Perceived Pain and Smoking Interrelations Among Veterans with Chronic Pain Enrolled in a Smoking Cessation Trial. Issue 11 (27th May 2022)

• Record Type: Journal Article
• Authors: Lee, Megan; Bastian, Lori A; LaRowe, Lisa; DeRycke, Eric C; Relyea, Mark; Becker, William C; Ditre, Joseph W
• Is Part Of: Pain medicine. Volume 23:Issue 11(2022)
• Page Start: 1820
• Page End: 1827
• Publication Date: 2022-05-27
• Subjects: Tobacco -- Pain -- Smoking Cessation -- Self-Efficacy -- Pain and Smoking Inventory; Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesics -- Periodicals; Pain -- Periodicals; Pain Management -- Periodicals; Douleur -- Périodiques; Douleur -- Traitement -- Périodiques; Analgésiques -- Périodiques; Analgésique; Soulagement de la douleur; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.047205
• DOI: 10.1093/pm/pnac082
• Languages: English
• ISSNs: 1526-2375

Abstract

Abstract: Introduction: The Pain and Smoking Inventory (PSI) measures patients' perceived interrelations of their pain and smoking behavior, and it comprises three conceptually distinct domains: smoking to cope with pain (PSI-Cope), pain as a motivator of smoking (PSI-Motivate), and pain as a barrier to cessation (PSI-Barrier). Associations between PSI scores and pain interference and self-efficacy to quit smoking, two measures that can affect cessation outcomes, remain unclear. Methods: We conducted a secondary analysis of baseline data from 371 veterans with chronic pain (88% male, Median age =60) enrolled in a randomized smoking cessation trial. We used sequential multivariate regression models to examine associations between the three PSI domains and pain interference / self-efficacy. Results: Of 371 veterans who completed baseline surveys, 88% were male, with a median age of 60 years. PSI-Motivate scores were positively associated with pain interference (beta [B]: 0.18, 95% confidence interval [CI]: 0.02 to 0.34). PSI-Barrier subscores were negatively associated with self-efficacy (B: –0.23, 95% CI: –0.36 to –0.10). Conclusion: Findings suggest that individuals who hold maladaptive perceptions of pain–smoking interrelations could be more likely to endorse higher pain interference and lower self-efficacy—two established predictors of cessation outcomes. Moreover, each PSI subscale demonstrated unique relationships with the dependent variables, and our results provided support for a three-factor structure. These findings further demonstrate that the PSI comprises three conceptually and empirically distinct domains; future research should evaluate the clinical utility of assessing each domain in relation to cessation outcomes.