Patients' perceptions of the pathways linking chronic pain with problematic substance use.
Patients' perceptions of the pathways linking chronic pain with problematic substance use.
复制标题
DOI：
10.1097/j.pain.0000000000002077
复制
发表时间：
2021-03-01
期刊：
影响因子：
7.4
通讯作者：
Lovejoy TI
中科院分区：
文献类型：
--
作者：
Wyse JJ;Lovejoy J;Holloway J;Morasco BJ;Dobscha SK;Hagedorn H;Lovejoy TI
大约一半的物质使用障碍（SUD）患者经历慢性疼痛。然而，患者如何看待他们的物质使用和慢性疼痛之间的关系仍然知之甚少。我们试图确定合并SUD和慢性疼痛的患者如何描述这些疾病之间的关系和联系机制。我们对34例同时诊断为慢性疼痛的接受SUD治疗的患者进行了定性访谈。访谈由初级和二级编码员逐字抄录和编码。定性内容分析指导编码和分析。病人访谈揭示了三条主要途径。一组参与者将SUD描述为独立于他们的慢性疼痛经历的发展。第二组参与者描述了转向药物来自我管理或应对慢性疼痛的身体和情感方面。第三组参与者描述与阿片类药物的接触是引发SUD的原因。我们的发现建立在研究的基础上，通过揭示患者自己理解和体验他们的物质使用和慢性疼痛之间的相互联系的方式，已经确定慢性疼痛和SUD在发展上相似且相互加强。
Approximately one-half of patients with substance use disorders (SUD) experience chronic pain. Yet how patients perceive the relationship between their substance use and chronic pain remains poorly understood. We sought to identify how patients with comorbid SUD and chronic pain describe the relationship between, and mechanisms linking, these conditions. We conducted qualitative interviews with 34 patients engaged in SUD treatment who were also diagnosed with chronic pain. Interviews were transcribed verbatim and coded by both primary and secondary coders. Qualitative content analysis guided coding and analysis. Patient interviews revealed three primary pathways. One group of participants described SUD as developing independently from their experiences of chronic pain. A second group of participants described turning to substances to self-manage or cope with the physical and emotional aspects of chronic pain. A third group of participants described encounters with opioid medications as the causal agent initiating a SUD. Our findings build upon research that has identified chronic pain and SUD as developmentally similar and mutually reinforcing, by revealing the ways in which patients themselves understand and experience the interconnections between their substance use and chronic pain.
登录
查看更多内容
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
3.7
作者：
Ilgen, Mark A.;Perron, Brian;Trafton, Jodie
通讯作者：
Trafton, Jodie
影响因子：
3.9
作者：
Stumbo, Scott P.;Yarborough, Bobbi Jo H.;Green, Carla A.
通讯作者：
Green, Carla A.
影响因子：
4.2
作者：
Barry, Declan T.;Beitel, Mark;Schottenfeld, Richard S.
通讯作者：
Schottenfeld, Richard S.
CDC规定慢性疼痛的阿片类药物的指南 - 美国，2016年。
DOI：
10.1001/jama.2016.1464
发表时间：
2016-04-19
期刊：
JAMA
影响因子：
--
作者：
Dowell D;Haegerich TM;Chou R
通讯作者：
Chou R