Opioids as an attachment substitute: the association between attachment insecurity, pain, disability, and long-term opioid treatment in persistent back pain

Attachment insecurity may be associated with an increased risk of LTOT, pain, and disability. Acknowledging that unmet attachment needs and emotional distress can be linked to an increased risk of LTOT highlights the importance of considering these factors before prescribing the first opioid.

Authors

Claus Manniche (ORCID: https://orcid.org/0000-0001-5938-1483)
Ole Skov (ORCID: https://orcid.org/0000-0002-5213-2799)
Sophie Lykkegaard Ravn (ORCID: https://orcid.org/0000-0002-2908-5832)
Tonny Elmose Andersen (ORCID: https://orcid.org/0000-0002-9045-7500)

Institutions

University of Southern Denmark (DK)
Victim Support (GB)

Publication Details

Journal: Pain Medicine
Published: 2025-10-24
DOI: https://doi.org/10.1093/pm/pnaf148
Primary Topic: Opioid Use Disorder Treatment
Type: article
Field-Weighted Citation Impact: 0.00

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article

Opioids as an attachment substitute: the association between attachment insecurity, pain, disability, and long-term opioid treatment in persistent back pain

Claus Manniche, Ole Skov, Sophie Lykkegaard Ravn, Tonny Elmose Andersen

Oct 24, 2025

Pain Medicine

Opioid Use Disorder Treatment

article

Opioids as an attachment substitute: the association between attachment insecurity, pain, disability, and long-term opioid treatment in persistent back pain

Claus Manniche, Ole Skov, Sophie Lykkegaard Ravn, Tonny Elmose Andersen

October 24, 2025article en

Abstract

Attachment insecurity may be associated with an increased risk of LTOT, pain, and disability. Acknowledging that unmet attachment needs and emotional distress can be linked to an increased risk of LTOT highlights the importance of considering these factors before prescribing the first opioid.

Pain Medicine

University of Southern Denmark (DK), Victim Support (GB)

Openalex Percentile: Top 59%

Opioid Use Disorder Treatment

DOI Source OpenAlex

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