To Help and Not to Harm: Ethical Issues in the Treatment of Chronic Pain in Patients with Substance Use Disorders

2004 ◽  
pp. 151-171 ◽  
Author(s):  
C.M.A. Geppert
Keyword(s):  
Chronic Pain ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Ethical Issues

Associations between Childhood Abuse and Chronic Pain in Adults with Substance Use Disorders

2020 ◽  
pp. 1-6
Author(s):  
Nadine R. Taghian ◽  
R. Kathryn McHugh ◽  
Margaret L. Griffin ◽  
Alexandra R. Chase ◽  
Shelly F. Greenfield ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Substance Use ◽  
Childhood Abuse ◽  
Substance Use Disorders

scholarly journals Negative Affect–Related Factors Have the Strongest Association with Prescription Opioid Misuse in a Cross-Sectional Cohort of Patients with Chronic Pain

Pain Medicine ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. e127-e138 ◽  
Author(s):  
Gadi Gilam ◽  
John A Sturgeon ◽  
Dokyoung S You ◽  
Ajay D Wasan ◽  
Beth D Darnall ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Substance Use ◽  
Negative Affect ◽  
Substance Use Disorders ◽  
Opioid Misuse ◽  
Related Factors ◽  
Opioid Prescription ◽  
Increased Risk ◽  
Patient Reported ◽  
Opioid Medications

Abstract Objective Increased opioid prescription to relieve pain among patients with chronic pain is associated with increased risk for misuse, potentially leading to substance use disorders and overdose death. We aimed to characterize the relative importance and identify the most significant of several potential risk factors for the severity of self-reported prescribed opioid misuse behaviors. Methods A sample of 1,193 patients (mean age ± SD = 50.72 ± 14.97 years, 64.04% female) with various chronic pain conditions completed a multidimensional registry assessing four pain severity measures and 14 physical, mental, and social health status factors using the National Institutes of Health’s Patient-Reported Outcomes Measurement Information System (PROMIS). A validated PROMIS measure of medication misuse was completed by 692 patients who endorsed currently taking opioid medication. Patients taking opioid medications were compared across all measures with those who do not take opioid medications. Subsequently, a data-driven regression analysis was used to determine which measures best explained variability in severity of misuse. We hypothesized that negative affect–related factors, namely anxiety, anger, and/or depression, would be key predictors of misuse severity due to their crucial role in chronic pain and substance use disorders. Results Patients taking opioid medications had significantly greater impairment across most measures. Above and beyond demographic variables, the only and most significant predictors of prescribed opioid misuse severity were as follows: anxiety (β = 0.15, P = 0.01), anger (β = 0.13, P = 0.02), Pain Intensity–worst (β = 0.09, P = 0.02), and depression (β = 0.13, P = 0.04). Conclusions Findings suggest that anxiety, anger, and depression are key factors associated with prescribed opioid misuse tendencies in patients with chronic pain and that they are potential targets for therapeutic intervention.

scholarly journals Efficacy of a Psychosocial Pain Management Intervention for Men and Women With Substance Use Disorders and Chronic Pain

2020 ◽  
Vol 77 (12) ◽  
pp. 1225
Author(s):  
Mark A. Ilgen ◽  
Lara N. Coughlin ◽  
Amy S. B. Bohnert ◽  
Stephen Chermack ◽  
Amanda Price ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Substance Use ◽  
Pain Management ◽  
Substance Use Disorders ◽  
Men And Women ◽  
Management Intervention
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