Evidence map›Paper›PMID 25282309›Full record

Trial reportDrug and alcohol dependence2014

Opioid attentional bias and cue-elicited craving predict future risk of prescription opioid misuse among chronic pain patients.

Eric L Garland, Matthew O Howard

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  12. Review
  13. A neuroeconomic signature of opioid craving: How fluctuations in craving bias drug-related and nondrug-related value.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article
  14. Article
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  18. Behavioral preference for viewing drugPsychological medicine · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Eric L GarlandIntegrative Medicine, Huntsman Cancer Institute, University of Utah, 395 South, 1500 East, Salt Lake City, UT 84112, United States; College of Social Work & Huntsman Cancer Institute, University of Utah, 395 South, 1500 East, Salt Lake City, UT 84112, United States.
Matthew O HowardUniversity of North Carolina, Chapel Hill, Tate Turner Kuralt Bldg. 325 Pittsboro St. no. 3550, Chapel Hill, NC 27599, United States.
Huntsman Cancer Institute · US

Funding

Targeting Military Opioid Misuse with Mindfulness-Oriented Recovery EnhancementR34DA037005 · NIDA · UNIVERSITY OF UTAH · PI GARLAND, ERIC LEE · 2013 to 2015
$667k
Mindfulness-Oriented Recovery Enhancement For Chronic Pain Patients Receiving OpiR03DA032517 · NIDA · FLORIDA STATE UNIVERSITY · PI GARLAND, ERIC LEE · 2011 to 2012
$74k
NIDA NIH HHS DA032517NIDA NIH HHS DA037005NIDA NIH HHS R03 DA032517NIDA NIH HHS R34 DA037005
6 · The paper itself

Abstract

backgroundSome chronic pain patients receiving long-term opioid analgesic pharmacotherapy are at risk for misusing opioids. Like other addictive behaviors, risk of opioid misuse may be signaled by an attentional bias (AB) towards drug-related cues. The purpose of this study was to examine opioid AB as a potential predictor of opioid misuse among chronic pain patients following behavioral treatment.

methodsChronic pain patients taking long-term opioid analgesics (n=47) completed a dot probe task designed to assess opioid AB, as well as self-report measures of opioid misuse and pain severity, and then participated in behavioral treatment. Regression analyses examined opioid AB and cue-elicited craving as predictors of opioid misuse at 3-month posttreatment follow-up.

resultsPatients who scored high on a measure of opioid misuse risk following treatment exhibited significantly greater opioid AB scores than patients at low risk for opioid misuse. Opioid AB for 200 ms cues and cue-elicited craving significantly predicted opioid misuse risk 20 weeks later, even after controlling for pre-treatment opioid dependence diagnosis, opioid misuse, and pain severity (Model R(2)=.50).

conclusionBiased initial attentional orienting to prescription opioid cues and cue-elicited craving may reliably signal future opioid misuse risk following treatment. These measures may therefore provide potential prognostic indicators of treatment outcome.

Indexed as

AttentionCravingCuesAdultAnalgesics, OpioidChronic PainFemaleHumansMaleMiddle AgedOpioid-Related DisordersPredictive Value of TestsPrescription Drug MisuseRisk FactorsSelf ReportAnalgesics, OpioidAttentional biasChronic painCue-reactivityDot probeImplicit cognitionOpioid misuse

Identifiers

PMID25282309
PMCPMC4252536
OpenAlexW2068894492

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.