Department of Educational and Counseling Psychology, University at Albany, State University of New York, Albany, New York.
War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, New Jersey.
J Pain. 2020 Sep-Oct;21(9-10):979-987. doi: 10.1016/j.jpain.2019.12.008. Epub 2020 Jan 3.
The opioid crisis has highlighted the importance of improving patients' access to behavioral treatments for chronic pain and addiction. What is not known is if patients are interested in receiving these treatments. In this cross-sectional study, over 1,000 participants with chronic pain were surveyed using an anonymous online questionnaire on Amazon Mechanical Turk to investigate participants' use of and interest in pharmacological and behavioral treatments for chronic pain and addiction. Participants also indicated whether their doctor had recommended these treatments. The majority of participants reported using medication for their pain (83.19%) and that their doctor recommended medication (85.05%), whereas fewer participants reported using (67.45%) and being recommended to (62.82%) behavioral treatments. We found 63.67% of participants screened positive for possible opioid misuse; those who screened positive were more interested in receiving behavioral treatments than those who did not screen positive. Participants who received treatment recommendations were more likely to be interested in receiving those treatments as compared to participants who did not. The results suggest that recommendations for behavioral treatments and interest in those treatments are related. Results also suggest that patients endorsing behaviors consistent with opioid misuse are interested in behavioral treatments. PERSPECTIVE: This study provides information around chronic pain patients' treatment interests, treatment receipt, and recommendation receipt for behavioral pain management and addiction treatment. This study could help facilitate communication between patients and doctors regarding available treatments for chronic pain and pain treatment-related addiction problems.
阿片类药物危机凸显了改善患者获得慢性疼痛和成瘾行为治疗的重要性。但目前尚不清楚患者是否有兴趣接受这些治疗。在这项横断面研究中，超过 1000 名慢性疼痛患者通过亚马逊 Mechanical Turk 的匿名在线问卷接受调查，以调查参与者对慢性疼痛和成瘾的药物和行为治疗的使用和兴趣。参与者还表明他们的医生是否推荐了这些治疗方法。大多数参与者报告说他们使用药物治疗疼痛（83.19%），并且他们的医生建议使用药物（85.05%），而较少的参与者报告说使用（67.45%）和被建议使用（62.82%）行为治疗。我们发现 63.67%的参与者筛查出可能存在阿片类药物滥用；与未筛查出阳性的参与者相比，筛查出阳性的参与者对接受行为治疗更感兴趣。接受治疗建议的参与者比未接受治疗建议的参与者更有可能对接受这些治疗感兴趣。结果表明，行为治疗的建议和对这些治疗的兴趣是相关的。结果还表明，患者接受与阿片类药物滥用一致的行为治疗。观点：本研究提供了有关慢性疼痛患者治疗兴趣、治疗接受情况和行为疼痛管理和成瘾治疗推荐接受情况的信息。本研究可以帮助促进患者和医生之间就慢性疼痛和与疼痛治疗相关的成瘾问题的可用治疗方法进行沟通。
