Patients’ self‐reported physical and psychological effects of opioid use in chronic noncancer pain—A retrospective cross‐sectional analysis

Schulte, Erica M.; Spies, Claudia; Denke, Claudia; Meerpohl, Joerg J; Donner-Banzhoff, Norbert; Petzke, Frank; Hertwig, Ralph; Schäfer, Michael; Wegwarth, Odette

doi:10.1002/ejp.1868

Cited by 4 publications

(2 citation statements)

References 32 publications

(30 reference statements)

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“…Opioids may impair the assessment of one's own quality of life through central nervous system side effects depending on the dose, speed of dose escalation and on comorbidities and co-medication [44]. Patients' self-reported physical and psychological effects of opioid use in chronic non-cancer pain showed that improvement in general well-being irrespective of pain relief was experienced by 40% of the patients with chronic pain and opioid intake [45].…”

Section: Discussionmentioning

confidence: 99%

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

Kleinmann

Wolter

2022

JCM

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Background: Chronic pain is a complex biopsychosocial phenomenon. Lifestyle, behavioral, socioeconomic, and psychosocial factors such as depression and perceived injustice are often associated with the development of chronic pain and vice versa. We sought to examine the interaction of these factors with opioid intake. Methods: At our institution, 164 patients with chronic pain undergoing an interdisciplinary assessment within a three-month period participated in the study and completed the Injustice Experience Questionnaire (IEQ). Data regarding opioid intake, pain levels, pain diagnosis, depression, anxiety, stress, quality of life, pain-related disability, habitual well-being, occupational status, and ongoing workers compensation litigation were extracted from the patients’ charts. Results: Approximately one-fourth of the patients used opioids. The IEQ total was significantly higher in patients using Schedule III opioids. Depression, but not the anxiety and stress scores, were significantly higher in patients using opioids. There were no significant differences regarding pain-related disability, habitual well-being, and the coded psychosocial diagnoses. In the patient group without opioids, the percentage of employed persons was significantly higher but there were no significant differences regarding work leave, pension application, or professional education. Conclusions: Opioid use appears to be more closely related to psychological factors and single social determinants of pain than to somatic factors.

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Section: Discussionmentioning

confidence: 99%

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

Kleinmann

Wolter

2022

JCM

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“…Patients, on the other hand, initially have no experience with the intervention; they can refer only to summary descriptions of benefits and harms such as fact boxes ( Fig. 1 ); with time, however, they move from being an “experiential blank slate” to an “experiential authority” (e.g., experiencing the consequences of long-term use of strong opioids; Schulte et al, 2021 ). Furthermore, the lessons that description and experience convey do not necessarily converge; they sometimes contradict each other.…”

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confidence: 99%

A Description–Experience Framework of the Psychology of Risk

Hertwig

Wulff

2021

Perspect Psychol Sci

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The modern world holds countless risks for humanity, both large-scale and intimately personal—from cyberwarfare, pandemics, and climate change to sexually transmitted diseases and drug use and abuse. Many risks have prompted institutional, regulatory, and technological countermeasures, the success of which depends to some extent on how individuals learn about the risks in question. We distinguish between two powerful but imperfect teachers of risk. First, people may learn by consulting symbolic and descriptive material, such as warnings, statistics, and images. More often than not, however, a risk’s fluidity defies precise description. Second, people may learn about risks through personal experience. Responses to risk can differ systematically depending on whether people learn through one mode, both, or neither. One reason for these differences—and by no means the only reason—is the discrepancy in the cognitive impact that rare events (typically the risk event) and common events (typically the nonoccurrence of the risk event) have on the decision maker. We propose a description–experience framework that highlights not only the impact of each mode of learning but also the effects of their interplay on individuals’ and collectives’ responses to risk. We outline numerous research questions and themes suggested by this framework.

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Fenomenologia intoxicaţiei acute cu substanţe – de la date clinice la autoexperimente în mediul ştiinţific şi literar (I)

Vasiliu

2024

Psihiatru.ro

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Patients’ self‐reported physical and psychological effects of opioid use in chronic noncancer pain—A retrospective cross‐sectional analysis

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 4 publications

References 32 publications

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

A Description–Experience Framework of the Psychology of Risk

Fenomenologia intoxicaţiei acute cu substanţe – de la date clinice la autoexperimente în mediul ştiinţific şi literar (I)

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