4.4 Article

Psychological Comorbidities Predicting Prescription Opioid Abuse among Patients in Chronic Pain Presenting to the Emergency Department

期刊

PAIN MEDICINE
卷 9, 期 8, 页码 1107-1117

出版社

OXFORD UNIV PRESS
DOI: 10.1111/j.1526-4637.2007.00401.x

关键词

Prescription Opioid Abuse; Chronic Pain; Emergency Department; Depression; Anxiety; Personality Disorder; Addiction

资金

  1. Mayday Fund
  2. National Center for Research Resources (NCRR) [UL1 RR024146]
  3. National Institutes of Health (NIH)
  4. NIH Roadmap for Medical Research

向作者/读者索取更多资源

We attempted to identify psychological comorbidities that are associated with the propensity for prescription opioid abuse. Patients presenting to an emergency department seeking opioid refills for chronic pain were evaluated with five validated self-report instruments and structured clinical interviews. The potential for prescription opioid abuse was modeled with multiple regression analysis using depression, anxiety disorders, personality disorder, and addiction as independent variables. Of the 113 patients studied, 91 (81%) showed a propensity for prescription opioid abuse as determined by scores on the Screener and Opioid Assessment for Patients with Pain instrument. Depression, anxiety, and a history of substance were common and panic attacks, posttraumatic stress disorder, and personality disorders were also found, albeit less frequently. Panic attacks, trait anxiety, and the presence of a personality disorder accounted for 38% of the variance in the potential for prescription opioid abuse. Patients in chronic pain should be assessed for psychological and addiction disorders because they are at increased risk for abusing opioids. They should also be referred for psychosocial treatment as part of their care, where appropriate.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据