Witkiewitz Katie, Vowles Kevin E
Department of Psychology and Center on Alcohol, Substance use, And Addictions University of New Mexico.
School of Psychology, Queen's University Belfast.
Curr Dir Psychol Sci. 2023 Jun;32(3):228-235. doi: 10.1177/09637214231162366. Epub 2023 Mar 21.
Chronic pain and substance use disorders are both common, debilitating, and often persist over the longer term. On their own, each represents a significant health problem, with estimates indicating a substantial proportion of the adult population has chronic pain or a substance use disorder (SUD), and their co-occurrence is increasing. Chronic pain and SUD are also both often invisible, stigmatized disorders and persons with both regularly have difficulty accessing evidence-based treatments, particularly those that offer coordinated and integrated treatment for both conditions. But there is hope. Research is unraveling the mechanisms of chronic pain and substance use, as well as their co-occurrence, integrated behavioral treatment options based on acceptance- and mindfulness-based approaches are increasingly being developed and tested, government agencies are devoting more funds and resources to increase research on chronic pain and SUD, and there have been growing efforts in training, dissemination, and implementation of evidence-based treatments. At the very heart of the matter, though, is to recognize that everybody hurts sometimes, and treatments must empower people to life effectively with these experiences of being human.
慢性疼痛和物质使用障碍都很常见，令人衰弱，且往往长期持续。就其本身而言，每一种都代表着一个重大的健康问题，据估计，相当大比例的成年人口患有慢性疼痛或物质使用障碍（SUD），而且它们的共病情况正在增加。慢性疼痛和物质使用障碍通常也是无形的、受污名化的疾病，同时患有这两种疾病的人通常难以获得循证治疗，尤其是那些针对这两种情况提供协调和综合治疗的方法。但仍有希望。研究正在揭示慢性疼痛和物质使用的机制以及它们的共病情况，基于接纳和正念方法的综合行为治疗方案越来越多地得到开发和测试，政府机构投入了更多资金和资源来加强对慢性疼痛和物质使用障碍的研究，并且在循证治疗的培训、传播和实施方面也做出了越来越多的努力。然而，问题的核心在于认识到每个人都会在某些时候感到疼痛，治疗必须使人们有能力有效地应对这些作为人的经历。
