Anger and substance use in HIV-positive patients with chronic pain

Chronic pain increases the risk of substance use in people living with HIV (PLWH). Depression and anxiety have also been identified as risk factors for substance use among PLWH. Relatedly, other negative mood states, such as anger, may influence chronic pain among PLWH. The current cross-sectional s...

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Bibliographic Details
Published in:AIDS care 2023-02, Vol.35 (2), p.271-279
Main Authors: Yeh, Jih-Cheng, Uebelacker, Lisa A., Pinkston, Megan M., Anderson, Bradley J., Busch, Andrew M., Abrantes, Ana M., Baker, Jason V., Stein, Michael D.
Format: Article
Language:English
Subjects:
alcohol
Alcohol use
Anger
benzodiazepine
Benzodiazepines
Cannabis
Chronic pain
Chronic Pain - complications
Cross-Sectional Studies
Drug use
Emotions
HIV
HIV Infections - complications
HIV Seropositivity - complications
Human immunodeficiency virus
Humans
Marijuana
Mood
Pain
Regression analysis
Risk factors
Substance abuse
Substance use
Substance-Related Disorders - complications
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Summary:Chronic pain increases the risk of substance use in people living with HIV (PLWH). Depression and anxiety have also been identified as risk factors for substance use among PLWH. Relatedly, other negative mood states, such as anger, may influence chronic pain among PLWH. The current cross-sectional study examined whether the distinct negative mood state of anger is associated with substance use among 187 PLWH who report chronic pain. Using negative binomial regression analyses, we found higher levels of anger were positively associated with alcohol use. Higher levels of anger were inversely associated with benzodiazepine use. No association was found between anger and marijuana use, and there were no significant interactions between anger and pain severity on substance use. Our findings suggest that anger is an independent risk factor for substance use among PLWH and chronic pain. Addressing anger may be useful when adapting behavioral therapies in the treatment of pain among PLWH.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2022.2090490