Pain, hedonic regulation, and opioid misuse: Modulation of momentary experience by Mindfulness-Oriented Recovery Enhancement in opioid-treated chronic pain patients

Highlights • Opioid-treated pain patients are at risk for opioid misuse and hedonic deficits. • Mindfulness-Oriented Recovery Enhancement (MORE) was tested to treat these deficits. • MORE was associated with significant reductions in momentary pain. • MORE was associated with significant increases i...

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Veröffentlicht in:	Drug and alcohol dependence 2017-04, Vol.173, p.S65-S72
Hauptverfasser:	Garland, Eric L, Bryan, Craig J, Finan, Patrick H, Thomas, Elizabeth A, Priddy, Sarah E, Riquino, Michael R, Howard, Matthew O
Format:	Artikel
Sprache:	eng
Schlagworte:	Addiction Adult Affect Affective experiences Chronic pain Chronic Pain - drug therapy Chronic Pain - psychology Combined Modality Therapy Drug abuse Ecological effects Ecological momentary assessment Ecological monitoring Emotional regulation Female Humans Intervention Linear analysis Male Mathematical models Middle Aged Mindfulness Multilevel Narcotics Narcotics - adverse effects Narcotics - therapeutic use Opioid misuse Opioid-Related Disorders - psychology Opioid-Related Disorders - rehabilitation Opioids Pain Pain management Pain Management - methods Pain Management - psychology Pain Measurement Patient safety Patients Pharmacology Philosophy Positive affect Positive emotions Psychiatry Recovery Recovery (Medical) Reward Risk Risk reduction Self-Help Groups Substance abuse treatment Treatment methods Young Adult
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Zusammenfassung:	Highlights • Opioid-treated pain patients are at risk for opioid misuse and hedonic deficits. • Mindfulness-Oriented Recovery Enhancement (MORE) was tested to treat these deficits. • MORE was associated with significant reductions in momentary pain. • MORE was associated with significant increases in momentary positive affect. • Increases in momentary positive affect predicted decreased opioid misuse.
ISSN:	0376-8716 1879-0046
DOI:	10.1016/j.drugalcdep.2016.07.033