{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:54Z","timestamp":1783110474856,"version":"3.54.6"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["T32CA193193"],"award-info":[{"award-number":["T32CA193193"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01CA271220"],"award-info":[{"award-number":["R01CA271220"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG088376"],"award-info":[{"award-number":["K23AG088376"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Expectancies for alcohol analgesia (EAA; beliefs that alcohol use can reduce pain) are linked to heavier drinking in chronic non\u2010cancer pain; however, no studies have examined EAA in those with cancer\u2010related pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>These secondary analyses examined cross\u2010sectional associations among EAA, alcohol use, and pain among breast cancer survivors with persistent pain due to aromatase inhibitors (AIs; arthralgia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were from 213 female breast cancer survivors with AI\u2010associated arthralgia (M age\u00a0=\u00a058.9, 77.5% White) who completed baseline assessment in a behavioral pain intervention trial. Alcohol consumption and alcohol use severity were assessed via the Alcohol Use Disorders Identification Test (AUDIT). Linear\/logistic regressions were conducted covarying for depression, anxiety, age, race, and pain severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      EAA scores were related to greater likelihood of current drinking (\n                      <jats:italic>AOR<\/jats:italic>\n                      \u00a0=\u00a06.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003). Among participants who reported current alcohol use (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0153), EAA scores were associated with greater alcohol consumption and alcohol use severity (\n                      <jats:italic>p<\/jats:italic>\n                      s\u00a0&lt;\u00a00.001). Probing of a significant pain severity\u00a0x\u00a0EAA interaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.015) indicated that EAA scores were more strongly associated with alcohol use severity among participants with less (vs. more) severe pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In breast cancer survivors with AI\u2010associated arthralgia, EAA are related to greater likelihood of drinking and heavier\/more problematic alcohol use, which may reduce efficacy of AIs while increasing risk for side effects. EAA scores were more strongly associated with drinking in women with less severe pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70517","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:12:36Z","timestamp":1781845956000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing Alcohol Use and Expectancies for Alcohol Analgesia Among Breast Cancer Survivors With Arthralgia"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5161-7540","authenticated-orcid":false,"given":"Jessica M.","family":"Powers","sequence":"first","affiliation":[{"name":"Department of Psychology University of Kansas  Lawrence Kansas USA"},{"name":"Cofrin Logan Center for Addiction Research &amp; Treatment University of Kansas  Lawrence Kansas USA"},{"name":"University of Kansas Cancer Center  Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa R.","family":"LaRowe","sequence":"additional","affiliation":[{"name":"Mongan Institute Center for Optimal Aging and Serious Illness Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara J.","family":"Somers","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Paice","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"Robert H. Lurie Comprehensive Cancer Center of Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis J.","family":"Keefe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"},{"name":"Pain Prevention and Treatment Research Program Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A.","family":"Shelby","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"},{"name":"Pain Prevention and Treatment Research Program Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betina","family":"Yanez","sequence":"additional","affiliation":[{"name":"Robert H. Lurie Comprehensive Cancer Center of Northwestern University  Chicago Illinois USA"},{"name":"Department of Medical Social Sciences Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen G.","family":"Kimmick","sequence":"additional","affiliation":[{"name":"Duke Cancer Institute  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Rini","sequence":"additional","affiliation":[{"name":"Robert H. 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