Physical pain and associated clinical characteristics in treatment-seeking patients in four substance use disorder treatment modalities
Physical pain and associated clinical characteristics in treatment-seeking patients in four substance use disorder treatment modalities
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DOI：
10.1080/10550490701862902
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发表时间：
2008-03-01
影响因子：
3.7
通讯作者：
Weiss, Roger D.
中科院分区：
文献类型：
--
作者：
Potter, Jennifer Sharpe;Prather, Kristi;Weiss, Roger D.
在对药物滥用治疗结果研究（DATOS）（一项多中心治疗结果研究）数据的二次分析中，对寻求药物使用障碍（SUD）治疗的宠物的身体疼痛和与疼痛相关的特征进行了检查。患者（N = 7，876）在四种治疗模式-长期住院（LTR），短期住院（STI），门诊美沙酮治疗（OMT），门诊药物免费（ODF）-报告的身体疼痛的严重程度，在过去的12个月。21.2%的LTR患者、26.8%的STI患者、33.6%的OMT患者和17.6%的ODF患者报告中度至重度身体疼痛。在不同的治疗方式中，对有和没有身体疼痛的个体进行了比较。疼痛患者更可能报告每周使用海洛因[aOR = 1.73（1.44-2.08）]，每周使用麻醉剂[aOR = 1.43（1.18-1.74）]和更严重的抑郁症状[aOR = 1.30（1.21-1.38）]。这些研究结果支持存在相当大比例的SUD疼痛患者，他们可能从疼痛评估中获益，作为SUD治疗的一部分。
Physical pain among pet-sons seeking treatment for substance use disorders (SUD) and characteristics associated with pain were examined in a secondary analysis of data from the Drug Abuse Treatment Outcome Study (DATOS), a multi-site treatment outcome study. Patients (N = 7,876) in four treatment modalities-long-term residential (LTR), short-term inpatient (STI), outpatient methadone treatment (OMT), and outpatient drug-free (ODF)-reported severity of physical pain experienced during the preceding 12 months. Moderate to severe physical pain was reported by 21.2% of LTR patients, 26.8% of STI patients, 33.6% of OMT patients, and 17.6% of ODF patients. Individuals with and without physical pain were compared across treatment modalities. Patients with pain were more likely to report weekly heroin use [aOR = 1.73 (1.44-2.08)], weekly narcotics use [aOR = 1.43 (1.18-1.74)] and greater depressive symptoms [aOR = 1.30 (1.21-1.38)]. These findings support the presence of a sizable proportion of SUD patients with pain who may benefit from pain assessment as part of their SUD treatment.