Document Detail


Use of conventional, complementary, and alternative treatments for pain among individuals seeking primary care treatment with buprenorphine-naloxone.
MedLine Citation:
PMID:  23041680     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine, among individuals with pain seeking BNT for opioid dependence, the use of pain treatment modalities, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment while in BNT.
METHODS: A total of 244 patients seeking office-based BNT for opioid dependence completed measures of demographics, pain status (ie, "chronic pain (CP)" [pain lasting at least 3 months] vs "some pain (SP)" [pain in the past week not meeting the duration criteria for chronic pain]), pain treatment use, perceived efficacy of prior pain treatment, and interest in receiving pain treatment while in BNT.
RESULTS: In comparison with the SP group (N = 87), the CP group (N = 88) was more likely to report past-week medical use of opioid medication (adjusted odds ratio [AOR] = 3.2; 95% CI, 1.2-8.4), lifetime medical use of nonopioid prescribed medication (AOR = 2.2; 95% CI, 1.1-4.7), and lifetime use of prayer (AOR = 2.8; 95% CI, 1.2-6.5) and was less likely to report lifetime use of yoga (AOR = 0.2; 95% CI, 0.1-0.7) to treat pain. Although the 2 pain groups did not differ on levels of perceived efficacy of prior lifetime pain treatments, in comparison with the SP group, the CP group was more likely to report interest in receiving pain treatment while in BNT (P < 0.001).
CONCLUSIONS: Individuals with pain seeking BNT for opioid dependence report a wide range of conventional, complementary, and alternative pain-related treatments and are interested (especially those with CP) in receiving pain management services along with BNT.
Authors:
Declan T Barry; Jonathan D Savant; Mark Beitel; Christopher J Cutter; Brent A Moore; Richard S Schottenfeld; David A Fiellin
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of addiction medicine     Volume:  6     ISSN:  1932-0620     ISO Abbreviation:  J Addict Med     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-07     Completed Date:  2013-04-23     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  101306759     Medline TA:  J Addict Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics / adverse effects,  therapeutic use*
Analgesics, Opioid / adverse effects,  therapeutic use*
Buprenorphine / adverse effects,  therapeutic use*
Chronic Pain / epidemiology,  rehabilitation*
Combined Modality Therapy / utilization
Comorbidity
Complementary Therapies / utilization*
Female
Humans
Male
Middle Aged
Naloxone / adverse effects,  therapeutic use*
Narcotic Antagonists / adverse effects,  therapeutic use*
Opiate Substitution Treatment / utilization*
Opioid-Related Disorders / epidemiology,  rehabilitation*
Primary Health Care / utilization*
Treatment Outcome
Utilization Review
Grant Support
ID/Acronym/Agency:
K01 DA022398/DA/NIDA NIH HHS; K01 DA024695/DA/NIDA NIH HHS; K23 DA000445/DA/NIDA NIH HHS; K23 DA024050/DA/NIDA NIH HHS; K24 DA024050/DA/NIDA NIH HHS; R01 DA019511/DA/NIDA NIH HHS; R01 DA020576/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
0/Analgesics; 0/Analgesics, Opioid; 0/Narcotic Antagonists; 0/suboxone; 36B82AMQ7N/Naloxone; 40D3SCR4GZ/Buprenorphine
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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