Alexis Kuerbis1, M Carrington Reid2, Jordan E Lake3, Suzette Glasner-Edwards4, Jessica Jenkins5, Diana Liao6, Jury Candelario7, Alison A Moore6. 1. Silberman School of Social Work, Hunter College at City University of New York, 2180 Third Avenue, New York 10035, United States. Electronic address: ak1465@hunter.cuny.edu. 2. Joan and Sanford I. Weill Department of Medicine, Weill Cornell Medicine, New York, United States. 3. Division of Infectious Diseases, University of California, Los Angeles, CA, United States. 4. Integrated Substance Abuse Programs, Department of Psychiatry and Biobehavioral Sciences, School of Nursing, University of California, Los Angeles, CA, United States. 5. Department of Psychiatry and Human Behavior, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States. 6. Division of Geriatrics, Department of Medicine, University of California, Los Angeles, CA, United States. 7. APAIT, A Division of Special Services for Groups, Los Angeles, CA, United States.
Abstract
BACKGROUND: Adults 50 and older make up approximately 50% of persons living with HIV. Multiple co-morbidities are common among this group, including chronic pain and substance abuse, yet little is known about the daily factors that either enhance or inhibit these experiences or behaviors. This study explored daily drivers of substance use, pain, and relief from pain among older adults living with HIV utilizing ecological momentary assessment (EMA). METHOD: Participants (N = 55), ages 49-71, completed seven consecutive days of daily EMA online surveys prior to treatment initiation within a randomized controlled trial. Multilevel modeling tested predictors of pain, substance use, and relief from pain by examining within- and between-person relationships. RESULTS: Results revealed an associational, reciprocal relationship between daily worst pain and daily drinking, where greater worst pain ratings predicted heavier drinking and heavier drinking predicted greater daily and overall pain. Greater happiness and poorer quality of sleep predicted greater daily worst pain. Exercising and overall confidence to cope with pain without medication were associated with lower levels of daily worst pain. Finally, spending less time with a loved one over time and reporting any coping behavior were associated with relief from pain. CONCLUSION: Investigation of daily factors that drive pain and substance use behaviors among this unique population help inform which daily factors are most risky to their health and well-being. Alcohol use emerged as the only substance associated with both driving pain and responding to pain. Findings suggest key points for prevention and intervention.
RCT Entities:
BACKGROUND: Adults 50 and older make up approximately 50% of persons living with HIV. Multiple co-morbidities are common among this group, including chronic pain and substance abuse, yet little is known about the daily factors that either enhance or inhibit these experiences or behaviors. This study explored daily drivers of substance use, pain, and relief from pain among older adults living with HIV utilizing ecological momentary assessment (EMA). METHOD:Participants (N = 55), ages 49-71, completed seven consecutive days of daily EMA online surveys prior to treatment initiation within a randomized controlled trial. Multilevel modeling tested predictors of pain, substance use, and relief from pain by examining within- and between-person relationships. RESULTS: Results revealed an associational, reciprocal relationship between daily worst pain and daily drinking, where greater worst pain ratings predicted heavier drinking and heavier drinking predicted greater daily and overall pain. Greater happiness and poorer quality of sleep predicted greater daily worst pain. Exercising and overall confidence to cope with pain without medication were associated with lower levels of daily worst pain. Finally, spending less time with a loved one over time and reporting any coping behavior were associated with relief from pain. CONCLUSION: Investigation of daily factors that drive pain and substance use behaviors among this unique population help inform which daily factors are most risky to their health and well-being. Alcohol use emerged as the only substance associated with both driving pain and responding to pain. Findings suggest key points for prevention and intervention.
Authors: Jessica S Merlin; Melonie Walcott; Christine Ritchie; Ivan Herbey; Stefan G Kertesz; Eric Chamot; Michael Saag; Janet M Turan Journal: PLoS One Date: 2014-11-03 Impact factor: 3.240
Authors: Elizabeth Charron; Akiko Okifuji; M Aryana Bryan; Sarah Reese; Jennifer L Brown; Andrew Ferguson; Udi E Ghitza; T Winhusen; Gerald Cochran Journal: J Pain Date: 2022-04-11 Impact factor: 5.383
Authors: Lisa A Marsch; Ching-Hua Chen; Sara R Adams; Asma Asyyed; Monique B Does; Saeed Hassanpour; Emily Hichborn; Melanie Jackson-Morris; Nicholas C Jacobson; Heather K Jones; David Kotz; Chantal A Lambert-Harris; Zhiguo Li; Bethany McLeman; Varun Mishra; Catherine Stanger; Geetha Subramaniam; Weiyi Wu; Cynthia I Campbell Journal: Front Psychiatry Date: 2022-04-29 Impact factor: 5.435
Authors: Belle Ngo; Jane M Liebschutz; Debbie M Cheng; Jonathan A Colasanti; Jessica S Merlin; Wendy S Armstrong; Leah S Forman; Marlene C Lira; Jeffrey H Samet; Carlos Del Rio; Judith I Tsui Journal: BMC Public Health Date: 2021-03-22 Impact factor: 3.295
Authors: Ni Sun-Suslow; Laura M Campbell; Bin Tang; Arin C Fisher; Ellen Lee; Emily W Paolillo; Anne Heaton; Raeanne C Moore Journal: J Behav Med Date: 2021-08-09