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Profile of chronic pain patients with opioid withdrawal syndrome according to psychological factors: a Latent Class Analysis.
Rodríguez-Espinosa, Sara; Coloma-Carmona, Ainhoa; Pérez-Carbonell, Ana; Román-Quiles, José Francisco; Carballo, José Luis.
Afiliación
  • Rodríguez-Espinosa S; Center for Applied Psychology, Department of Health Psychology, Miguel Hernández University, Avenida Universidad, s/n, 03202, Elche, Spain.
  • Coloma-Carmona A; Center for Applied Psychology, Department of Health Psychology, Miguel Hernández University, Avenida Universidad, s/n, 03202, Elche, Spain.
  • Pérez-Carbonell A; University General Hospital of Elche, Camino de la Almazara, 11, 03203, Elche, Spain.
  • Román-Quiles JF; University General Hospital of Elche, Camino de la Almazara, 11, 03203, Elche, Spain.
  • Carballo JL; Center for Applied Psychology, Department of Health Psychology, Miguel Hernández University, Avenida Universidad, s/n, 03202, Elche, Spain.
J Stud Alcohol Drugs ; 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39042086
ABSTRACT

OBJECTIVE:

Withdrawal syndrome stands out as the strongest risk factor for Prescription Opioid-Use Disorder (POUD) and is related to psychological and pain impairment in chronic pain population. This study aimed to identify profiles of chronic pain patients with opioid withdrawal based on psychological factors, and to explore the association between the classes and demographic, clinical, and substance use variables.

METHOD:

This cross-sectional descriptive study involved 391 patients, 221 of them with interdose withdrawal (mean age=57.91±13.61 years; 68.3% female). Latent Class Analysis (LCA) and bivariate and logistic regression analyses were performed.

RESULTS:

Two latent classes were identified (BIC=4020.72, entropy=0.70, LRTs p<0.01) Withdrawal syndrome with No Psychological Distress (WNPD; 45.2%, n=100) and Withdrawal syndrome with Psychological Distress (WPD; 54.8%, n=121). The WPD class was more likely to experience craving, anxiety, and depression, and to report higher levels of pain intensity and interference (p<0.01). Patients in this class were younger, visited a higher number of specialists, and showed higher rates of high-dose opioid use, misuse, moderate-severe POUD, and tobacco and anxiolytics use (p<0.05). Only moderate-severe POUD (OR=2.64) and tobacco use (OR=2.28) increased the risk of WPD class membership.

CONCLUSIONS:

Although it is common for chronic pain patients to experience withdrawal symptoms during opioid treatment, more than a half of the participants reported concomitant psychological distress. Establishing differential profiles can help to improve withdrawal syndrome management during the treatment of chronic pain with opioids.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Stud Alcohol Drugs Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Stud Alcohol Drugs Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos