Associations between psychosocial factors and long-term opioid use among injured workers receiving early opioids
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View abstract on PubMed
Summary
This summary is machine-generated.Work fear-avoidance significantly increases the risk of long-term opioid use in injured workers. Addressing these fears post-injury may reduce reliance on opioids for chronic pain management.
Area Of Science
- Occupational Health
- Pain Management
- Psychosocial Factors
Background
- Long-term opioid use for chronic non-cancer pain presents significant harms and uncertain efficacy.
- Identifying at-risk individuals is crucial for informed treatment decisions.
- This study investigated psychosocial factors linked to opioid use 6 months post-work-related injury.
Purpose Of The Study
- To determine psychosocial factors associated with long-term opioid use after a work-related injury.
- To identify predictors of sustained opioid reliance in an injured worker population.
Main Methods
- Prospective observational cohort study utilizing surveys and administrative data.
- Included workers with a recent workers' compensation claim and new opioid use post-injury.
- Multinomial logistic regression analyzed associations between psychosocial factors and 6-month opioid use.
Main Results
- 17.5% reported some long-term opioid use; 5.0% reported most/every day use at 6 months.
- Work fear-avoidance was associated with a nearly twofold increased risk of daily long-term opioid use (RRR=1.95).
- Anxiety, depression, and recovery expectations were not significantly associated with long-term opioid use after adjustments.
Conclusions
- Work fear-avoidance is a key psychosocial predictor of long-term opioid use in injured workers.
- Interventions addressing fear of returning to work may mitigate long-term opioid reliance.
- Targeting fear-avoidance behaviors could be a strategy in managing opioid use post-injury.
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