{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T16:03:04Z","timestamp":1747152184779,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["1 K01 AR073300\u201001A1"],"award-info":[{"award-number":["1 K01 AR073300\u201001A1"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K23 AA023284"],"award-info":[{"award-number":["K23 AA023284"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Managing acute pain in individuals with a history of substance use disorders (SUD) is complex. Distress tolerance (DT) (e.g., the ability to handle uncomfortable sensations) may serve as an ideal non\u2010pharmacological intervention target in this population. Among 293 emergency department (ED) patients seeking treatment for pain (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a041; 42% Female; 43% Black), we examined rates of SUD treatment and DT, whether an objective DT task is feasible to conduct in the ED, and relationships between DT and SUD. Patients completed a self\u2010report DT survey, an objective DT task, and brief surveys of pain, drug use, current or past SUD treatment, and depression\/anxiety. Average DT was 18.50 (<jats:italic>SD<\/jats:italic>\u00a0=\u00a09.4) out of 50; patients with past or current SUD treatment (<jats:italic>n<\/jats:italic>\u00a0=\u00a043; 14.7%) reported lower DT than patients with no SUD treatment history (<jats:italic>n<\/jats:italic>\u00a0=\u00a0250; 85.3%). Controlling for demographics, depression\/anxiety, and pain severity, lower subjective DT (adjusted odds ratio [aOR]\u00a0=\u00a01.05) and objective DT (aOR\u00a0=\u00a01.02) was associated a current or past history or SUD treatment. Assessing subjective and objective DT in ED patients with acute pain is feasible; interventions aimed at boosting DT may improve outcomes among patients with acute pain and SUD.<\/jats:p>","DOI":"10.1002\/smi.3020","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T18:27:01Z","timestamp":1608834421000},"page":"588-595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Distress tolerance among emergency department patients in acute pain: Associations with substance use treatment"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-9405","authenticated-orcid":false,"given":"Maria L.","family":"Pacella\u2010LaBarbara","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Maltese","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madelyn","family":"McConaghy","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Suffoletto","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.111.1.33"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2019.103437"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.09.012"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2018.10.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.03.032"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.01.015"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.114.4.729"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.19.2.208"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050718-095440"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0847-7"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2018-042723"},{"volume-title":"Hospitalizations involving mental and substance use disorders among adults, 2012: Statistical brief# 191. 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