| Development of a self-report screening instrument for assessing potential opioid medication misuse in chronic pain patients. | |
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MedLine Citation:
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PMID: 15120773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study constituted the first step in the psychometric development of a self-report screening instrument for risk of opioid medication misuse among chronic pain patients. A 26-item instrument, the Pain Medication Questionnaire (PMQ), was constructed based on suspected behavioral correlates of opioid medication misuse, which heretofore have received limited empirical investigation. The PMQ was administered to 184 patients at an interdisciplinary pain treatment center. Reliability coefficients for the PMQ were found to be of moderate but acceptable strength. Construct and concurrent validity were examined through correlation of PMQ scores to measures of substance abuse, physical and psychological functioning, and physicians' risk assessments. To explore high and low cutoff points for misuse risk, subgroups were formed according to the upper and lower thirds of PMQ scores and compared on validity measures. Higher PMQ scores were associated with history of substance abuse, higher levels of psychosocial distress, and poorer functioning. Future psychometric analyses will consider predictive validity and examine shortened versions of the instrument. |
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Authors:
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Laura L Adams; Robert J Gatchel; Richard C Robinson; Peter Polatin; Noor Gajraj; Martin Deschner; Carl Noe |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, U.S. Gov't, P.H.S.; Validation Studies |
Journal Detail:
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Title: Journal of pain and symptom management Volume: 27 ISSN: 0885-3924 ISO Abbreviation: J Pain Symptom Manage Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-05-03 Completed Date: 2004-07-07 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8605836 Medline TA: J Pain Symptom Manage Country: United States |
Other Details:
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Languages: eng Pagination: 440-59 Citation Subset: IM |
Affiliation:
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The Eugene McDermott Center for Pain, The University of Texas Southwestern Medical Center at Dallas, 75390, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesics, Opioid
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therapeutic use Attitude to Health Chronic Disease Comorbidity Female Health Care Surveys / methods Humans Male Middle Aged Narcotics / therapeutic use* Pain / diagnosis*, drug therapy*, epidemiology, psychology Psychometrics / methods*, statistics & numerical data Reproducibility of Results Risk Assessment / methods* Risk Factors Sensitivity and Specificity Substance Abuse Detection / methods*, statistics & numerical data Substance-Related Disorders / diagnosis*, epidemiology, prevention & control, psychology* United States / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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2K02 MH01107/MH/NIMH NIH HHS; 2R01-DE10713/DE/NIDCR NIH HHS; 2R01-MH46452/MH/NIMH NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 0/Narcotics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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