Determining Profiles of Pain-Specific and General Emotion Regulation Skills and Their Relation to 12-Month Outcomes Among People With Chronic Pain

Aaron, Rachel V.; McGill, Lakeya S.; Finan, Patrick H.; Wegener, Stephen T.; Campbell, Claudia M.; Mun, Chung Jung

doi:10.1016/j.jpain.2022.12.002

Cited by 7 publications

(10 citation statements)

References 79 publications

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“…Psychological, behavioral, and social demands relating to the management of multiple mental health conditions, or more directly through dysregulated physiological mechanisms, may limit and/or impair coping strategies. Poor coping strategies, such as avoidance, have been found to contribute to poor emotion regulation, a trans-diagnostic factor underlying mental health disorders and substance use disorder, 31,32 and critical for the capacity to manage mental health distress and Chronic pain 57 and highly relevant to those with OUD. 57,58 Clinically, these findings support the identified need for greater mental health support for individuals receiving methadone or buprenorphine treatment, and point to the importance of complementary and integrative health (CIH) approaches that promote regulatory skills.…”

Section: Discussionmentioning

confidence: 99%

“…Poor coping strategies, such as avoidance, have been found to contribute to poor emotion regulation, a trans-diagnostic factor underlying mental health disorders and substance use disorder, 31,32 and critical for the capacity to manage mental health distress and Chronic pain 57 and highly relevant to those with OUD. 57,58 Clinically, these findings support the identified need for greater mental health support for individuals receiving methadone or buprenorphine treatment, and point to the importance of complementary and integrative health (CIH) approaches that promote regulatory skills. 57 CIH approaches, and specifically mind-body interventions, are considered best practice for the treatment of Chronic pain and stressrelated disease.…”

Section: Discussionmentioning

confidence: 99%

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Mental Health Distress Is Associated With Higher Pain Interference in Patients With Opioid Use Disorder Stabilized on Buprenorphine or Methadone

Leyde,

Price,

Colgan

et al. 2024

Substance Use & Addiction Journal

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Background: The relationships between opioid use disorder (OUD), chronic pain, and mental health distress are complex and multidirectional. The objective of this exploratory study was to examine the relationship between mental health conditions and Chronic pain severity and interference among patients stabilized on either buprenorphine or methadone. Methods: We report baseline data from a randomized trial of a mind-body intervention conducted at 5 outpatient clinics that provided either buprenorphine or methadone treatment. Validated scales were used to measure substance use, mental health distress, and pain severity and interference. Statistical analyses examined the relationship between mental health conditions and pain severity and interference. Results: Of 303 participants, 57% (n = 172) reported Chronic pain. A total of 88% (n = 268) were prescribed buprenorphine. Mental health conditions were common, with one-quarter of the sample screening positive for all 3 mental health conditions (anxiety, depression, and posttraumatic stress disorder [PTSD]). Compared to participants without Chronic pain, participants with Chronic pain were more likely to screen positive for moderate-severe anxiety (47% vs 31%); moderate-severe depression (54% vs 41%); and the combination of anxiety, depression, and PTSD (31% vs 18%). Among participants with Chronic pain, mental health conditions were associated with higher pain interference. Pain severity was higher among participants with mental health conditions, but only reached statistical significance for depression. Pain interference scores increased with a higher number of co-occurring mental health conditions. Conclusions: Among individuals stabilized on either buprenorphine or methadone, highly symptomatic and comorbid mental health distress is common and is associated with increased pain interference. Adequate screening for, and treatment of, mental health conditions in patients with OUD and Chronic pain is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mental Health Distress Is Associated With Higher Pain Interference in Patients With Opioid Use Disorder Stabilized on Buprenorphine or Methadone

Leyde,

Price,

Colgan

et al. 2024

Substance Use & Addiction Journal

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“…Following the predictions emerging from PSI theory, for improving the long-term effectiveness of IMPT, it may be important taking into account individual deficits in the intuitive up-regulation of positive (self-motivation) and down-regulation of negative affect (self-soothing). Converging evidence points towards emotion regulation as a potentially unifying mechanism underlying diverse psychopathological symptom presentations, ranging from depression and anxiety disorders to chronic pain ( 107 , 108 , 110 , 127 ). Recently, a multicenter RCT in patients with persistent medically unexplained physical symptoms revealed that therapy outcomes of CBT can be improved by emotion regulation training ( 128 ).…”

Section: Implications Of Psi Theory For Imptmentioning

confidence: 99%

Section: Flexible Goal Management and Pain Acceptancementioning

confidence: 99%

“…A growing body of research relates chronic pain with various emotion regulation difficulties, including the up-and downregulation of both positive and negative affect (107)(108)(109)(110)(111). Emotion regulation has even been suggested to serve as a transdiagnostic factor underlying chronic pain and comorbidities such as opioid dependence, for example (107). Along the same lines, a mixed-methods study by Owens et al (104) revealed that patients achieving well-being despite chronic pain possess the ability to deal with unpleasant feelings such as grief, shame and fear.…”

Section: Flexible Goal Management and Pain Acceptancementioning

confidence: 99%

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Personality systems interactions theory: an integrative framework complementing the study of the motivational and volitional dynamics underlying adjustment to chronic pain

Kästner,

Petzke

2024

Front. Pain Res.

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In the endeavor to advance our understanding of interindividual differences in dealing with chronic pain, numerous motivational theories have been invoked in the past decade. As they focus on relevant, yet different aspects of the dynamic, multilevel processes involved in human voluntary action control, research findings seem fragmented and inconsistent. Here we present Personality Systems Interactions theory as an integrative meta-framework elucidating how different motivational and volitional processes work in concert under varying contextual conditions. PSI theory explains experience and behavior by the relative activation of four cognitive systems that take over different psychological functions during goal pursuit. In this way, it may complement existing content-related explanations of clinical phenomena by introducing a functional, third-person perspective on flexible goal management, pain acceptance and goal maintenance despite pain. In line with emerging evidence on the central role of emotion regulation in chronic pain, PSI theory delineates how the self-regulation of positive and negative affect impacts whether behavior is determined by rigid stimulus-response associations (i.e., habits) or by more abstract motives and values which afford more behavioral flexibility. Along with testable hypotheses, multimodal interventions expected to address intuitive emotion regulation as a central process mediating successful adaptation to chronic pain are discussed.

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Affect regulation as transdiagnostic mechanism

Schemer,

In-Albon,

Basten

et al. 2024

Psychotherapie

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Determining Profiles of Pain-Specific and General Emotion Regulation Skills and Their Relation to 12-Month Outcomes Among People With Chronic Pain

Cited by 7 publications

References 79 publications

Mental Health Distress Is Associated With Higher Pain Interference in Patients With Opioid Use Disorder Stabilized on Buprenorphine or Methadone

Mental Health Distress Is Associated With Higher Pain Interference in Patients With Opioid Use Disorder Stabilized on Buprenorphine or Methadone

Personality systems interactions theory: an integrative framework complementing the study of the motivational and volitional dynamics underlying adjustment to chronic pain

Affect regulation as transdiagnostic mechanism

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