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Cited by 15Opioid Use Disorder TreatmentMusculoskeletal pain and rehabilitationPain Management and Opioid Use

Chronic pain acceptance: relations to opioid misuse and pain management motives among individuals with chronic low back pain

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Smit, Tanya, Mayorga, Nubia A., Rogers, Andrew H., Nizio, Pamella, Zvolensky, Michael J.·2023·Addictive Behaviors
DOI 10.1016/j.addbeh.2022.107495PMC PMC10187546
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Abstract

The opioid epidemic is a significant public health concern, and opioid consumption rates and opioid-related deaths are on the rise. Chronic pain acceptance, or willingness to experience pain and pain-related distress, is one pain-related psychological mechanism that may reduce maladaptive attempts to avoid or control pain using opioids among individuals with chronic lower back pain (CLBP). However, little work has examined chronic pain acceptance as it relates to opioid use and motives for use among adults with CLBP. The current investigation sought to explore the effects of chronic pain acceptance on opioid misuse and motives for opioid use (i.e., pain management and coping motives) among adults with CLBP. Participants were 291 adults (69.1 % female, Mage = 45.77 years, SD = 11.22) self-reporting current mild to severe CLBP and current opioid use who were recruited via an online survey. Results indicated that higher acceptance of pain was related to lower levels of opioid misuse and lower motivation to use opioids to cope with pain. Contrary to hypotheses, chronic pain acceptance did not predict motivation to use opioids to cope with emotional distress (i.e., coping motives). The current findings provide support for chronic pain acceptance as a potential protective mechanism in terms of opioid misuse and motivation to use opioids to manage pain.

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Cited by

Sorted by citations

Authors
Smit, T., Mayorga, N. A., Rogers, A. H., Nizio, P., & Zvolensky, M. J.
Affiliations
  • University of Houston (US)
  • The University of Texas MD Anderson Cancer Center (US)
Corresponding author
Zvolensky, Michael J.
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2023-01
Volume
136
Pages
107495
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2022.107495
PMC
PMC10187546
OpenAlex
W4296285544
Cited by
15
References
14
Citations by year
2026: 4 · 2025: 3 · 2024: 4 · 2023: 4
FWCI
2.43
Type
journal article
Language
en
Open access
Licence
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Minority Health and Health Disparities (U54MD015946)
  • University of Houston
  • National Institutes of Health
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
chronic pain acceptance, opioid misuse, chronic low back pain, coping motives, opioid epidemic, pain-related distress, opioid use
MeSH terms
Adult, Analgesics, Opioid, Female, Humans, Male, Motivation, Opioid-Related Disorders, Low Back Pain, Chronic Pain, Pain Management, Prescription Drug Misuse

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