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CANUE: A Theoretical Model of Pain as an Antecedent for Substance Use.
- Source :
-
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine [Ann Behav Med] 2021 May 06; Vol. 55 (5), pp. 489-502. - Publication Year :
- 2021
-
Abstract
- Background: Pain and substance use are frequently comorbid and have been shown to exert bidirectional effects. Self-medication of pain and distress via substance use is common and can be understood via negative reinforcement, ultimately strengthening the pathway between pain to substance use over time. As such, a testable model of the potentially modifiable candidate mechanisms that underlie the pain to substance use pathway is needed.<br />Purpose: This review proposes a testable model of pain as an antecedent to substance use to guide future research and inform clinical practice.<br />Methods: An integrative review of current evidence regarding pain, substance use, and associated risk factors (i.e., negative affect, pain-related attitudes, negative urgency, and substance use outcome expectancies) was conducted.<br />Results: The Catastrophizing, Anxiety, Negative Urgency, and Expectancy (CANUE) model highlights modifiable risk factors for self-medicating pain with substance use, including increased negative affect and maladaptive pain-related attitudes (i.e., pain catastrophizing, pain anxiety, and fear of pain), negative urgency, and substance-related outcome expectancies for pain relief and enhanced pain coping.<br />Conclusions: Targeted behavioral and psychological interventions that address these factors may facilitate more adaptive pain-coping responses, thereby reducing the impacts of pain on substance use. Systematic research is needed to evaluate the validity and clinical utility of this model.<br /> (© Society of Behavioral Medicine 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Details
- Language :
- English
- ISSN :
- 1532-4796
- Volume :
- 55
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 32914834
- Full Text :
- https://doi.org/10.1093/abm/kaaa072