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Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment

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  • Source:
    Alcohol (Fayetteville, N.Y.) 2019 77, 31 (31-39)
  • Additional Information
    • Author(s):
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, Candelario J, Moore AA
    • Language:
      English
    • Publication Type:
      Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural
    • Record Status:
      This record is this issue.
    • 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.
    • Medical Subject Headings (MeSH):
      Aged
      Female
      Humans
      Male
      Middle Aged
      Chronic Pain/diagnosis
      Chronic Pain/epidemiology
      Ecological Momentary Assessment
      HIV Infections/diagnosis
      HIV Infections/epidemiology
      Pain Measurement/methods
      Pilot Projects
      Risk Factors
      Substance-Related Disorders/diagnosis
      Substance-Related Disorders/epidemiology
      Chronic Pain/*psychology
      HIV Infections/*psychology
      Pain Measurement/*psychology
      Substance-Related Disorders/*psychology
    • Source:
      This document should be cited as: Kuerbis A Reid MC Lake JE Glasner-Edwards S Jenkins J Liao D Candelario J Moore AA. Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment 2019 (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1016/j.alcohol.2018.10.003. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-02103132
  • Citations
    • ABNT:
      KUERBIS A et al. Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment. Alcohol (Fayetteville, N.Y.), [s. l.], v. 77, p. 31–39, 2019. DOI 10.1016/j.alcohol.2018.10.003. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-02103132. Acesso em: 26 set. 2020.
    • AMA:
      Kuerbis A, Reid MC, Lake JE, et al. Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment. Alcohol (Fayetteville, NY). 2019;77:31-39. doi:10.1016/j.alcohol.2018.10.003
    • APA:
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, Candelario J, & Moore AA. (2019). Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment. Alcohol (Fayetteville, N.Y.), 77, 31–39. https://doi.org/10.1016/j.alcohol.2018.10.003
    • Chicago/Turabian: Author-Date:
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, Candelario J, and Moore AA. 2019. “Daily Factors Driving Daily Substance Use and Chronic Pain among Older Adults with HIV: An Exploratory Study Using Ecological Momentary Assessment.” Alcohol (Fayetteville, N.Y.) 77 (January): 31–39. doi:10.1016/j.alcohol.2018.10.003.
    • Harvard:
      Kuerbis A et al. (2019) ‘Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment’, Alcohol (Fayetteville, N.Y.), 77, pp. 31–39. doi: 10.1016/j.alcohol.2018.10.003.
    • Harvard: Australian:
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, Candelario J & Moore AA 2019, ‘Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment’, Alcohol (Fayetteville, N.Y.), vol. 77, pp. 31–39, viewed 26 September 2020, .
    • MLA:
      Kuerbis A, et al. “Daily Factors Driving Daily Substance Use and Chronic Pain among Older Adults with HIV: An Exploratory Study Using Ecological Momentary Assessment.” Alcohol (Fayetteville, N.Y.), vol. 77, Jan. 2019, pp. 31–39. EBSCOhost, doi:10.1016/j.alcohol.2018.10.003.
    • Chicago/Turabian: Humanities:
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, Candelario J, and Moore AA. “Daily Factors Driving Daily Substance Use and Chronic Pain among Older Adults with HIV: An Exploratory Study Using Ecological Momentary Assessment.” Alcohol (Fayetteville, N.Y.) 77 (January 1, 2019): 31–39. doi:10.1016/j.alcohol.2018.10.003.
    • Vancouver/ICMJE:
      Kuerbis A, Reid MC, Lake JE, Glasner-Edwards S, Jenkins J, Liao D, et al. Daily factors driving daily substance use and chronic pain among older adults with HIV: an exploratory study using ecological momentary assessment. Alcohol (Fayetteville, NY) [Internet]. 2019 Jan 1 [cited 2020 Sep 26];77:31–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-02103132