Validation and clinical application of the Screener and Opioid Assessment for Patients with Pain (SOAPP)
Validation and clinical application of the Screener and Opioid Assessment for Patients with Pain (SOAPP)
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DOI：
10.1016/j.jpainsymman.2006.03.010
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发表时间：
2006-09-01
影响因子：
4.7
通讯作者：
Jamison, Robert N.
中科院分区：
文献类型：
--
作者：
Akbik, Hammam;Butler, Stephen F.;Jamison, Robert N.
疼痛患者筛选和阿片类药物评估（SOAPP）是一种简短的自我管理筛选工具，用于评估慢性疼痛患者长期阿片类药物治疗的适用性。本研究提供了初步数据，以检查SOAPP作为阿片类药物治疗患者阿片类药物滥用风险指标的可靠性和有效性。从两个疼痛中心接受阿片类药物治疗非癌症疼痛的患者（n = 396）在接受阿片类药物治疗疼痛之前完成了SOAPP。对患者病历中的人口统计学数据、SOAPP评分和尿液毒理学筛查结果进行了检查。根据SOAPP的临界评分8分及以上，将患者分为阿片类药物滥用潜在高风险和低风险两组。结果显示，高危组患者年龄较轻，更易被要求进行尿液筛查，尿液筛查异常的发生率高于低危组（P < 0.05）。SOAPP的联合因素分析显示了5个因素，分别为1）药物滥用史，2）法律的问题，3）渴望药物，4）大量吸烟，5）情绪波动。初步支持的内部可靠性和预测有效性的SOAPP。SOAPP目前的局限性和未来的变化方向进行了讨论。
The Screener and Opioid Assessment for Patients with Pain (SOAPP) is a brief, self-administered screening instrument used to assess suitability of long-term opioid therapy for chronic pain patients. This study presents preliminary data to examine the reliability and validity of the SOAPP as a measure of risk of opioid abuse for patients on opioid medication. Patients taking opioids for noncancer pain (n = 396) from two pain centers completed the SOAPP prior to being placed on opioids for pain. Demographic data, SOAPP scores, and results of urine toxicology screens from the patients' medical records were examined. Patients were divided into two groups of high and low risk of opioid abuse potential based on cutoff scores of 8 and higher on the SOAPP. Results showed that patients in the high-risk group were younger, more likely to be asked to give a urine screen, and had more abnormal urine screens compared with those in the low-risk group (P < 0.05). A combined factor analysis of the SOAPP revealed five factors labeled 1) history of substance abuse, 2) legal problems, 3) craving medication, 4) heavy smoking, and 5) mood swings. Preliminary support was found for the internal reliability and predictive validity of the SOAPP. Current limitations of the SOAPP and future directions for change are discussed.