Characteristics of methadone maintenance patients with chronic pain
Characteristics of methadone maintenance patients with chronic pain
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DOI：
10.1016/s0885-3924(99)00144-x
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发表时间：
2000-01-01
影响因子：
4.7
通讯作者：
Katz, NP
中科院分区：
文献类型：
--
作者：
Jamison, RN;Kauffman, J;Katz, NP
使用阿片类药物有限的慢性疼痛患者可能会被重新定向到美沙酮维持中心来治疗他们的疼痛。不幸的是，关于美沙酮维持患者慢性疼痛的发生率和特征的信息很少。本研究的目的是对美沙酮维持中心的个体进行调查，以确定慢性疼痛的患病率，并探讨在这种治疗环境下有疼痛和没有疼痛的患者之间的差异。在三个中心接受采访的248名参与者中，152名（61.3%）报告了慢性疼痛。与无疼痛的患者相比，有疼痛的患者报告更多的健康问题（P < 0.001），更多的精神障碍（P < 0.05），更多的处方药和非处方药使用（P < 0.001），并且更相信自己被治疗不足（P < 0.001）；44%的疼痛患者认为，为他们的疼痛开出的阿片类药物导致了成瘾问题。大多数美沙酮维持患者表示，他们总是需要一些物质（酒精或阿片类药物）才能感觉正常。这些结果对有药物滥用史的人的慢性疼痛治疗政策和资源提出了许多问题。需要进一步的调查来确定这一人群的需求，并改善他们获得有效疼痛管理的机会。(C)美国癌症疼痛缓解委员会，2000。
Chronic pain patients who have limited access to opioids may be redirected to methadone maintenance centers for management of their pain. Unfortunately, little information exists on the incidence and characteristics of methadone maintenance patients with chronic pain. The aim of this study was to survey individuals at methadone maintenance centers in order to determine the prevalence of chronic pain and to explore differences between patients with and without pain in this treatment setting. Of 248 participants interviewed at three centers, 152 (61.3%) reported chronic pain. Compared with patients without pain, those with pain reported significantly more health problems (P < 0.001), more psychiatric disturbance (P < 0.05), more prescription and nonprescription medication use (P < 0.001), and greater belief that they were undertreated (P < 0.001); 44% of those with pain believed that opioids prescribed for their pain had led to an addiction problem. Most of the methadone maintenance patients stated that they had always required some substance (alcohol or opioids) to feel normal. These results raise many questions about chronic-pain treatment policies and resources for persons with a history of substance abuse. Further investigations are needed to define the needs of this population and to improve their access to effective pain management. (C) U.S. Cancer Pain Relief Committee, 2000.