Examining Relationships between Gender, Opioid Dependence, and Distress Tolerance among Patients in Substance Use Disorder Treatment
- 1 May 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in Substance Use & Misuse
- Vol. 55 (8), 1327-1334
- https://doi.org/10.1080/10826084.2020.1741632
Abstract
Background: Opioid abuse/dependence is associated with multiple negative outcomes relative to other forms of substance abuse/dependence, including relapse. Research identifying modifiable characteristics associated with opioid dependence and associated negative outcomes may inform the development of targeted interventions for this high-risk population. One factor warranting investigation is low distress tolerance (DT). Purpose/Objectives: In a sample of patients in substance use disorder (SUD) treatment, the present study examined DT levels among patients with current opioid dependence versus no history of opioid dependence, as well as the moderating role of gender. We predicted that patients with opioid dependence would exhibit lower DT than those without a history of opioid dependence, and that women with opioid dependence would exhibit lower levels of DT than men with opioid dependence. Methods: A sample of 203 patients in residential SUD treatment were administered a series of diagnostic interviews and a behavioral measure of DT. Results: DT did not differ significantly as a function of opioid dependence. However, there was a significant opioid dependence by gender interaction, such that men with current opioid dependence exhibited significantly lower levels of DT than women with opioid dependence and men without a history of opioid dependence. Conclusions/Importance: Findings highlight a modifiable characteristic associated with opioid dependence among men that may be targeted in interventions.This publication has 52 references indexed in Scilit:
- Initial RCT of a distress tolerance treatment for individuals with substance use disordersDrug and Alcohol Dependence, 2012
- An examination of psychiatric comorbidities as a function of gender and substance type within an inpatient substance use treatment programDrug and Alcohol Dependence, 2011
- Characteristics and correlates of men and women with prescription opioid dependenceAddictive Behaviors, 2011
- Evaluating Distress Tolerance Measures: Interrelations and Associations with Impulsive BehaviorsCognitive Therapy and Research, 2011
- Multi-Method Evaluation of Distress Tolerance Measures and Construct(s): Concurrent Relations to Mood and Anxiety Psychopathology and Quality of LifeJournal of Experimental Psychopathology, 2011
- Negative Affect Heightens Opiate Withdrawal-Induced Hyperalgesia in Heroin Dependent IndividualsJournal of Addictive Diseases, 2011
- Sex differences in opioid analgesia, hyperalgesia, tolerance and withdrawal: Central mechanisms of action and roles of gonadal hormonesHormones and Behavior, 2010
- Gender Differences in Risk Factors for Aberrant Prescription Opioid UseThe Journal of Pain, 2010
- Gender differences in stress and coping stylesPersonality and Individual Differences, 2004
- Addiction Motivation Reformulated: An Affective Processing Model of Negative Reinforcement.Psychological Review, 2004