Outcome from integrated pain management treatment for recovering substance abusers
Outcome from integrated pain management treatment for recovering substance abusers
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DOI：
10.1054/jpai.2003.17
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发表时间：
2003-03-01
期刊：
影响因子：
4
通讯作者：
Armstrong, S
中科院分区：
文献类型：
--
作者：
Currie, SR;Hodgins, DC;Armstrong, S
关于药物滥用者非癌性慢性疼痛状况的疼痛管理疗效的信息很少。本研究描述了一个疼痛管理组的结果评价适应于诊断为并发慢性疼痛和药物滥用障碍的患者的需求。一个异质组的44例患者（66%阿片类药物依赖; 61%肌肉骨骼疼痛）参加了一个为期10周的门诊组内的多学科药物滥用治疗计划。在治疗前、治疗后、3个月和12个月的随访中获得了成瘾严重程度、疼痛、自我管理技术的使用、情绪困扰、药物使用和功能状态的测量结果。结果数据在组和个体水平上进行分析，后者使用可靠的变化指数。意向治疗分析显示，疼痛，情绪困扰，药物减少和应对方式显着改善。一半的患者在至少1项结局指标上显示出统计学上可靠的改善，一半患者在12个月随访评估时无阿片类药物。这些结果表明，并发慢性疼痛和物质使用障碍的人对疼痛管理和预防复发的综合治疗模式有反应。(C)2003年，美国疼痛协会。
There is little information on the efficacy of pain management for substance abusers with noncancerous chronic pain conditions. The present study describes an outcome evaluation of a pain management group adapted to the needs of patients diagnosed with concurrent chronic pain and substance abuse disorders. A heterogeneous group of 44 patients (66% opioid dependent; 61% musculoskeletal pain) attended a 10-week outpatient group based within a multidisciplinary substance abuse treatment program. Measures of addiction severity, pain, use of self-management techniques, emotional distress, medication use, and functional status were obtained at pretreatment, post-treatment, 3-month, and 12-month follow-ups. Outcome data were analyzed on the group and individual level, the latter using the reliable change index. Intention-to-treat analyses showed significant improvements in pain, emotional distress, medication reduction, and coping style. Half of the patients showed a statistically reliable improvement on at least 1 outcome measure, and half were opioid free at the 12-month follow-up assessment. These results suggest that persons with concurrent chronic pain and substance use disorders are responsive to an integrated treatment model of pain management and relapse prevention. (C) 2003 by the American Pain Society.