Predictors of Daily Pain Medication Use in Individuals with Recurrent Back Pain

Purpose A key component to chronic pain management regimens is the use of analgesic medications. Psychological factors, such as mood states, may also affect the use of pain medications for individuals with chronic pain, but few observational studies have examined how these factors may predict pain m...

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Veröffentlicht in:International journal of behavioral medicine 2018-04, Vol.25 (2), p.252-258
Hauptverfasser: Sturgeon, John A., Hah, Jennifer M., Sharifzadeh, Yasamin, Middleton, Stephanie K., Rico, Thomas, Johnson, Kevin A., Mackey, Sean C.
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container_end_page 258
container_issue 2
container_start_page 252
container_title International journal of behavioral medicine
container_volume 25
creator Sturgeon, John A.
Hah, Jennifer M.
Sharifzadeh, Yasamin
Middleton, Stephanie K.
Rico, Thomas
Johnson, Kevin A.
Mackey, Sean C.
description Purpose A key component to chronic pain management regimens is the use of analgesic medications. Psychological factors, such as mood states, may also affect the use of pain medications for individuals with chronic pain, but few observational studies have examined how these factors may predict pain medication use at the daily level. Methods Daily assessments from 104 individuals with back pain were used to examine fluctuations in daily pain intensity, mood, sleep quality, and physical activity as predictors of the likelihood of pain medication (opioid and non-opioid) use and levels of medication use on the same day. Results Pain intensity and mood ratings significantly predicted whether participants used pain medication on the same day, while only pain intensity predicted whether participants used more medication than usual. Further, current opioid users were more likely to increase the amount of their medication use on days of higher pain. Discussion This article identifies fluctuations in daily pain intensity and mood as salient predictors of daily pain medication use in individuals with recurrent back pain. The current study is among the first to highlight both pain and mood states as predictors of daily pain medication use in individuals with back pain, though future studies may expand on these findings through the use of higher-resolution daily medication use variables.
doi_str_mv 10.1007/s12529-017-9686-8
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Psychological factors, such as mood states, may also affect the use of pain medications for individuals with chronic pain, but few observational studies have examined how these factors may predict pain medication use at the daily level. Methods Daily assessments from 104 individuals with back pain were used to examine fluctuations in daily pain intensity, mood, sleep quality, and physical activity as predictors of the likelihood of pain medication (opioid and non-opioid) use and levels of medication use on the same day. Results Pain intensity and mood ratings significantly predicted whether participants used pain medication on the same day, while only pain intensity predicted whether participants used more medication than usual. Further, current opioid users were more likely to increase the amount of their medication use on days of higher pain. Discussion This article identifies fluctuations in daily pain intensity and mood as salient predictors of daily pain medication use in individuals with recurrent back pain. The current study is among the first to highlight both pain and mood states as predictors of daily pain medication use in individuals with back pain, though future studies may expand on these findings through the use of higher-resolution daily medication use variables.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-017-9686-8</identifier><identifier>PMID: 28875436</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Affect ; Aged ; Analgesics ; Analgesics - administration &amp; dosage ; Analgesics, Opioid - administration &amp; dosage ; Back pain ; Back Pain - drug therapy ; Chronic pain ; Chronic Pain - drug therapy ; Chronic Pain - psychology ; Drug use ; Family Medicine ; Female ; General Practice ; Health Psychology ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Mood ; Narcotics ; Opioids ; Pain ; Pain Measurement ; Physical activity ; Sleep ; Young Adult</subject><ispartof>International journal of behavioral medicine, 2018-04, Vol.25 (2), p.252-258</ispartof><rights>International Society of Behavioral Medicine 2017</rights><rights>International Journal of Behavioral Medicine is a copyright of Springer, (2017). 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subjects Adult
Affect
Aged
Analgesics
Analgesics - administration & dosage
Analgesics, Opioid - administration & dosage
Back pain
Back Pain - drug therapy
Chronic pain
Chronic Pain - drug therapy
Chronic Pain - psychology
Drug use
Family Medicine
Female
General Practice
Health Psychology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Mood
Narcotics
Opioids
Pain
Pain Measurement
Physical activity
Sleep
Young Adult
title Predictors of Daily Pain Medication Use in Individuals with Recurrent Back Pain
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