Article ; Online: Prescription opioid misusers exhibit blunted parasympathetic regulation during inhibitory control challenge.
2021 Volume 238, Issue 3, Page(s) 765–774
Abstract: Rationale: Among opioid-treated chronic pain patients, response inhibition deficits in emotional contexts may contribute to opioid misuse.: Objectives: Using high-frequency heart rate variability (HF-HRV) to index-impaired response inhibition, we ... ...
Abstract | Rationale: Among opioid-treated chronic pain patients, response inhibition deficits in emotional contexts may contribute to opioid misuse. Objectives: Using high-frequency heart rate variability (HF-HRV) to index-impaired response inhibition, we examined associations between opioid misuse and response inhibition in emotional and neutral contexts in a sample of opioid-treated chronic pain patients. Method: Chronic pain patients taking opioid analgesics (N = 97) for ≥ 90 days completed an Emotional Go/NoGo task that presented an inhibitory control challenge in the context of neutral, opioid, negative affective, and positive affective background images while HF-HRV was computed. Opioid misuse and craving were assessed. Using a validated cut-point on the Current Opioid Misuse Measure, participants were classified as opioid misusers or non-misusers. Opioid misuse was examined as a predictor of behavioral and HF-HRV metrics of response inhibition. Results: Negative affective and opioid images elicited more errors of commission (p = .002, η Conclusion: Reduced parasympathetic regulation during inhibitory control challenge may indicate heightened opioid misuse risk among opioid-treated chronic pain patients. |
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MeSH term(s) | Adult ; Analgesics, Opioid/adverse effects ; Analgesics, Opioid/therapeutic use ; Autonomic Nervous System/drug effects ; Chronic Pain/drug therapy ; Craving/drug effects ; Emotions/drug effects ; Female ; Heart Rate/drug effects ; Humans ; Male ; Middle Aged ; Opioid-Related Disorders/psychology ; Prescription Drugs |
Chemical Substances | Analgesics, Opioid ; Prescription Drugs |
Language | English |
Publishing date | 2021-01-07 |
Publishing country | Germany |
Document type | Journal Article |
ZDB-ID | 130601-7 |
ISSN | 1432-2072 ; 0033-3158 |
ISSN (online) | 1432-2072 |
ISSN | 0033-3158 |
DOI | 10.1007/s00213-020-05729-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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