Emotional risk factors for substance abuse in a chronic pain population: Developing a predictive model and testing methods for assessing stigmatized behaviors

摘要: There are currently few factors guiding physicians' decisions as to whether an individual patient may need additional regulation of pain medications because of risks. The limited predictive factors applied to prescription opioid abuse in chronic pain patients is surprising given the breadth of personal, cognitive, and emotional factors explored in both chronic pain and substance abuse literatures broadly. The present study had two purposes. First, concurrent risk factors for prescription misuse and substance abuse in chronic pain patients were explored, specifically examining whether the addition of emotional factors to the traditionally used risk factors improves prediction of prescription and substance misuse. The present study also experimentally examined whether an enhanced interview condition would lead to increased disclosure of prescription misuse, other drug use, and traumatic events, by normalizing the …