be associated with a person's willingness to carry out lifestyle changes as well as their willingness to adhere to prescribed preventive medications. Little is known about whether these perceptions differ between statin users and those not using st...
journal_title:International journal of behavioral medicine
pub_type: 杂志文章
doi:10.1007/s12529-011-9157-6
更新日期:2012-06-01 00:00:00