Chronic Pain, Opioids, Multimorbidity and Functionality: A Hispanic Database

This database has information about PROMIS Pain Intensity, PROMIS Global Health (physical and mental), and the count of multimorbidity. It also includes ethnorace, assigned sex at birth, gender, income, the region in Puerto Rico, and age, amongst other sociodemographics. It can be used to examine in depth how multimorbidity relates to chronic pain, how income relates to multimorbidity and chronic pain, etc.

You can find more information about the original research below and in the link. The original article is in the peer-review process. Review https://www.healthmeasures.net/ for how to interpret the score from the PROMIS tools.

Hypotheses: 1) Multimorbidity will negatively mediate the relationship between chronic pain and functionality. 2) The opioid treatment will negatively moderate the direct relationship between chronic pain and functionality. 3) The opioid treatment will negatively moderate the INdirect relationship between chronic pain and functionality.

Objective: Analyze if multimorbidity mediates between chronic pain intensity and functionality while examining the moderation effect of opioid treatments on the relationship between chronic pain and multimorbidity on functionality.
Method: Sample of 375 participants with chronic pain. Instruments: Self-report multimorbidity count, PROMIS Salud Global (mental and physical), and PROMIS Intensidad del dolor -Cuestionario abreviado 3a-PR. Descriptive statistics and inferential, mediation, and conditional process analysis were performed.
Results: Mostly woman (81.5%), and Puerto Ricans (89.8%) with an average age of 52 years and of 5 co-occurrent health conditions. The average Pain Intensity, Global Mental Health, and Global Physical Health fluctuated between two and one standard deviation from the norm. Multimorbidity and chronic pain negatively relate to functionality. No indirect effect related to multimorbidity was identified. No moderation of opioid treatments of Global Mental Health was identified. The presence and absence of opioid treatment negatively influenced the direct effect of pain over Global Physical Health, but not on the indirect effect.
Conclusions: Chronic pain and multimorbidity might have an important role in reducing functionality. Non-opioid alternatives to increase physical health should be considered.