Anxiety and Mood Disorders Impacting Physician Opioid Prescribing in the Pediatric Hospital Setting.
This research examined whether pediatric inpatients without an anxiety/mood disorder are more likely to receive opioids in response to pain compared to patients diagnosed with a mental health condition. Research questions were tested using cross-sectional inpatient electronic medical record data. Propensity score matching was used to match patients with a disorder with patients without the disorder (anxiety analyses: N = 2892; mood analyses: N = 1042). Although patients with anxiety and mood disorders experienced greater pain, physicians were less likely to order opioids for these patients. Analyses also disclosed an interaction of anxiety with pain-the pain-opioid relation was stronger for patients without an anxiety disorder than for patients with an anxiety diagnosis. Instead, physicians were more likely to place non-opioid analgesic orders to manage the pain of patients with anxiety disorders. Findings imply that pain management decisions might be influenced by patient's mental health.
['Donaldson|Candice D|CD|', 'Kain|Zeev N|ZN|', 'Ehwerhemuepha|Louis|L|', 'Fortier|Michelle A|MA|', 'Phan|Michael T|MT|', 'Tomaszewski|Daniel M|DM|', 'Yang|Sun|S|', 'Feaster|William|W|', 'Jenkins|Brooke N|BN|']
Mood disorders Opioids Anxiety disorders Pain management Pediatric pain