2026-05-31T04:01:32Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/401452026-02-03T10:49:01Zcom_10630_2254col_10630_37953

Impulsivity Is Related to Prescription Opioid Misuse in People With Chronic Pain Through Pain Catastrophizing and Emotional Distress. Esteve-Zarazaga, Rosa Ramírez-Maestre, María del Carmen Serrano-Ibáñez, Elena Rocío López-Martínez, Alicia Eva Ansiedad Depresión mental Opiáceos - Abuso anxiety depression impulsivity pain catastrophizing prescription opioid misuse Abstract Background: This study investigated the role of impulsivity as a personality variable predisposing to prescription opioid misuse. Pain catastrophizing, as well as anxiety, depression, and pain intensity, were postulated as potential serial mediators in this relationship. Methods: The sample comprised 366 individuals with chronic pain. We conducted correlational and serial mediation analyses to investigate the relationships between the study variables. Results: The results showed that pain catastrophizing partially mediated the relationship between impulsivity and prescription opioid misuse. Depression and anxiety also partially mediated the relationship between pain catastrophizing and prescription opioid misuse, although pain intensity did not mediate this relationship. Impulsivity was also indirectly associated with prescription opioid misuse through pain catastrophizing, anxiety, and depression. Conclusions: Our findings highlight the key role of impulsivity in prescription opioid misuse and contribute to understanding its mechanisms of action. Based on these results, clinical interventions could target emotion-related impulsivity and cognitive control deficits to reduce rumination. Future research could investigate the relationships identified in this study using the specific dimensions of impulsivity. Ministerio de Ciencia e Innovación (España) Junta de Anadalucía Fondos FEDER D2019-106086RB- I00 HUM-566 UMA20-FEDERJA-118 2025-10-09T09:16:06Z 2025-10-09T09:16:06Z 2025-09-24 journal article VoR Esteve, R., Ramírez-Maestre, C., Serrano-Ibáñez, E. R., & López-Martínez, A. E. (2025). Impulsivity Is Related to Prescription Opioid Misuse in People With Chronic Pain Through Pain Catastrophizing and Emotional Distress. Pain Research and Management, 2025(1), 6315721. https://hdl.handle.net/10630/40145 10.1155/prm/6315721 eng Serrano, Elena R.; Esteve, Rosa; RAMÍREZ-MAESTRE, CARMEN; López-Martínez, Alicia E. (2024), “Impulsivity is associated with prescription opioid misuse ”, Mendeley Data, V1, https://doi.org/10.17632/pcm7c3z6vc.1 open access application/pdf Wiley