Yoon Jin H, Suchting Robert, Kessler Danielle, Soder Heather E, Kapoor Shweta, Stotts Angela L, Heads Angela M, Harvin John A, Green Charles E, Lane Scott D, Schmitz Joy M
Faillace Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center McGovern Medical School.
Department of Psychological Sciences, Rice University.
Exp Clin Psychopharmacol. 2022 Feb;30(1):15-22. doi: 10.1037/pha0000412. Epub 2020 Jul 16.
Opioid misuse and opioid-related death are a growing public health concern. One population of interest is recent trauma and/or surgery patients, who are at increased risk of developing an opioid use disorder (OUD). Although a variety of assessments have been developed to screen for risk of opioid misuse, each has limitations and prediction needs improvement. One promising measure is drug demand, a behavioral economic measure assessing drug consumption at different price points. In the current proposal, we assessed the utility of a brief assessment of opioid demand. Demand and various pain-related self-report measures among trauma-surgery patients ( = 103) were assessed at 4 weeks post-discharge. Opioid demand was significantly associated with self-report measures of pain and amount of morphine milligram equivalents (MME) received during the hospital stay. The current result support the utility of the opioid demand as an adjunctive and complementary measure to assess risk of opioid misuse. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
阿片类药物的滥用及与阿片类药物相关的死亡，正日益引起公众对健康问题的关注。一个受关注的群体是近期遭受创伤和/或接受手术的患者，他们患阿片类药物使用障碍（OUD）的风险在增加。尽管已经开发了多种评估方法来筛查阿片类药物滥用风险，但每种方法都有局限性，预测效果仍需改进。一种有前景的测量方法是药物需求，这是一种行为经济学测量方法，用于评估在不同价格点的药物消费情况。在当前的研究中，我们评估了一种简短的阿片类药物需求评估方法的效用。在出院后4周，对创伤手术患者（n = 103）的药物需求以及各种与疼痛相关的自我报告测量指标进行了评估。阿片类药物需求与疼痛的自我报告测量指标以及住院期间接受的吗啡毫克当量（MME）量显著相关。目前的结果支持将阿片类药物需求作为评估阿片类药物滥用风险的辅助和补充措施的效用。（PsycInfo数据库记录（c）2022美国心理学会，保留所有权利）
