دورية أكاديمية

Emotion Regulation as a Transdiagnostic Factor Underlying Co-Occurring Chronic Pain and Problematic Opioid Use.

التفاصيل البيبلوغرافية
العنوان: Emotion Regulation as a Transdiagnostic Factor Underlying Co-Occurring Chronic Pain and Problematic Opioid Use.
المؤلفون: Aaron, Rachel V.1 raaron4@jhmi.edu, Finan, Patrick H.1, Wegener, Stephen T.1, Keefe, Francis J.2, Lumley, Mark A.3
المصدر: American Psychologist. Sep2020, Vol. 75 Issue 6, p796-810. 15p.
مصطلحات موضوعية: *CHRONIC pain & psychology, *SUBSTANCE abuse prevention, *SUBSTANCE abuse & psychology, *AFFECT (Psychology), *ANALGESICS, *CHRONIC pain, *COGNITION, *PSYCHOLOGICAL distress, *EMOTIONS, *NARCOTICS, *PSYCHOTHERAPY, *SELF-control
مستخلص: Chronic pain is a common and costly condition, and some people with chronic pain engage in problematic opioid use. There is a critical need to identify factors underlying this co-occurrence, so that treatment can be targeted to improve outcomes. We propose that difficulty with emotion regulation (ER) is a transdiagnostic factor that underlies the co-occurrence of chronic pain and problematic opioid use (CP-POU). In this narrative review, we draw from prominent models of ER to summarize the literature characterizing ER in chronic pain and CP-POU. We conclude that chronic pain is associated with various ER difficulties, including emotion identification and the up- and down-regulation of both positive and negative emotion. Little research has examined ER specifically in CP-POU; however, initial evidence suggests CP-POU is characterized by difficulties with ER that are similar to those found in chronic pain more generally. There is great potential to expand the treatment of ER to improve pain-related outcomes in chronic pain and CP-POU. More research is needed, however, to elucidate ER in CP-POU and to determine which types of ER strategies are optimal for different clinical presentations and categories of problematic opioid use. Public Significance Statement: This article reviews research on emotion regulation, the process of changing or maintaining one's emotions, in people with chronic pain and co-occurring chronic pain and problematic opioid use. These groups have varied difficulties with emotion regulation which can be targeted in psychological treatment. However, more research is needed to clarify the role of emotion regulation and how it can be best incorporated into psychological treatment to improve pain and opioid use. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:0003066X
DOI:10.1037/amp0000678