Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation

Pain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emo...

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Main Authors: Jonathan W. Nauser, Cecelia I. Nelson, Richard T. Gross, Alison M. Vargovich
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2020/7234625
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author Jonathan W. Nauser
Cecelia I. Nelson
Richard T. Gross
Alison M. Vargovich
author_facet Jonathan W. Nauser
Cecelia I. Nelson
Richard T. Gross
Alison M. Vargovich
author_sort Jonathan W. Nauser
collection DOAJ
description Pain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emotion dysregulation among patients with chronic pain receiving treatment in Appalachia. Two hundred and twelve patients presenting to a multidisciplinary pain center completed the Difficulties in Emotion Regulation Scale (DERS-18), Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R), and short-form McGill Pain Questionnaire (SF-MPQ). The sensory experience of pain was unrelated to emotion dysregulation (r = 0.06, p=0.57) and weakly related to opioid misuse risk (r = 0.182, p<0.05). In contrast, the affective experience of pain was moderately related to emotion dysregulation (r = 0.217, p<0.05) and strongly related to opioid misuse risk (r = 0.37, p<0.01). In addition, emotion dysregulation predicted variance in opioid misuse risk above and beyond the affective and sensory experiences of pain ((b = 0.693, p<0.001). The results suggest patients with a strong affective experience versus sensory experience of pain and challenges with emotion regulation may require a more comprehensive intervention to address these underlying components in order to reduce their risk of misusing opioid medications.
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spelling doaj-art-53008a67cf644f34802aef59d39f76ff2025-08-20T03:36:34ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/72346257234625Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion DysregulationJonathan W. Nauser0Cecelia I. Nelson1Richard T. Gross2Alison M. Vargovich3West Virginia University, Morgantown, WV 26506, USAWest Virginia University, Morgantown, WV 26506, USAWest Virginia University, Morgantown, WV 26506, USAUniversity at Buffalo, SUNY, Buffalo, NY 14260, USAPain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emotion dysregulation among patients with chronic pain receiving treatment in Appalachia. Two hundred and twelve patients presenting to a multidisciplinary pain center completed the Difficulties in Emotion Regulation Scale (DERS-18), Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R), and short-form McGill Pain Questionnaire (SF-MPQ). The sensory experience of pain was unrelated to emotion dysregulation (r = 0.06, p=0.57) and weakly related to opioid misuse risk (r = 0.182, p<0.05). In contrast, the affective experience of pain was moderately related to emotion dysregulation (r = 0.217, p<0.05) and strongly related to opioid misuse risk (r = 0.37, p<0.01). In addition, emotion dysregulation predicted variance in opioid misuse risk above and beyond the affective and sensory experiences of pain ((b = 0.693, p<0.001). The results suggest patients with a strong affective experience versus sensory experience of pain and challenges with emotion regulation may require a more comprehensive intervention to address these underlying components in order to reduce their risk of misusing opioid medications.http://dx.doi.org/10.1155/2020/7234625
spellingShingle Jonathan W. Nauser
Cecelia I. Nelson
Richard T. Gross
Alison M. Vargovich
Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
Pain Research and Management
title Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
title_full Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
title_fullStr Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
title_full_unstemmed Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
title_short Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation
title_sort pain experiences and their relation to opioid misuse risk and emotion dysregulation
url http://dx.doi.org/10.1155/2020/7234625
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