Naliboff Bruce D, Wu Stephen M, Pham Quynh
Greater Los Angeles Veterans Affairs Healthcare System, UCLA Center for Neurovisceral Sciences and Women's Health, and David Geffen School of Medicine at UCLA, CA, USA.
J Clin Psychol. 2006 Nov;62(11):1397-408. doi: 10.1002/jclp.20319.
This article considers assessment and treatment issues for mental health practitioners working with patients using opiate medications to treat chronic pain with a particular emphasis on their potential relationship to substance abuse. We review general opiate medications, including a discussion of medications with increased addiction potential. Practice guidance is offered regarding long-term opiate treatment, including definitions of addiction, initial assessments, ongoing substance misuse monitoring, use of psychological assessment instruments, and managing medication misuse problems. Additionally, we examine the role of the mental health professional within this area and examine the incorporation of psychological interventions for patients using opiates. A case illustration includes several of these complicated issues of managing chronic pain with opiate medications.
本文探讨了心理健康从业者在为使用阿片类药物治疗慢性疼痛的患者提供服务时的评估和治疗问题，特别强调了这些问题与药物滥用之间的潜在关系。我们回顾了一般的阿片类药物，包括对成瘾潜力增加的药物的讨论。提供了关于长期阿片类药物治疗的实践指导，包括成瘾的定义、初始评估、持续的药物滥用监测、心理评估工具的使用以及药物滥用问题的管理。此外，我们研究了心理健康专业人员在这一领域的作用，并探讨了针对使用阿片类药物的患者采用心理干预措施的情况。一个案例说明了使用阿片类药物管理慢性疼痛时的几个复杂问题。
