Associations between pain coping and opioid use: One-month follow-up results of a prospective study in a cohort of traumatic injury patients

J Opioid Manag. 2018 May/Jun;14(3):159-163. doi: 10.5055/jom.2018.0445.

Abstract

Objective: To examine associations between Pain Catastrophizing Scale (PCS) scores and daily opioid dosage in traumatic injury patients.

Design: This was a prospective cohort study with patient assessments at baseline and 1-month following discharge.

Setting: Study visits were conducted at a Regional Level I Trauma Center and by phone at follow-up.

Patients: Forty-nine injured inpatients completed baseline PCS. A subsample of 23 patients continued to take prescribed opioid medication at 1-month postdischarge and were included in the current analyses.

Main outcome measured: Associations between baseline PCS and morphine equivalent daily dose (MEDD) at 1-month follow-up.

Results: Controlling for baseline MEDD, baseline PCS score was positively associated with MEDD at 1-month postdischarge (β= 0.577 [0.399, 1.535]; p = 0.002; R2 of PCS = 0.395).

Conclusions: In the current sample of traumatic injury inpatients, findings indicated that a baseline measure of pain catastrophizing predicts ongoing opioid medication use and dosage at 1-month postdischarge from an inpatient trauma unit.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analgesics, Opioid / therapeutic use*
  • Catastrophization / drug therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Wounds and Injuries / drug therapy*
  • Wounds and Injuries / physiopathology

Substances

  • Analgesics, Opioid