Alcohol use self report in chronic back pain—relationships to psychosocial factors, function performance, and medication use

Booker, Ethan; Haig, Andrew J.; Geisser, Michael E.; Yamakawa, Karen

doi:10.1080/09638280310001608609

Cited by 25 publications

(19 citation statements)

References 39 publications

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“…Recent studies have indicated that while health care providers are aware of the contraindications between alcohol and drugs, health outcomes are not regularly assessed(7). A study of patients attending a pain rehabilitation clinic found no difference in narcotic analgesic use between heavy and light drinkers(10), which suggests health care providers and/or patients pay insufficient attention to manufacturer’s warnings against mixing alcohol and narcotics. These findings serve to alert clinicians to assess for alcohol use in patients being treated for pain and to provide education about the problems associated with mixing alcohol with pain medications.…”

Section: Discussionmentioning

confidence: 99%

Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community Sample

Riley

King

2009

The Journal of Pain

185

111

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This study examined the occurrence of alcohol use to manage pain in community-dwelling adults with tooth pain, jaw joint/face pain, and arthritis. Race/ethnicity, sex, and age were examined to determine their associations with alcohol use for pain. Community-dwelling adults from South Florida with tooth pain (n=1767), jaw joint/face pain (n=1199), or arthritis pain (n=1355) completed a structured telephone interview. Logistic regression models indicted that, similar to population rates, non-Hispanic Whites and males were the most likely to use alcohol to manage pain. In addition, alcohol use for pain was highest in younger adults. Individuals who self-managed oral pain with alcohol were more likely to use prescription and over-the-counter pain medications, but this association was not found for arthritis. Additional characteristics of individuals who self-medicated regardless of pain condition included greater pain frequency, depression, and higher levels of education. Being married was protective against the use of alcohol to manage pain symptoms. Use of alcohol for pain should be assessed during treatment evaluation so that physicians and other health care providers are aware of their patient’s use of alcohol and pain medication concomitantly, assess for psychosocial impairment, and make the appropriate referrals and adjustment to treatment. Perspective Self-medication of pain with alcohol is most common among younger non-Hispanic White males and associated with pain frequency, depression, and use of pain medications. Alcohol use for pain needs to be assessed so that health care providers can make appropriate referrals and adjustments to treatment.

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Section: Discussionmentioning

confidence: 99%

Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community Sample

Riley

King

2009

The Journal of Pain

185

111

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“…Similar results have been observed among patients with rheumatoid arthritis (Kondo et al, 2007) and chronic back pain (Gorman et al, 1987), and one study observed slightly lower pain intensity ratings among alcohol users (vs. nonusers) following traumatic injury (Rivara et al, 2008). Finally, in one study of patients referred for chronic back pain assessment, males who reported drinking 12 or more drinks per week performed better on tests of physical functioning, relative to lighter drinking and abstinent patients (Booker, Haig, Geisser, & Yamakawa, 2003). However, given that alcohol consumption was reported as a categorical variable, it is not possible to know whether some of the participants in that study drank at levels above the cut point for moderate drinking (i.e., > 14 drinks/week for adult males; USDHHS, 2010).…”

Section: Effects Of Alcohol On Painmentioning

confidence: 99%

“…First, fear-avoidance models of chronic pain posit that pain-related fear (e.g., fear of movement, re-injury, or pain) is an important psychological factor associated with the development and course of chronic pain conditions (Leeuw et al, 2007), and meta-analytic estimates indicate a robust association between pain-related fear and disability outcomes (Zale, Lange, Fields, & Ditre, 2013). One possibility is that as alcohol consumption facilitates disinhibition, the salience of fear-avoidance mechanisms may be reduced, which could, in turn, enhance pain-related functioning (Booker et al, 2003). There is also reason to believe that observations of improved quality of life and reduced disability may be related to social integration and stress-relieving effects of alcohol.…”

Section: Effects Of Alcohol On Painmentioning

confidence: 99%

Interrelations between pain and alcohol: An integrative review

Zale

Maisto

Ditre

2015

Clinical Psychology Review

209

159

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Pain and alcohol use are both highly prevalent in the general population, and pain-alcohol interrelations are of increasing empirical interest. Previous research has identified associations between pain and alcohol dependence, and the current review provides novel contributions to this emerging domain by incorporating studies that have tested relations between pain and low-to-moderate alcohol consumption, and by identifying potential psychosocial mechanisms of action. Specifically, we sought to integrate evidence of pain-alcohol relations derived from two directions of empirical inquiry (i.e., effects of alcohol on pain and effects of pain on alcohol use) across psychological, social, and biological literatures. We observed converging evidence that associations between alcohol consumption and pain may be curvilinear in nature. Whereas moderate alcohol use was observed to be associated with positive pain-related outcomes (e.g., greater quality of life), excessive drinking and alcohol use disorder appear to be associated with deleterious pain-related outcomes (e.g., greater pain severity). We also observed evidence that alcohol administration confers acute pain-inhibitory effects, and that situational pain may motivate alcohol consumption (e.g., drinking for pain-coping). Future research can inform theoretical and clinical applications through examination of temporal relations between pain and alcohol consumption, tests of hypothesized mechanisms, and the development of novel interventions.

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“…Similar studies of proximal risks such as dependence severity, emotional distress, and social support and recovery resources provide further support for proximal risks’ potential role in increasing or decreasing the probability of relapse to problematic alcohol use (e.g., Garland, Franken, & Howard, 2012; Moos & Moos, 2006; Witkiewitz & Villarroel, 2009; Witkiewitz, 2011). Despite the identification of multiple risk factors, very few studies—and few theoretical models—have acknowledged the common experience of physical pain and pain interference as potential predictors of alcohol treatment outcomes (Booker, Haig, Geisser, & Yamakawa, 2003; Witkiewitz, Vowles, McCallion, Frohe, Kirouac, & Maisto, in press). This gap in the literature is surprising given evidence supporting the relationship between pain and negative affect (e.g., Davis, Zautra, & Smith, 2004), as well as the association between negative affect and alcohol use (Witkiewitz & Villarroel, 2009).…”

Section: Introductionmentioning

confidence: 99%

Association between physical pain and alcohol treatment outcomes: The mediating role of negative affect.

Witkiewitz¹,

McCallion²,

Vowles³

et al. 2015

Journal of Consulting and Clinical Psychology

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Objective Physical pain and negative affect have been described as risk factors for alcohol use following alcohol treatment. The current study was a secondary analysis of two clinical trials for alcohol use disorder (AUD) to examine the associations between pain, negative affect and AUD treatment outcomes. Method Participants included 1383 individuals from the COMBINE Study (COMBINE Study Group, 2003; 31% female, 23% ethnic minorities, average age=44.4 (SD=10.2)), a multisite combination pharmacotherapy and behavioral intervention study for AUD in the United States, and 742 individuals from the United Kingdom Alcohol Treatment Trial (UKATT Research Team, 2001; 25.9% female, 4.4% ethnic minorities, average age=41.6 (SD=10.1)) a multisite behavioral intervention study for AUD in the United Kingdom. The Form-90 was used to collect alcohol use data, the Short Form Health Survey and Quality of Life measures were used to assess pain, and negative affect was assessed using the Brief Symptom Inventory (COMBINE) and the General Health Questionnaire (UKATT). Results Pain scores were significantly associated with drinking outcomes in both datasets. Greater pain scores were associated with greater negative affect and increases in pain were associated with increases in negative affect. Negative affect significantly mediated the association between pain and drinking outcomes and this effect was moderated by social behavior network therapy (SBNT) in the UKATT study, with SBNT attenuating the association between pain and drinking. Conclusion Findings suggest pain and negative affect are associated among individuals in AUD treatment and that negative affect mediated pain may be a risk factor for alcohol relapse.

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Alcohol use self report in chronic back pain—relationships to psychosocial factors, function performance, and medication use

Cited by 25 publications

References 39 publications

Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community Sample

Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community Sample

Interrelations between pain and alcohol: An integrative review

Association between physical pain and alcohol treatment outcomes: The mediating role of negative affect.

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