Skip to main content
Top
Published in: International Journal of Behavioral Medicine 2/2018

01-04-2018

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

Authors: John A. Sturgeon, Jennifer M. Hah, Yasamin Sharifzadeh, Stephanie K. Middleton, Thomas Rico, Kevin A. Johnson, Sean C. Mackey

Published in: International Journal of Behavioral Medicine | Issue 2/2018

Login to get access

Abstract

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.
Literature
8.
go back to reference Raymond-Shaw I, Lavigne G, Mayer P, Choiniere M. Acute intravenous administration of morphine perturbs sleep architecture in healthy pain free young adults: a preliminary study. Sleep. 2005;28(6):677–82.CrossRef Raymond-Shaw I, Lavigne G, Mayer P, Choiniere M. Acute intravenous administration of morphine perturbs sleep architecture in healthy pain free young adults: a preliminary study. Sleep. 2005;28(6):677–82.CrossRef
9.
go back to reference Arteta J, Cobos B, Hu YQ, Jordan K, Howard K. Evaluation of how depression and anxiety mediate the relationship between pain catastrophizing and prescription opioid misuse in a chronic pain population. Pain Med. 2016;17(2):295–303. https://doi.org/10.1111/pme.12886.PubMed Arteta J, Cobos B, Hu YQ, Jordan K, Howard K. Evaluation of how depression and anxiety mediate the relationship between pain catastrophizing and prescription opioid misuse in a chronic pain population. Pain Med. 2016;17(2):295–303. https://​doi.​org/​10.​1111/​pme.​12886.PubMed
12.
go back to reference Manchikanti L, Giordano J, Boswell MV, Fellows B, Manchukonda R, Pampati B. Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients. J Opioid Manag. 2007;5:8. Manchikanti L, Giordano J, Boswell MV, Fellows B, Manchukonda R, Pampati B. Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients. J Opioid Manag. 2007;5:8.
13.
go back to reference Boscarino JA, Rukstalis MR, Hoffman SN, et al. Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria. J Addict Dis. 2011;30(3):185–94.CrossRefPubMed Boscarino JA, Rukstalis MR, Hoffman SN, et al. Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria. J Addict Dis. 2011;30(3):185–94.CrossRefPubMed
14.
go back to reference Broderick JE, Schwartz JE, Schneider S, Stone AA. Can end-of-day reports replace momentary assessment of pain and fatigue? J Pain. 2009;10(3):274–81.CrossRefPubMed Broderick JE, Schwartz JE, Schneider S, Stone AA. Can end-of-day reports replace momentary assessment of pain and fatigue? J Pain. 2009;10(3):274–81.CrossRefPubMed
18.
go back to reference Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45–56.CrossRefPubMed Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45–56.CrossRefPubMed
20.
go back to reference Muthén LK, Muthén BO. Mplus: statistical analysis with latent variables: user’s guide; [Version 5]: Muthén & Muthén. 2007. Muthén LK, Muthén BO. Mplus: statistical analysis with latent variables: user’s guide; [Version 5]: Muthén & Muthén. 2007.
21.
go back to reference Weiss RD, Griffin ML, Mirin SM. Drug abuse as self-medication for depression: an empirical study. Am J Drug Alcohol Abuse. 1992;18(2):121–9.CrossRefPubMed Weiss RD, Griffin ML, Mirin SM. Drug abuse as self-medication for depression: an empirical study. Am J Drug Alcohol Abuse. 1992;18(2):121–9.CrossRefPubMed
22.
go back to reference Dyer KR, White JM, Foster DJ, Bochner F, Menelaou A, Somogyi AA. The relationship between mood state and plasma methadone concentration in maintenance patients. J Clin Psychopharmacol. 2001;21(1):78–84.CrossRefPubMed Dyer KR, White JM, Foster DJ, Bochner F, Menelaou A, Somogyi AA. The relationship between mood state and plasma methadone concentration in maintenance patients. J Clin Psychopharmacol. 2001;21(1):78–84.CrossRefPubMed
26.
go back to reference Kosten TR, Morgan C, Kosten TA. Depressive symptoms during buprenorphine treatment of opioid abusers. J Subst Abus Treat. 1990;7(1):51–4.CrossRef Kosten TR, Morgan C, Kosten TA. Depressive symptoms during buprenorphine treatment of opioid abusers. J Subst Abus Treat. 1990;7(1):51–4.CrossRef
27.
go back to reference Rojas-Corrales MO, Berrocoso E, Gibert-Rahola J, Mico JA. Antidepressant-like effects of tramadol and other central analgesics with activity on monoamines reuptake, in helpless rats. Life Sci. 2002;72(2):143–52.CrossRefPubMed Rojas-Corrales MO, Berrocoso E, Gibert-Rahola J, Mico JA. Antidepressant-like effects of tramadol and other central analgesics with activity on monoamines reuptake, in helpless rats. Life Sci. 2002;72(2):143–52.CrossRefPubMed
Metadata
Title
Predictors of Daily Pain Medication Use in Individuals with Recurrent Back Pain
Authors
John A. Sturgeon
Jennifer M. Hah
Yasamin Sharifzadeh
Stephanie K. Middleton
Thomas Rico
Kevin A. Johnson
Sean C. Mackey
Publication date
01-04-2018
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-017-9686-8

Other articles of this Issue 2/2018

International Journal of Behavioral Medicine 2/2018 Go to the issue