Department of Anesthesiology and Pain Medicine, University of Washington.
Pain Management Collaboratory Coordinating Center, Yale University.
Am Psychol. 2020 Sep;75(6):741-747. doi: 10.1037/amp0000711.
Chronic pain is considered a public health crisis due to its high prevalence, impact, costs, and disparities in pain prevalence and treatment. In parallel, drug overdose, particularly due to opioids, has become an epidemic in the United States, prompting a public health crisis concerning harms associated with both prescribed opioid therapy for chronic pain and illicit opioid use. The purpose of this special issue is to highlight state-of-the-art psychological research that addresses the combined issues of chronic pain and harms associated with opioids. Articles included in this special issue focus on 2 related areas. The 1st set of innovative articles focuses on risk factors for chronic pain, characterization of patterns of opioid use and misuse, assessment of opioid risk, and identification of moderating factors in populations ranging from adolescents to older adults. The 2nd set of articles includes exemplary research on psychological approaches for management of chronic pain and opioid risk mitigation; integration of psychological approaches in patient-centered, evidence-based, multimodal and interdisciplinary plans of pain care; and treatment of co-occurring chronic pain and opioid use disorder. Last, the issue includes a guest editorial highlighting psychological research and the participation of psychologists in the National Institutes of Health's Helping to End Addiction Long-Term (HEAL) initiative. In this introduction, the guest editors highlight the objectives in this special issue are to stimulate additional research to develop psychological approaches to reduce opioid misuse behaviors, to help educate providers on opioid prescribing that is equitable and minimizes risk of harms, and to address co-occurring chronic pain and opioid use disorder in vulnerable populations. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
慢性疼痛被认为是一种公共健康危机，其原因是其高发病率、对个人的影响、医疗成本以及疼痛发病率和治疗方面的差异。与此同时，药物过量（尤其是阿片类药物）在美国已成为一种流行病，这促使人们对与慢性疼痛的阿片类药物治疗和非法阿片类药物使用相关的危害产生了公共卫生危机。本特刊的目的是突出展示最新的心理学研究，这些研究涉及慢性疼痛和与阿片类药物相关的危害这两个问题。本特刊中的文章集中在两个相关领域。第 1 组创新性文章侧重于慢性疼痛的风险因素、阿片类药物使用和滥用模式的特征、阿片类药物风险评估，以及从青少年到老年人等不同人群中的调节因素的确定。第 2 组文章包括关于慢性疼痛和阿片类药物风险缓解的心理方法管理的范例研究；在以患者为中心、循证、多模式和跨学科的疼痛护理计划中整合心理方法；以及共病慢性疼痛和阿片类药物使用障碍的治疗。最后，本期特刊还包括一篇客座社论，重点介绍了心理研究以及心理学家在国立卫生研究院的帮助终结成瘾长期（HEAL）倡议中的参与。在这篇介绍性社论中，客座编辑强调了本特刊的目标是激发更多的研究，以开发减少阿片类药物滥用行为的心理方法，帮助教育者进行公平的阿片类药物处方，将危害风险降至最低，并解决弱势群体中并存的慢性疼痛和阿片类药物使用障碍问题。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
