Allopathic, Complementary, and Alternative Medical Treatment Utilization for Pain among Methadone-Maintained Patients

Allopathic, Complementary, and Alternative Medical Treatment Utilization for Pain among Methadone-Maintained Patients
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DOI:
10.1080/10550490903077671
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发表时间:
2009-01-01
影响因子:
3.7
通讯作者:
Rounsaville, Bruce J.
Rounsaville, Bruce J.
中科院分区:
医学4区
文献类型:
--
作者:
Barry, Declan T.;Beitel, Mark;Rounsaville, Bruce J.

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我们对 150 名美沙酮维持治疗计划 (MMTP) 患者进行了调查,内容涉及疼痛、疼痛治疗的使用情况、先前疼痛治疗的感知效果以及对在 MMTP 进行疼痛治疗的兴趣。患有慢性重度疼痛 (CSP)(即持续至少六个月的疼痛,中度至重度疼痛强度或显着的疼痛干扰)和“一些疼痛”(即前一周报告的疼痛,但不是 CSP)的受访者认可过去一周和终生对抗疗法或标准医疗(终身医疗使用非阿片类药物除外)以及补充和替代医学 (CAM) 用于减轻疼痛的比率相似。 CSP 患者认为先前的疼痛治疗效果不如 SP 患者,但两组患者对 MMTP 相关疼痛治疗的兴趣相当高。这些发现可能会对 MMTP 中的资源和计划规划产生影响。 (Am J Addict 2009;18:379-385)
We surveyed 150 methadone maintenance treatment program (MMTP) patients about pain, pain treatment utilization, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment at the MMTP. Respondents with chronic severe pain (CSP) (ie, pain lasting at least six months with moderate to severe pain intensity or significant pain interference) and "some pain" (ie, pain reported in the previous week but not CSP) endorsed similar rates of past-week and lifetime allopathic or standard medical (with the exception of lifetime medical use of non-opiate medication) and complementary and alternative medicine (CAM) utilization for pain reduction. Prior pain treatments were perceived to be less effective by CSP than SP patients but both groups had equivalent high rates of interest in pain treatment associated with the MMTP. These findings may have implications for resource and program planning in MMTPs. (Am J Addict 2009; 18: 379-385)