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- W2791770215 abstract "Understanding and predicting prescription opioid use and misuse in populations with pain is a public health care priority. Previous cross-sectional analysis has shown that perceived injustice, as predicted in the Injustice Experience Questionnaire (IEQ), was significantly related to increased scores on the Pain Medication Questionnaire (PMQ) a validated predictor of aberrant medication use. The current longitudinal study sought to examine associations among these variables and self-reported opioid use. Individuals who reported a lower back injury in the previous two weeks and had sought medical care for their pain (N = 111, 63% women) were recruited using Amazon's Mechanical Turk. Participants completed the IEQ and the PMQ, as well as a measure of pain, disability, and medication use when recruited into the study and then again one and three months later. Multilevel growth curve analyses were used to examine prediction of self-reported opiate use by the PMQ and IEQ. On average, participants did not change opiate use over time; however, significant random variation in the growth curve, Z = 2.39, P = .01, indicated individual differences in opioid use over time. In addition, there was a significant three-way interaction among the PMQ, IEQ, and the growth curve, b = .001, P = .05. The is interaction reflected that, in the absence of a high score on the PMQ, perceived injustice predicted increases in reported opioid use over three months. The PMQ accounted for 10.5% and 5.7% of the level 2 variance in intercept and slope, whereas the IEQ accounted for 4.2% and 17.6% of the variance, respectively. These effects were maintained after controlling for initial pain, depression, and disability. This finding provides further evidence that the PMQ predicts opioid use over time for individuals with chronic or subacute pain, and provides preliminary evidence that perceived injustice plays a role in this relationship." @default.
- W2791770215 created "2018-03-29" @default.
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- W2791770215 date "2018-03-01" @default.
- W2791770215 modified "2023-09-24" @default.
- W2791770215 title "Perceived injustice moderates the relationship between pain medication questionnaire scores and opioid use over three months" @default.
- W2791770215 doi "https://doi.org/10.1016/j.jpain.2017.12.130" @default.
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