College of Education and Human Services
Counseling, Rehabilitation Counseling & Counseling Psychology
Pain is a complex, multidimensional experience but often is measured as a unidimensional experience. This study aimed to separately assess the sensory and affective components of pain and identify their relations to important pain-related outcomes, particularly in terms of opioid misuse risk and emotion dysregulation among patients with chronic pain receiving treatment in Appalachia. Two hundred and twelve patients presenting to a multidisciplinary pain center completed the Difficulties in Emotion Regulation Scale (DERS-18), Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R), and short-form McGill Pain Questionnaire (SF-MPQ). The sensory experience of pain was unrelated to emotion dysregulation (r = 0.06, p = 0.57) and weakly related to opioid misuse risk (r = 0.182, p < 0.05). In contrast, the affective experience of pain was moderately related to emotion dysregulation (r = 0.217, p < 0.05) and strongly related to opioid misuse risk (r = 0.37, p < 0.01). In addition, emotion dysregulation predicted variance in opioid misuse risk above and beyond the affective and sensory experiences of pain ((b = 0.693, p < 0.001). The results suggest patients with a strong affective experience versus sensory experience of pain and challenges with emotion regulation may require a more comprehensive intervention to address these underlying components in order to reduce their risk of misusing opioid medications.
Digital Commons Citation
Nauser, Jonathan W.; Nelson, Cecelia I.; Gross, Richard T.; and Vargovich, Alison M., "Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation" (2020). Faculty & Staff Scholarship. 2952.
Jonathan W. Nauser, Cecelia I. Nelson, Richard T. Gross, Alison M. Vargovich, "Pain Experiences and Their Relation to Opioid Misuse Risk and Emotion Dysregulation", Pain Research and Management, vol. 2020, Article ID 7234625, 5 pages, 2020. https://doi.org/10.1155/2020/7234625