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

doi:10.1177/2167702618773323

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 journal › Review article › peer-review

17 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	629-646
Number of pages	18
Journal	Clinical Psychological Science
Volume	6
Issue number	5
DOIs	https://doi.org/10.1177/2167702618773323
State	Published - Sep 1 2018

Keywords

children/adolescents
chronic pain
opioid
prescription
risk factors

ASJC Scopus subject areas

Clinical Psychology

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10.1177/2167702618773323

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title = "A Model of the Intersection of Pain and Opioid Misuse in Children and Adolescents",

abstract = "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.",

keywords = "children/adolescents, chronic pain, opioid, prescription, risk factors",

author = "Dash, {Genevieve F.} and Wilson, {Anna C.} and Morasco, {Benjamin J.} and {Feldstein Ewing}, {Sarah W.}",

note = "Funding Information: This work was supported by National Institute on Alcohol Abuse and Alcoholism Grant 1R01-AA023658-01 (to S. W. Feldstein Ewing), Eunice Kennedy Shriver National Institute of Child Health and Human Development Grant R01-HD082200-01 (to A. C. Wilson), National Institute on Drug Abuse Grant R01-DA034083 (to B. J. Morasco), and National Institute on Drug Abuse Grant 1R01-DA044778-01A1 (to A. C. Wilson and S. W. Feldstein Ewing). Publisher Copyright: {\textcopyright} The Author(s) 2018.",

year = "2018",

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doi = "10.1177/2167702618773323",

language = "English (US)",

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AU - Dash, Genevieve F.

AU - Wilson, Anna C.

AU - Morasco, Benjamin J.

AU - Feldstein Ewing, Sarah W.

N1 - Funding Information: This work was supported by National Institute on Alcohol Abuse and Alcoholism Grant 1R01-AA023658-01 (to S. W. Feldstein Ewing), Eunice Kennedy Shriver National Institute of Child Health and Human Development Grant R01-HD082200-01 (to A. C. Wilson), National Institute on Drug Abuse Grant R01-DA034083 (to B. J. Morasco), and National Institute on Drug Abuse Grant 1R01-DA044778-01A1 (to A. C. Wilson and S. W. Feldstein Ewing). Publisher Copyright: © The Author(s) 2018.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - 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.

AB - 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.

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KW - chronic pain

KW - opioid

KW - prescription

KW - risk factors

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

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Keywords

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