Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 5/2023

Open Access 21-03-2022 | Opioids | Original Article

Spanish Validation of the COMM Scale to Assess the Misuse of Prescription Opioids in Patients with Chronic Noncancer Pain

Authors: Ángela Reyes-Pérez, Alicia E. López-Martínez, Rosa Esteve, Carmen Ramírez-Maestre

Published in: International Journal of Mental Health and Addiction | Issue 5/2023

Login to get access

Abstract

The Current Opioid Misuse Measure (COMM) is a questionnaire used to identify and monitor chronic pain patients on opioid therapy who may be misusing their prescription opioids. The aim of the present study was to adapt the questionnaire for its use in Spanish-speaking populations. A total of 171 individuals (131 women and 40 men) with nononcological chronic pain participated in this cross-sectional study. The most frequent pain diagnoses in the sample were fibromyalgia, herniated disc, and rheumatoid arthritis. Systematic sampling was used. All individuals were interviewed at their clinic between March 2018 and February 2020. The dimensionality of the COMM-SV items was evaluated using an optimal implementation of parallel analysis (PA) and an exploratory factor analysis. Internal consistency, test–retest reliability, and criterion and convergent validity were calculated. The COMM-SV comprises five factors: problematic interpersonal behaviour, searching for more medication than prescribed, medication misuse and self-injurious thoughts, emergency use, and memory and attention problems. It has good reliability and adequate test–retest stability. The results support its criterion and convergent validity. Given the increasing use and abuse of opioids, a valid and reliable instrument is needed in Spanish settings to identify patients with chronic pain who present aberrant behaviour related to the use of these medications. The COMM-SV enables Spanish clinicians to do that.
Literature
go back to reference Butler, S. F., Zacharoff, K. L., Budman, S. H., Jamison, R. N., Black, R., Dawsey, R., & Ondarza, A. (2013). Spanish translation and linguistic validation of the screener and opioid assessment for patients with pain-revised (SOAPP-R). Pain Medicine, 14(7), 1032–1038. https://doi.org/10.1111/pme.12098CrossRefPubMed Butler, S. F., Zacharoff, K. L., Budman, S. H., Jamison, R. N., Black, R., Dawsey, R., & Ondarza, A. (2013). Spanish translation and linguistic validation of the screener and opioid assessment for patients with pain-revised (SOAPP-R). Pain Medicine, 14(7), 1032–1038. https://​doi.​org/​10.​1111/​pme.​12098CrossRefPubMed
go back to reference Chou, R., Fanciullo, G. J., Fine, P. G., Adler, J. A., Ballantyne, J. C., Davies, P., Donovan, M. I., Fishbain, D. A., Foley, K. M., Fudin, J., Gilson, A. M., Kelter, A., Mauskop, A., O'Connor, P. G., Passik, S. D., Pasternak, G. W., Portenoy, R. K., Rich, B. A., Roberts, R. G., Todd, K. H.,…American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel (2009). Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. The Journal of Pain, 10(2), 113–130. https://doi.org/10.1016/j.jpain.2008.10.008 Chou, R., Fanciullo, G. J., Fine, P. G., Adler, J. A., Ballantyne, J. C., Davies, P., Donovan, M. I., Fishbain, D. A., Foley, K. M., Fudin, J., Gilson, A. M., Kelter, A., Mauskop, A., O'Connor, P. G., Passik, S. D., Pasternak, G. W., Portenoy, R. K., Rich, B. A., Roberts, R. G., Todd, K. H.,…American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel (2009). Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. The Journal of Pain10(2), 113–130. https://​doi.​org/​10.​1016/​j.​jpain.​2008.​10.​008
go back to reference Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1995). Multivariate data analyses with readings. Englewood Cliffs. Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1995). Multivariate data analyses with readings. Englewood Cliffs.
go back to reference Hernández, A., Ponsoda, V., Muñiz, J., Prieto, G., & Elosua, P. (2016). Revisión del modelo para evaluar la calidad de los tests utilizados en España. Papeles del Psicólogo, 37(3), 192–197. Hernández, A., Ponsoda, V., Muñiz, J., Prieto, G., & Elosua, P. (2016). Revisión del modelo para evaluar la calidad de los tests utilizados en España. Papeles del Psicólogo, 37(3), 192–197.
go back to reference Jensen, M. P., & Karoly, P. (2011). Self-report scales and procedures for assessing pain in adults. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 19–44). The Guilford Press. Jensen, M. P., & Karoly, P. (2011). Self-report scales and procedures for assessing pain in adults. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 19–44). The Guilford Press.
go back to reference Manchikanti, L., Abdi, S., Atluri, S., Balog, C. C., Benyamin, R. M., Boswell, M. V., Brown, K. R., Bruel, B. M., Brynce, D. A., Burks, P. A., Burton, A. W., Calodnew, A. K., Caraway, D. L., Cash, K. A., Christo, P. J., Damron, K. S., Darra, S., Deer, T. R., Diwan, S., & Wargo, B. W. (2012). American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: Part 2–guidance. Pain Physician, 15(3 Suppl), S67–S116.PubMed Manchikanti, L., Abdi, S., Atluri, S., Balog, C. C., Benyamin, R. M., Boswell, M. V., Brown, K. R., Bruel, B. M., Brynce, D. A., Burks, P. A., Burton, A. W., Calodnew, A. K., Caraway, D. L., Cash, K. A., Christo, P. J., Damron, K. S., Darra, S., Deer, T. R., Diwan, S., & Wargo, B. W. (2012). American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: Part 2–guidance. Pain Physician, 15(3 Suppl), S67–S116.PubMed
go back to reference McHugh, R. K., Kneeland, E. T., Edwards, R. R., Jamison, R., & Weiss, R. D. (2020). Pain catastrophizing and distress intolerance: prediction of pain and emotional stress reactivity. Journal of Behavioral Medicine, 43(4), 623–629.CrossRefPubMed McHugh, R. K., Kneeland, E. T., Edwards, R. R., Jamison, R., & Weiss, R. D. (2020). Pain catastrophizing and distress intolerance: prediction of pain and emotional stress reactivity. Journal of Behavioral Medicine, 43(4), 623–629.CrossRefPubMed
go back to reference O’Brien, T., Christrup, L. L., Drewes, A. M., Fallon, M. T., Kress, H. G., McQuay, H. J., Mikus, B. J., Morlio, J., Pérez-Cajaraville, E., Pogatzki-Zahn, G., & Wells, J. C. D. (2017). European Pain Federation position paper on appropriate opioid use in chronic pain management. European Journal of Pain, 21(1), 3–19. https://doi.org/10.1002/ejp.970CrossRefPubMed O’Brien, T., Christrup, L. L., Drewes, A. M., Fallon, M. T., Kress, H. G., McQuay, H. J., Mikus, B. J., Morlio, J., Pérez-Cajaraville, E., Pogatzki-Zahn, G., & Wells, J. C. D. (2017). European Pain Federation position paper on appropriate opioid use in chronic pain management. European Journal of Pain, 21(1), 3–19. https://​doi.​org/​10.​1002/​ejp.​970CrossRefPubMed
go back to reference Santana Pineda, M. M., Jover López-Rodrigalvarez, R., Rodríguez Sainz, P., Cortes, G., Rodríguez Huertas, F., & Morgado Muñoz, I. (2016). Uso y abuso de opioides en el área norte de la provincia de Cádiz. Revista de la Sociedad Española del Dolor, 23(3), 127–134. https://doi.org/10.20986/resed.2016.3446/2016 Santana Pineda, M. M., Jover López-Rodrigalvarez, R., Rodríguez Sainz, P., Cortes, G., Rodríguez Huertas, F., & Morgado Muñoz, I. (2016). Uso y abuso de opioides en el área norte de la provincia de Cádiz. Revista de la Sociedad Española del Dolor, 23(3), 127–134. https://​doi.​org/​10.​20986/​resed.​2016.​3446/​2016
Metadata
Title
Spanish Validation of the COMM Scale to Assess the Misuse of Prescription Opioids in Patients with Chronic Noncancer Pain
Authors
Ángela Reyes-Pérez
Alicia E. López-Martínez
Rosa Esteve
Carmen Ramírez-Maestre
Publication date
21-03-2022
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 5/2023
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-022-00803-3

Other articles of this Issue 5/2023

International Journal of Mental Health and Addiction 5/2023 Go to the issue