Managing pain has been identified (mainly through retrospective reports) as a robust motivator for individuals engaging in prescription opioid misuse. However, surprisingly little work has directly examined whether momentary pain experiences are associated with prescription opioid misuse in daily life. Participants included 297 young-adult college students recruited on the basis of recent prescription drug misuse. Ecological momentary assessment over a 28-day period was utilized to collect participants' pain experiences and prescription opioid misuse intention and behavior. Hierarchical generalized linear modeling and binary logistic regression tested hypotheses. Findings revealed that higher in-the-moment pain was positively associated with intentions to engage in prescription opioid misuse, accounting for report timing and participant sex and background substance use. Also, the between-person result indicated that participants who reported higher levels of pain across the reporting period were more likely to intend to misuse prescription opioids in daily life. There was a similar reliable association between higher pain ratings across the reporting period and greater likelihood of engaging in misuse behavior, although actual misuse frequency was low. Reliable moderation was observed: As hypothesized, the within-person association between momentary pain and misuse intentions was stronger for females compared with males. Also, the within-person link between pain and misuse intentions was stronger for those who reported lower (vs. higher) levels of problematic alcohol use; this was not consistent with the hypothesized direction. Understanding the role of college students' pain in their intentions to engage in prescription opioid misuse is important for informing future research and prevention efforts. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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年轻人的瞬时疼痛与日常生活中处方阿片类药物滥用意图之间的实时关联。

管理疼痛已被确定（主要是通过回顾性报告）作为个人滥用处方阿片类药物的强大动力。然而，令人惊讶的是，很少有工作直接研究瞬时疼痛体验是否与日常生活中滥用处方阿片类药物有关。参与者包括 297 名因最近滥用处方药而招募的年轻大学生。利用 28 天的生态瞬时评估来收集参与者的疼痛经历和处方阿片类药物滥用的意图和行为。分层广义线性建模和二元逻辑回归测试了假设。研究结果表明，较高的瞬间疼痛与滥用处方阿片类药物的意图呈正相关，考虑报告时间和参与者性别和背景物质使用。此外，人与人之间的结果表明，在整个报告期内报告疼痛程度较高的参与者更有可能打算在日常生活中滥用处方阿片类药物。尽管实际滥用频率较低，但在整个报告期内较高的疼痛等级与更大的滥用行为可能性之间也存在类似的可靠关联。观察到了可靠的适度：正如假设的那样，与男性相比，女性的瞬间疼痛和滥用意图之间的内在关联更强。此外，对于那些报告较低（与较高）有问题的酒精使用水平的人来说，疼痛和滥用意图之间的人内联系更强；这与假设的方向不一致。了解大学生的痛苦在他们参与处方阿片类药物滥用的意图中的作用对于为未来的研究和预防工作提供信息非常重要。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。