The relationship of resilience with prescription opioid use and misuse among people with spinal cord injury.

IF 1.7 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-07-03 DOI:10.1037/rep0000628

James S Krause, Clara E Dismuke-Greer, Brielle Grant

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引用次数: 0

Abstract

Purpose/objective: Spinal cord injury presents major long-term challenges, including the need to manage chronic pain and avoid overuse or misuse of prescription medication. Our purpose was to identify the extent to which resilience, bouncing back quickly from major challenges, is associated with prescription opioid use and misuse, controlling for depression.

Research method/design: Follow-up data were collected from 918 individuals with spinal cord injury. Resilience was assessed using the Brief Resilience Scale, and depression was measured with the Patient Health Questionnaire.

Results: In total, 13.6% of participants reported low resilience (n = 123), 66.1% reported moderate (n = 598), and 20.3% reported high resilience (n = 184). Resilience was protective of monthly/occasional use and misuse of opioids but not overall opioid use or regular weekly/daily use. Pain intensity was most highly associated with weekly/daily use, yet minimally related to occasional/monthly use. Depression was associated with misuse, overall opioid use, and regular use.

Conclusions/implications: Resilience was related to a lower likelihood of use of prescription opioid medications in situations where pain intensity was strongly associated with usage (i.e., intermittent use and using opioids other than prescribed). Resilience is strongly associated with a diminished likelihood of opioid misuse. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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脊髓损伤患者恢复力与处方阿片类药物使用和滥用的关系。

目的/目的：脊髓损伤提出了重大的长期挑战，包括需要控制慢性疼痛和避免过度使用或滥用处方药。我们的目的是确定从重大挑战中迅速恢复的韧性在多大程度上与处方阿片类药物的使用和滥用有关，从而控制抑郁。研究方法/设计：收集918例脊髓损伤患者的随访数据。心理弹性采用简短心理弹性量表进行评估，抑郁程度采用患者健康问卷进行测量。结果：13.6%的参与者报告低弹性（n = 123）， 66.1%的参与者报告中等弹性（n = 598）， 20.3%的参与者报告高弹性（n = 184）。恢复力对每月/偶尔使用和滥用阿片类药物有保护作用，但对整体使用阿片类药物或每周/每日定期使用阿片类药物没有保护作用。疼痛强度与每周/每日使用的相关性最高，而与偶尔/每月使用的相关性最低。抑郁症与滥用、整体阿片类药物使用和常规使用有关。结论/影响：在疼痛强度与阿片类药物使用密切相关的情况下（即间歇性使用和使用非处方阿片类药物），恢复力与使用处方阿片类药物的可能性较低有关。恢复力与减少阿片类药物滥用的可能性密切相关。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.