寻求美沙酮维持治疗的阿片类药物依赖个体的疼痛及与物质相关的疼痛减轻行为
Pain and substance-related pain-reduction behaviors among opioid dependent individuals seeking methadone maintenance treatment.
作者信息
Barry Declan T, Beitel Mark, Joshi Dipa, Schottenfeld Richard S
机构信息
Yale University School of Medicine, New Haven, Connecticut 06519-1187, USA.
出版信息
Am J Addict. 2009 Mar-Apr;18(2):117-21. doi: 10.1080/10550490902772470.
Abstract
We surveyed 293 opioid dependent individuals seeking methadone maintenance treatment about their pain experiences and their substance-related pain reduction behaviors. Among the 213 respondents reporting recent pain of at least moderate typical pain intensity, two-thirds had a lifetime history of chronic pain. In comparison to those without a lifetime history of chronic pain, those with a lifetime history were older, reported higher pain frequency, were more likely to endorse accident or surgery and less likely to endorse "don't know" as the genesis of their recent pain, and endorsed comparable levels of substance-related pain reduction behaviors. These findings may have implications for resource and program planning in MMT programs.
摘要
我们对293名寻求美沙酮维持治疗的阿片类药物依赖者进行了调查，了解他们的疼痛经历以及与物质相关的疼痛缓解行为。在213名报告近期疼痛至少达到中度典型疼痛强度的受访者中，三分之二有慢性疼痛的终生病史。与没有慢性疼痛终生病史的人相比，有慢性疼痛终生病史的人年龄更大，报告的疼痛频率更高，更有可能认可意外事故或手术是其近期疼痛的起因，而不太可能认可“不知道”是近期疼痛的起因，并且认可的与物质相关的疼痛缓解行为水平相当。这些发现可能对美沙酮维持治疗项目中的资源和项目规划有影响。
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