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Mindfulness for Chronic Pain and Prescription Opioid Misuse: Novel Mechanisms and Unresolved Issues
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- 자료유형학술지논문
- 저자명Garland, Eric L.,Black, David S.
- 학회/출판사/기관명Informa Healthcare
- 출판년도2014
- 언어영어
- 학술지명/학위논문주기SUBSTANCE USE AND MISUSE
- 발행사항Vol.49No.5[2014]_x000D_
- ISBN/ISSN1082-6084
- 소개/요약The present article focuses on the mindfulness-based interventions (MBIs) for chronic pain and prescription opioid misuse. The article also presents some unresolved issues on MBIs. One pressing unresolved issue for the study of MBIs for co-occurring chronic pain and opioid misuse relates to the effects of MBIs on craving. The extant literature is divided as to whether mindfulness decreases craving in a bottom-up fashion, strengthens top-down control of craving, and/or increases awareness of craving. Another unresolved issue for the field of MBIs for chronic pain and opioid misuse relates to the role of positive psychological processes in ameliorating reward dysregulation. In sum, MBIs appear to target key mechanisms implicated in prescription opioid misuse among chronic pain patients. Additional randomized clinical trials and functional neuroimaging studies are needed to further elucidate the effects of MBIs (such as MORE) on opioid craving and natural reward processing. Future studies should also employ multivariate autoregressive latent trajectory analysis of ecological momentary assessments to probe the interactive and cross-lagged effects of MBIs on natural reward experience and craving. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
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