A Model of the Intersection of Pain and Opioid Misuse in Children and Adolescents

Genevieve F. Dash, Anna C. Wilson, Benjamin J. Morasco, Sarah W. Feldstein Ewing

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Despite being a significant public health concern, the role of opioid prescriptions in potentiating risk of opioid misuse in the context of pediatric pain has been underinvestigated. To address this gap, the present review identifies theory-based hypotheses about these associations, reviews the extant literature on opioid prescriptions that supports these hypotheses, and provides routes for future empirical studies. A multilevel model of mechanisms through which opioid prescriptions may impact pain and other negative outcomes in youth, including risk for opioid misuse and related problems, is proposed with particular attention paid to the role that psychologists can play in informing policies and developing preventative interventions in healthcare settings.

Original languageEnglish (US)
Pages (from-to)629-646
Number of pages18
JournalClinical Psychological Science
Issue number5
StatePublished - Sep 1 2018


  • children/adolescents
  • chronic pain
  • opioid
  • prescription
  • risk factors

ASJC Scopus subject areas

  • Clinical Psychology


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