ArticleInternational journal of environmental research and public health2021
Pain Acceptance Creates an Emotional Context That Protects against the Misuse of Prescription Opioids: A Study in a Sample of Patients with Chronic Noncancer Pain.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Which outcome variables are associated with psychological inflexibility/flexibility for chronic pain patients? A three level meta-analysis.Frontiers in psychology · 2022Pooled it
- Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis.Frontiers in psychiatry · 2022Pooled it
- Pain Acceptance in Chronic Postoperative Pain: Concept Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025Article
- The Mediating Role of Psychological Flexibility and Inflexibility Between Impulsivity and Opioid Misuse in People With Chronic Noncancer Pain.European journal of pain (London, England) · 2025Article
- Article
- To be aware, or to accept, that is the question: Differential roles of awareness of automaticity and pain acceptance in opioid misuse.Drug and alcohol dependence · 2023Article
- Physicians' perception about predictors of opioid abuse in patients with chronic non-cancer pain: a Delphi study.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Chronic pain acceptance: Relations to opioid misuse and pain management motives among individuals with chronic low back pain.Addictive behaviors · 2023Article
- Influence of Stabilization Techniques Used in the Treatment of Low Back Pain on the Level of Kinesiophobia.International journal of environmental research and public health · 2021Article
- Is one-minute difference in operation time meaningful?Journal of the Chinese Medical Association : JCMA · 2021Article
- Pain Catastrophizing and Substance Misuse: A Scoping Review of the Literature.Harvard review of psychiatryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is solid evidence of an association between several psychological flexibility processes, particularly pain acceptance, and adaptation to chronic pain. However, there are relatively few studies on the relationship between pain acceptance and opioid misuse in chronic pain patients. Thus, the aim of the present study was to test a hypothetical model in which pain acceptance would regulate pain sensations and pain-related thoughts and emotions, which would be related to opioid misuse. The sample comprised 140 chronic pain patients attending two hospitals. All patients were receiving pharmacological treatment, including opioid analgesics. Structural equation modelling analyses showed a significant association between higher pain acceptance and lower pain intensity and catastrophizing, and lower levels of anxiety and depression. Only higher anxiety and depression were significantly associated with increased opioid misuse. The results suggest that levels of anxiety, depression, and pain acceptance must be assessed before opioids are prescribed. Pain acceptance implies a relationship with internal events that protects against anxiety and depression and thus against opioid misuse. Acceptance and Commitment Therapy appears to be particularly appropriate for these patients.
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Registered trials
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.