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Med Probl Perform Art. 2022 Mar;37(1):24-29. doi: 10.21091/mppa.2022.1003.
To evaluate how performing artists (PAs) with chronic pain may differ on measures of substance use compared to non-PA controls.
157 participants reporting chronic pain (89 PAs, 68 non-PA controls) completed an online cross-sectional survey. Participants were assessed for self-reported current pain severity using the Brief Pain Inventory Short-Form, opioid misuse risk using the Screener and Opioid Assessment for Patients with Pain-Revised, opioid withdrawal using the Subjective Opiate Withdrawal Scale, and symptoms of opioid use disorder (OUD) using a modified version of the DSM-V checklist.
PAs had lower pain severity (p <0.05, t=2.196, df=155) and lower pain interference (p <0.05, t=2.194) than non-PA controls. 24% of PAs and 13% of controls reported using opioids within the past month. Among PAs, the number of days using opioids in the past month was positively associated with hours spent practicing per week (r=0.508, p <0.05). PAs (66%) were more likely to endorse current alcohol use than controls (44.1%, t= -2.136, X2=7.72, p <0.01). Importantly, PAs (19%) were more likely than controls (3%) to endorse symptoms of at least mild OUD (X2(3)=11.3, p <0.01) and higher ratings of opioid misuse risk (t=-2.166, p <0.05). Past month opioid withdrawal was also greater in PAs than controls (t=-2.136, p <0.05), and 5.6% of PAs and 1.5% of controls reported at least one prior incidence incident of opioid overdose in their lifetime (X2 =1.80, NS).
Among persons with chronic pain, PAs may have higher risk for opioid-related consequences, including OUD, and should be screened during health care encounters.
评估慢性疼痛患者与非表演艺术家（PA）相比，在物质使用方面的测量指标有何不同。
157 名报告慢性疼痛的参与者（89 名 PA，68 名非 PA 对照组）完成了一项在线横断面调查。使用简短疼痛清单评估参与者当前疼痛严重程度，使用修订后的疼痛患者筛选器和阿片类药物评估量表评估阿片类药物滥用风险，使用主观阿片类药物戒断量表评估阿片类药物戒断症状，使用 DSM-V 检查表的修改版本评估阿片类药物使用障碍（OUD）症状。
PA 的疼痛严重程度（p<0.05，t=2.196，df=155）和疼痛干扰程度（p<0.05，t=2.194）均低于非 PA 对照组。24%的 PA 和 13%的对照组报告在过去一个月内使用过阿片类药物。在 PA 中，过去一个月使用阿片类药物的天数与每周练习的时间呈正相关（r=0.508，p<0.05）。PA（66%）比对照组（44.1%）更有可能报告当前饮酒（t=-2.136，X2=7.72，p<0.01）。重要的是，PA（19%）比对照组（3%）更有可能出现至少轻度 OUD 的症状（X2(3)=11.3，p<0.01）和更高的阿片类药物滥用风险评分（t=-2.166，p<0.05）。过去一个月的阿片类药物戒断也在 PA 中比对照组更为严重（t=-2.136，p<0.05），5.6%的 PA 和 1.5%的对照组报告在其一生中至少有一次阿片类药物过量的事件（X2=1.80，NS）。
在患有慢性疼痛的人群中，PA 可能具有更高的阿片类药物相关后果的风险，包括 OUD，在医疗保健就诊期间应进行筛查。
