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International Journal of Behavioral Medicine

Erschienen in:

26.06.2020 | Full length manuscript

The Role of Anxiety Sensitivity in the Relation Between Pain Intensity with Substance Use and Anxiety and Depressive Symptoms Among Smokers with Chronic Pain

verfasst von: Michael J. Zvolensky, Andrew H. Rogers, Lorra Garey, Joseph W. Ditre, Justin M. Shepherd, Andres G. Viana, Brooke Y. Kauffman, Michael Businelle

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2020

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Abstract

Background

The additive effect of experiencing chronic pain in the context of nicotine addiction places smokers with chronic pain at elevated risk for experiencing physical and mental health problems. Isolating factors that explain linkages between pain and health-related outcomes among smokers with chronic pain is an important next step. Therefore, the current study examined the explanatory role of anxiety sensitivity in relations between pain intensity and current opioid misuse, severity of opioid dependence, tobacco-related problems, and anxiety/depressive symptoms.

Method

Participants were 187 (M_age = 39.02, SD = 9.94, 74.9% female) daily smokers with chronic pain who completed a battery of self-report measures on pain experience, anxiety sensitivity, tobacco and opioid use, and anxiety/depression symptoms. Indirect effect analyses were conducted to examine anxiety sensitivity as a mediator of the relations between pain intensity and health-related outcomes.

Results

A significant indirect effect emerged for pain intensity, through anxiety sensitivity, on opioid misuse (ab = 0.83, SE = 0.24, 95% CI [0.39, 1.34], CSE = 0.17), severity of opioid dependence (ab = 0.17, SE = 0.05, 95% CI [0.08, 0.26], CSE = 0.16), tobacco use problems (ab = 0.16, SE = 0.06, 95% CI [0.07, 0.28], CSE = 0.11), and anxiety/depressive symptoms (ab = 0.20, SE = 0.06, 95% CI [0.10, 0.31], CSE = 0.19).

Conclusion

The current investigation highlights the potential importance of anxiety sensitivity in terms of the experience of pain with severity of substance use and anxiety/depressive symptoms among smokers with chronic pain.

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Titel: The Role of Anxiety Sensitivity in the Relation Between Pain Intensity with Substance Use and Anxiety and Depressive Symptoms Among Smokers with Chronic Pain
verfasst von: Michael J. Zvolensky
Andrew H. Rogers
Lorra Garey
Joseph W. Ditre
Justin M. Shepherd
Andres G. Viana
Brooke Y. Kauffman
Michael Businelle
Publikationsdatum: 26.06.2020
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 6/2020
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-020-09914-4

Springer Medizin

Abstract

Background

Method

Results

Conclusion

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