Pain behavior mediates the relationship between perceived injustice and opioid prescription for chronic pain: a Collaborative Health Outcomes Information Registry study.
Identifieur interne : 000093 ( Main/Exploration ); précédent : 000092; suivant : 000094Pain behavior mediates the relationship between perceived injustice and opioid prescription for chronic pain: a Collaborative Health Outcomes Information Registry study.
Auteurs : Junie S. Carriere ; Marc-Olivier Martel [Canada] ; Ming-Chih Kao [États-Unis] ; Michael Jl Sullivan [Australie] ; Beth D. Darnall [États-Unis]Source :
- Journal of pain research [ 1178-7090 ] ; 2017.
Abstract
BACKGROUND AND PURPOSE
Perceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame and a sense of unfairness. Recent findings have identified perceived injustice as an important risk factor for pain-related outcomes. Studies suggest that perceived injustice is associated with opioid prescription in patients with pain conditions. However, the mechanisms by which perceived injustice is linked to opioid prescription are not well understood. The primary objective of this study was to examine the potential mediating roles of pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription among patients with chronic pain.
METHODS
This cross-sectional study used a sample of 344 patients with chronic pain being treated at a tertiary pain treatment center. Participants completed measures of perceived injustice, pain intensity, depressive symptoms, pain behavior and opioid prescription. Bootstrapped multiple mediation analyses were used to examine the mediating role of patients' pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription.
RESULTS
Consistent with previous research, we found a significant association between perceived injustice and opioid prescription. Interestingly, results revealed that pain behavior was the only variable that mediated the association between perceived injustice and opioid prescription.
CONCLUSION
This study was the first to examine the mechanisms by which perceived injustice is associated with opioid prescription in patients with chronic pain. We found that pain behavior, rather than pain intensity and depressive symptoms, mediated the association between perceived injustice and opioid prescription. Future research in this area should employ a longitudinal research design in order to arrive at clearer causal conclusions about the relationships between pain behavior, perceived injustice and opioid prescription.
DOI: 10.2147/JPR.S128184
PubMed: 28331358
PubMed Central: PMC5349702
Affiliations:
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Carriere</name><affiliation><nlm:affiliation>Department of Psychology.</nlm:affiliation><wicri:noCountry code="no comma">Department of Psychology.</wicri:noCountry></affiliation></author><author><name sortKey="Martel, Marc Olivier" sort="Martel, Marc Olivier" uniqKey="Martel M" first="Marc-Olivier" last="Martel">Marc-Olivier Martel</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Dentistry; Department of Anesthesia, Faculty of Medicine, McGill University, Montreal, QC, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Dentistry; Department of Anesthesia, Faculty of Medicine, McGill University, Montreal, QC</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Kao, Ming Chih" sort="Kao, Ming Chih" uniqKey="Kao M" first="Ming-Chih" last="Kao">Ming-Chih Kao</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Sullivan, Michael Jl" sort="Sullivan, Michael Jl" uniqKey="Sullivan M" first="Michael Jl" last="Sullivan">Michael Jl Sullivan</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Health and Behavioural Sciences, University of Queensland, Herston, QLD, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Health and Behavioural Sciences, University of Queensland, Herston, QLD</wicri:regionArea><wicri:noRegion>QLD</wicri:noRegion></affiliation></author><author><name sortKey="Darnall, Beth D" sort="Darnall, Beth D" uniqKey="Darnall B" first="Beth D" last="Darnall">Beth D. Darnall</name><affiliation wicri:level="2"><nlm:affiliation>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">Journal of pain research</title><idno type="ISSN">1178-7090</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>Perceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame and a sense of unfairness. Recent findings have identified perceived injustice as an important risk factor for pain-related outcomes. Studies suggest that perceived injustice is associated with opioid prescription in patients with pain conditions. However, the mechanisms by which perceived injustice is linked to opioid prescription are not well understood. The primary objective of this study was to examine the potential mediating roles of pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription among patients with chronic pain.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This cross-sectional study used a sample of 344 patients with chronic pain being treated at a tertiary pain treatment center. Participants completed measures of perceived injustice, pain intensity, depressive symptoms, pain behavior and opioid prescription. Bootstrapped multiple mediation analyses were used to examine the mediating role of patients' pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Consistent with previous research, we found a significant association between perceived injustice and opioid prescription. Interestingly, results revealed that pain behavior was the only variable that mediated the association between perceived injustice and opioid prescription.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This study was the first to examine the mechanisms by which perceived injustice is associated with opioid prescription in patients with chronic pain. We found that pain behavior, rather than pain intensity and depressive symptoms, mediated the association between perceived injustice and opioid prescription. Future research in this area should employ a longitudinal research design in order to arrive at clearer causal conclusions about the relationships between pain behavior, perceived injustice and opioid prescription.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28331358</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1178-7090</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Journal of pain research</Title></Journal><ArticleTitle>Pain behavior mediates the relationship between perceived injustice and opioid prescription for chronic pain: a Collaborative Health Outcomes Information Registry study.</ArticleTitle><Pagination><MedlinePgn>557-566</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/JPR.S128184</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Perceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame and a sense of unfairness. Recent findings have identified perceived injustice as an important risk factor for pain-related outcomes. Studies suggest that perceived injustice is associated with opioid prescription in patients with pain conditions. However, the mechanisms by which perceived injustice is linked to opioid prescription are not well understood. The primary objective of this study was to examine the potential mediating roles of pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription among patients with chronic pain.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This cross-sectional study used a sample of 344 patients with chronic pain being treated at a tertiary pain treatment center. Participants completed measures of perceived injustice, pain intensity, depressive symptoms, pain behavior and opioid prescription. Bootstrapped multiple mediation analyses were used to examine the mediating role of patients' pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Consistent with previous research, we found a significant association between perceived injustice and opioid prescription. Interestingly, results revealed that pain behavior was the only variable that mediated the association between perceived injustice and opioid prescription.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study was the first to examine the mechanisms by which perceived injustice is associated with opioid prescription in patients with chronic pain. We found that pain behavior, rather than pain intensity and depressive symptoms, mediated the association between perceived injustice and opioid prescription. Future research in this area should employ a longitudinal research design in order to arrive at clearer causal conclusions about the relationships between pain behavior, perceived injustice and opioid prescription.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carriere</LastName><ForeName>Junie S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Psychology.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martel</LastName><ForeName>Marc-Olivier</ForeName><Initials>MO</Initials><AffiliationInfo><Affiliation>Faculty of Dentistry; Department of Anesthesia, Faculty of Medicine, McGill University, Montreal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kao</LastName><ForeName>Ming-Chih</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sullivan</LastName><ForeName>Michael Jl</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Faculty of Health and Behavioural Sciences, University of Queensland, Herston, QLD, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Darnall</LastName><ForeName>Beth D</ForeName><Initials>BD</Initials><AffiliationInfo><Affiliation>Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>HHSN271201200728P</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K24 DA029262</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P01 AT006651</GrantID><Acronym>AT</Acronym><Agency>NCCIH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 AT008561</GrantID><Acronym>AT</Acronym><Agency>NCCIH NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>J Pain Res</MedlineTA><NlmUniqueID>101540514</NlmUniqueID><ISSNLinking>1178-7090</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CHOIR</Keyword><Keyword MajorTopicYN="N">chronic pain</Keyword><Keyword MajorTopicYN="N">depression</Keyword><Keyword MajorTopicYN="N">opioids</Keyword><Keyword 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Carriere</name></noCountry><country name="Canada"><region name="Québec"><name sortKey="Martel, Marc Olivier" sort="Martel, Marc Olivier" uniqKey="Martel M" first="Marc-Olivier" last="Martel">Marc-Olivier Martel</name></region></country><country name="États-Unis"><region name="Californie"><name sortKey="Kao, Ming Chih" sort="Kao, Ming Chih" uniqKey="Kao M" first="Ming-Chih" last="Kao">Ming-Chih Kao</name></region><name sortKey="Darnall, Beth D" sort="Darnall, Beth D" uniqKey="Darnall B" first="Beth D" last="Darnall">Beth D. Darnall</name></country><country name="Australie"><noRegion><name sortKey="Sullivan, Michael Jl" sort="Sullivan, Michael Jl" uniqKey="Sullivan M" first="Michael Jl" last="Sullivan">Michael Jl Sullivan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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