The DOI matches its Crossref record; the references it cites are not checked yet.
Anxiety, Depression, and Opioid Misuse Among Adults With Chronic Pain: The Role of Anxiety Sensitivity
Open accessAbstract
OBJECTIVES: The opioid epidemic is a significant public health problem largely driven by opioid prescriptions for chronic pain. Among those with chronic pain, anxiety and depressive symptoms have been linked to opioid misuse, and individual differences in anxiety and depressive symptoms among adults with chronic pain may be important for better understanding pain. Yet, little work has examined mechanisms that may link anxiety and depressive symptoms to opioid misuse among adults with chronic pain. Anxiety sensitivity (AS), or the fear of anxiety-related physical sensations, may be one candidate construct that has been linked independently to anxiety and depressive symptoms as well as opioid misuse. METHODS: The current survey-based study examined the indirect association of AS in the relation between anxiety and depressive symptoms and opioid misuse among 429 adults with chronic pain currently using prescription opioid medication (73.9% female, Mage=38.32 y, SD=11.07). RESULTS: Using structural equation modeling, it appears that AS is a potential construct in the interrelation between anxiety and depressive symptoms and opioid misuse. However, an alternative model found equally strong empirical support, as mental health symptoms may serve as an explanatory factor between AS and opioid misuse. DISCUSSION: Bi-directional effects are apt to be involved among the studied variables. Prospective research is needed to replicate the study results and isolate the temporal patterning between the studied constructs. Nonetheless, the data overall highlight the importance of both AS and anxiety and depressive symptoms in terms of understanding opioid misuse among adults with chronic pain.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“recent research has addressed transdiagnostic vulnerability factors [95], and specifically, anxiety sensitivity [96], emotion dysregulation [97], pain-anxiety [89], distress intolerance [98], and acceptance [39,40,41] as in the present study.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
The citation lists haven’t been fetched yet
References 54 · Cited by 19
Metadata
- Authors
- Rogers, A. H., Garey, L., Bakhshaie, J., Viana, A. G., Ditre, J. W., & Zvolensky, M. J.
- Affiliations
- Department of Psychology
- Baylor College of Medicine (US)
- Syracuse University (US)
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Rogers, Andrew H.
- Garey, Lorra
- Viana, Andres G.
- Zvolensky, Michael J.
- ORCID
- Venue
- The Clinical Journal of Pain
- Published
- 2020-08-04
- Volume
- 36
- Issue
- 11
- Pages
- 862-867
- ISSN
- 0749-8047 (ISSN-L)
- PMC
- PMC12818884
- OpenAlex
- W3048951373
- Cited by
- 19
- References
- 54
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 4
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- green
- pmc.ncbi.nlm.nih.gov
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion)
- Funders
- National Institute of Mental Health (R01MH076629)
- National Center for Complementary and Integrative Health (K23AT012364)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pain, opioid misuse, anxiety, depressive symptoms, anxiety sensitivity, prescription opioids, opioid epidemic, psychiatric symptoms, bidirectional effects
- MeSH terms
- Adult, Analgesics, Opioid, Anxiety, Depression, Female, Humans, Male, Opioid-Related Disorders, Prospective Studies, Chronic Pain, Prescription Drug Misuse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
