Sex differences in the relationship between anxiety sensitivity and opioid misuse among adults with chronic pain.

Sex differences in the relationship between anxiety sensitivity and opioid misuse among adults with chronic pain. Addict Behav. 2019 Oct 17;102:106156 Authors: Rogers AH, Manning K, Garey L, Smit T, Zvolensky MJ Abstract The opioid epidemic is a significant public health concern linked to chronic pain. Despite efforts to change opioid prescribing practices for chronic pain, opioid-involved overdoses remain at an all-time high. Research focused on identifying individual difference factors for problematic opioid misuse in the context of chronic pain have identified certain psychological variables that may confer heightened risk for opioid-related problems. Anxiety sensitivity, or fear of anxiety-related physical sensations, has been linked to opioid-related problems among adults with chronic pain. Yet, it is possible that these relations may not be distributed equally in society, and sex differences may be one avenue by which these relations differ. Therefore, the current study examined the moderating role of sex on the relation between anxiety sensitivity, current opioid misuse, and severity of opioid dependence among 428 adults (74.9% female, Mage = 38.28 years, SD = 11.06) with chronic pain. Results indicated that the relation between anxiety sensitivity and current opioid misuse (ΔR2 = 0.005, B = 0.12, SE = 0.06, p = 0.04), and opioid dependence (ΔR2 = 0.01, B = 0.04, SE = 0.02, p = 0.007) was stron...
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research

Related Links:

What is a Benzodiazepine? Benzodiazepines are a prescription drug sedative used to treat a variety of conditions. They are classified as Schedule IV in the Controlled Substances Act. Some of the conditions that Benzodiazepine can treat include: Insomnia Anxiety Seizures Muscle tension Panic disorders When used as prescribed under the supervision of a medical professional, Benzodiazepines can be very useful in the treatment of these disorders. Many people are able to live healthy, happy lives while taking Benzodiazepines to curb the symptoms of their various conditions. However, because of the addictive nature of Benzodia...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Uncategorized benzo benzodiazepines prescription drug abuse prescription drug addiction prescription drug use prescription pills Source Type: blogs
With all the news media accounts and reports from governmental health organizations about the opioid epidemic, including the 70,237 drug overdose deaths in 2017, a newly emerging threat is gaining attention: use and misuse of benzodiazepines, opioid drugs and Z-drugs. Specifically, combining these three drugs can create a deadly combination that snuffs out lives. Benzodiazepine Overdose Deaths on the Rise Benzodiazepines, a class of sedative narcotic drugs including Xanax and Valium used to treat anxiety, insomnia and other disorders and classified as Schedule IV under the Controlled Substances Act by the Drug Enforcement ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Substance Abuse Suicide Source Type: news
We  learned last week that the 2017 drug overdose numbers reported by the US Centers for Disease Control and Prevention clearly show most opioid-related deaths are due to illicit fentanyl and heroin, while deaths due to prescription opioids have stabilized, continuing a steady trend for the past several years. I’ve encouraged using the term “Fentanyl Crisis” rather than “Opioid Crisis” to describe the situation, because it more accurately points to its cause—nonmedical users accessing drugs in the dangerous black market fueled by drug prohibition—hoping thi...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
ConclusionsOur current opioid prescription practice for postoperative pain management may exceed what patients need.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
As we follow the national opioid epidemic, with its greater than five deaths per hour from opioid overdoses, the focus is shifting to methods for limiting an individual’s exposure to these drugs. For most of us, our first contact with these highly addictive medications is after surgery. Studies now reveal that 60 percent of pills prescribed for pain after surgery go unused. These opioids often make their way to other family members, are kept for continued use by the surgical patient to maintain a feeling of euphoria, or even find their way out into the community. Limiting the number of pills and refills prescribed is...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Surgery Source Type: blogs
Abstract Opioid misuse, including the use of heroin and the overprescribing, misuse, and diversion of opioid pain medications, has reached epidemic proportions in the United States. As a result, there has been a dramatic increase in opioid use disorder and associated overdoses and deaths. Addiction is a chronic brain disease with a genetic component that affects motivation, inhibition, and cognition. Patient characteristics associated with successful buprenorphine maintenance treatment include stable or controlled medical or psychiatric comorbidities and a safe, substance-free environment. As a partial opioid agon...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Psychosocial stress, defined here as socioenvironmental demands that tax the adaptive capacity of the individual (e.g., low socioeconomic status, childhood adversity, bullying), has repeatedly been linked to substance use disorders (SUDs). Neighborhood poverty and social support are shown to influence substance use patterns. Among smokers, multiple psychosocial stressors are associated with relapse, and acute psychosocial stress has been demonstrated to enhance cigarette craving and smoking behavior. Similarly, psychosocial stress has been associated with greater risk of relapse in individuals with alcohol and cocaine use ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
ConclusionsOur current opioid prescription practice for postoperative pain management may exceed what patients need.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
This past week, Governor John Kasich of Ohio issued an executive order limiting the amount of opioids doctors and dentists can prescribe to no more than a 7 day supply. Failure to comply could result in disciplinary action, including loss of license. Exceptions exist only for patients with cancer or those enrolled in hospice programs. For all the rest, it represents a hard full stop. No longer will the chronic pain sufferer, the woman status post lumbar back fusion x 3, be able to get a prescription for a month's supply of oxycodone with 3 refills.On the surface this appears to be a reasonable initiativ...
Source: Buckeye Surgeon - Category: Surgery Authors: Source Type: blogs
The United States is struggling to deal with an opioid epidemic that is damaging lives, resulting in overdoses, and yet not reducing chronic pain. National initiatives are underway to dramatically reduce access to prescription opioids, but these efforts lack a systematic approach to provide alternative treatments for these patients. Policy changes are urgently needed to provide better care for patients with chronic pain, and in this post, we outline three feasible policy initiatives. Innovative reimbursement initiatives by the Centers for Medicare and Medicaid Services (CMS) could frame and stimulate use of evidence-based ...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Drugs and Medical Technology Health Professionals Public Health Quality chronic pain Opioid Addiction opioids Source Type: blogs
More News: Addiction | Anxiety | Chronic Pain | Epidemics | Epidemiology | International Medicine & Public Health | Overdose | Pain | Psychology | Science | Study