The potential role of social support in reducing risk of opioid misuse following traumatic injury

被引:1
作者
Baltes, Amelia [1 ]
Horton, David M. [1 ]
Malicki, Julia [1 ]
Muller, Hannah [1 ]
Tilhou, Alyssa [1 ,2 ]
Brown, Randall T. [1 ]
Nicholas, Christopher R. [1 ,3 ]
机构
[1] Univ WI, Sch Med & Publ Hlth, Dept Family Med & Community Hlth, Madison, WI USA
[2] Boston Univ, Dept Family Med, Boston Med Ctr, Boston, MA 02215 USA
[3] 610 N Whitney Way Ste 200, Madison, WI 53705 USA
关键词
Prescription opioid misuse; traumatic injury; social support; CHRONIC PAIN PATIENTS; SUBSTANCE USE; USE DISORDER; CIDI-SAM; VALIDATION; DEPRESSION; ANXIETY; PRESCRIPTION; PREDICTORS;
D O I
10.1080/16066359.2024.2305440
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Social support appears to play a pivotal role in the prevention, development, and remission of substance use disorders. Previous research suggests that interpersonal relationships moderate treatment outcomes for opioid use disorder based on the nature and quality of the relationship. However, the role of social support in the initiation of prescription opioid misuse (POM) is unclear. Methods: In a prospective cohort of 221 patients with traumatic injuries at a level 1 trauma center in Wisconsin, we used multiple linear regression analysis to examine the association between social support and POM at six months post-discharge. Covariates included morphine equivalent daily dose (MEDD) at baseline (24 h pre-discharge), opioid use at six months post-discharge, pre-injury depression and anxiety symptoms, and discharge pain intensity. Results: In models adjusted for relevant demographic and clinical outcomes, social support scores (beta = -3.898, p < 0.001; Bonferroni corrected) and depression and anxiety composite scores (beta = 2.29, p < 0.023; uncorrected) significantly predict POM scores 6 months post-discharge. When controlling for pre-injury depression and anxiety, patients with positive POM scores had significantly lower baseline social support scores than patients with negative POM (M = 24.31 vs 30.05, p = 0.003). Conclusions: Findings suggest that the perceived presence and quality of social support within an individual's life may influence the initiation of POM and should be considered in screening for risks related to potential POM. Providers may consider the use of social support when stratifying patients for risk of possible misuse.
引用
收藏
页码:29 / 35
页数:7
相关论文
共 50 条
  • [21] Predictors of Caregiver and family functioning following traumatic brain injury: Social support moderates caregiver distress
    Ergh, TC
    Rapport, LJ
    Coleman, RD
    Hanks, RA
    [J]. JOURNAL OF HEAD TRAUMA REHABILITATION, 2002, 17 (02) : 155 - 174
  • [22] Social support and functioning in a patient with spinal cord injury: the role of social skills
    Mueller, Rachel
    Rauch, Alexandra
    Cieza, Alarcos
    Geyh, Szilvia
    [J]. INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2013, 36 (03) : 236 - 245
  • [23] The longitudinal relationship between post-traumatic stress disorder and perceived social support in survivors of traumatic injury
    Nickerson, A.
    Creamer, M.
    Forbes, D.
    McFarlane, A. C.
    O'Donnell, M. L.
    Silove, D.
    Steel, Z.
    Felmingham, K.
    Hadzi-Pavlovic, D.
    Bryant, R. A.
    [J]. PSYCHOLOGICAL MEDICINE, 2017, 47 (01) : 115 - 126
  • [24] Role of valued living and associations with functional outcome following traumatic brain injury
    Pais, Celia
    Ponsford, Jennie L.
    Gould, Kate R.
    Wong, Dana
    [J]. NEUROPSYCHOLOGICAL REHABILITATION, 2019, 29 (04) : 625 - 637
  • [25] A Role for the Amygdala in Impairments of Affective Behaviors Following Mild Traumatic Brain Injury
    McCorkle, Taylor A.
    Barson, Jessica R.
    Raghupathi, Ramesh
    [J]. FRONTIERS IN BEHAVIORAL NEUROSCIENCE, 2021, 15
  • [26] Posttraumatic stress disorder in the New Zealand Police: The moderating role of social support following traumatic stress
    Stephens, C
    Long, N
    [J]. ANXIETY STRESS AND COPING, 1999, 12 (03) : 247 - 264
  • [27] Social behaviour following severe traumatic brain injury: Contribution of emotion perception deficits
    Saxton, Melissa E.
    Younan, Shameran Slewa
    Lah, Suncica
    [J]. NEUROREHABILITATION, 2013, 33 (02) : 263 - 271
  • [28] The role of social support in reducing the long-term burden of cumulative childhood adversity on adulthood internalising disorder
    Buchanan, Mary
    Newton-Howes, Giles
    Cunningham, Ruth
    Mcleod, Geraldine F. H.
    Boden, Joseph M.
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2024, 59 (12) : 2165 - 2175
  • [29] The Interplay of Perceived Social Support and Posttraumatic Psychological Distress Following Orofacial Injury
    Lui, Anna
    Glynn, Shirley
    Shetty, Vivek
    [J]. JOURNAL OF NERVOUS AND MENTAL DISEASE, 2009, 197 (09) : 639 - 645
  • [30] Long-term functioning following whiplash injury: the role of social support and personality traits
    Nijs, Jo
    Inghelbrecht, Els
    Daenen, Liesbeth
    Hachimi-Idrissi, Said
    Hens, Luc
    Willems, Bert
    Roussel, Nathalie
    Cras, Patrick
    Bernheim, Jan
    [J]. CLINICAL RHEUMATOLOGY, 2011, 30 (07) : 927 - 935