Edwards Karlyn A, Buonora Michele J, Merlin Jessica S, Liebschutz Jane M
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, USA.
Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center & Albert Einstein College of Medicine, USA.
Curr Opin Psychol. 2025 Apr;62:101977. doi: 10.1016/j.copsyc.2024.101977. Epub 2024 Dec 13.
Among people with substance use disorders (SUDs), chronic pain is among the most common comorbid chronic health conditions. Chronic pain increases risk for poor SUD treatment outcomes, including risk for overdose. Given rising overdose rates across North America, a renewed research focus has emerged to better understand the contribution and treatment of chronic pain in the context of an SUD. A significant portion of this research has focused on behavioral interventions given their safety and efficacy in treating both conditions separately. Therefore, this article will describe the recent advances in the treatment of chronic pain and SUD, including promising care delivery models and behavioral treatments. Areas for further study will also be reviewed.
在患有物质使用障碍（SUDs）的人群中，慢性疼痛是最常见的共病慢性健康状况之一。慢性疼痛会增加SUD治疗效果不佳的风险，包括过量用药的风险。鉴于北美各地过量用药率不断上升，人们重新聚焦于研究，以更好地了解SUD背景下慢性疼痛的影响及治疗方法。由于行为干预在分别治疗这两种疾病时具有安全性和有效性，因此这方面的大量研究都集中在行为干预上。因此，本文将描述慢性疼痛和SUD治疗的最新进展，包括有前景的护理提供模式和行为治疗方法。还将对有待进一步研究的领域进行综述。
