TY - JOUR
T1 - Neural and Psychosocial Mechanisms Underlying Alcohol Use and Pain Interactions
T2 - Overview of Current Evidence and Future Directions
AU - Boissoneault, Jeff
AU - Stennett-Blackmon, Bethany
AU - Gilmour, Christina
AU - Blaes, Shelby
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
PY - 2023/12
Y1 - 2023/12
N2 - Purpose of Review: A growing body of research indicates bidirectional associations between alcohol use and pain. In this review, we highlight common neural and psychosocial mechanisms underlying pain and alcohol use and identify current gaps in the literature regarding alcohol/pain interactions. We also suggest future directions for the field moving forward, including more nuanced conceptualization of alcohol’s negative reinforcing effects in the context of pain, broader use of clinically relevant experimental pain induction modalities, and characterization of age, biological sex, gender, race, and ethnicity as moderators of pain/alcohol interactions. Recent Findings: Acute alcohol intake has analgesic and negative-reinforcing effects in the context of pain, and chronic heavy alcohol use appears to increase risk for development of chronic pain. At the same time, pain, both acute and chronic, acts as a proximal antecedent for alcohol use and is associated with relapse risk for individuals in recovery from alcohol use disorder. Summary: Although the links between alcohol use and pain are increasingly appreciated, significant gaps in understanding remain and systematic study of alcohol/pain interactions at all levels, including basic, preclinical, translational, and interventional, is needed.
AB - Purpose of Review: A growing body of research indicates bidirectional associations between alcohol use and pain. In this review, we highlight common neural and psychosocial mechanisms underlying pain and alcohol use and identify current gaps in the literature regarding alcohol/pain interactions. We also suggest future directions for the field moving forward, including more nuanced conceptualization of alcohol’s negative reinforcing effects in the context of pain, broader use of clinically relevant experimental pain induction modalities, and characterization of age, biological sex, gender, race, and ethnicity as moderators of pain/alcohol interactions. Recent Findings: Acute alcohol intake has analgesic and negative-reinforcing effects in the context of pain, and chronic heavy alcohol use appears to increase risk for development of chronic pain. At the same time, pain, both acute and chronic, acts as a proximal antecedent for alcohol use and is associated with relapse risk for individuals in recovery from alcohol use disorder. Summary: Although the links between alcohol use and pain are increasingly appreciated, significant gaps in understanding remain and systematic study of alcohol/pain interactions at all levels, including basic, preclinical, translational, and interventional, is needed.
KW - Acute pain
KW - Alcohol
KW - Alcohol use disorder
KW - Chronic pain
KW - Self-management
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U2 - 10.1007/s40429-023-00518-y
DO - 10.1007/s40429-023-00518-y
M3 - Review article
C2 - 38645279
AN - SCOPUS:85173073435
SN - 2196-2952
VL - 10
SP - 677
EP - 689
JO - Current Addiction Reports
JF - Current Addiction Reports
IS - 4
ER -