Pain, hedonic regulation, and opioid misuse: Modulation of momentary experience by Mindfulness-Oriented Recovery Enhancement in opioid-treated chronic pain patients

Highlights • Opioid-treated pain patients are at risk for opioid misuse and hedonic deficits. • Mindfulness-Oriented Recovery Enhancement (MORE) was tested to treat these deficits. • MORE was associated with significant reductions in momentary pain. • MORE was associated with significant increases i...

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Bibliographic Details
Published in:Drug and alcohol dependence 2017-04, Vol.173, p.S65-S72
Main Authors: Garland, Eric L, Bryan, Craig J, Finan, Patrick H, Thomas, Elizabeth A, Priddy, Sarah E, Riquino, Michael R, Howard, Matthew O
Format: Article
Language:English
Subjects:
Addiction
Adult
Affect
Affective experiences
Chronic pain
Chronic Pain - drug therapy
Chronic Pain - psychology
Combined Modality Therapy
Drug abuse
Ecological effects
Ecological momentary assessment
Ecological monitoring
Emotional regulation
Female
Humans
Intervention
Linear analysis
Male
Mathematical models
Middle Aged
Mindfulness
Multilevel
Narcotics
Narcotics - adverse effects
Narcotics - therapeutic use
Opioid misuse
Opioid-Related Disorders - psychology
Opioid-Related Disorders - rehabilitation
Opioids
Pain
Pain management
Pain Management - methods
Pain Management - psychology
Pain Measurement
Patient safety
Patients
Pharmacology
Philosophy
Positive affect
Positive emotions
Psychiatry
Recovery
Recovery (Medical)
Reward
Risk
Risk reduction
Self-Help Groups
Substance abuse treatment
Treatment methods
Young Adult
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Summary:Highlights • Opioid-treated pain patients are at risk for opioid misuse and hedonic deficits. • Mindfulness-Oriented Recovery Enhancement (MORE) was tested to treat these deficits. • MORE was associated with significant reductions in momentary pain. • MORE was associated with significant increases in momentary positive affect. • Increases in momentary positive affect predicted decreased opioid misuse.
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2016.07.033