Prevalence and Characteristics of Chronic Pain Among Chemically Dependent Patients in Methadone Maintenance and Residential Treatment Facilities

摘要: Results Chronic severe pain was experienced by 37% of MMTP patients (95% confidence interval [CI], 32%-41%) and 24% inpatients CI, 20%-28%; P=.03). Pain any type or duration during the past week reported 80% 78% inpatients. Among those with chronic pain, 65% 48% high levels pain-related interference in physical psychosocial functioning. patients, correlates a multivariate model were age (odds ratio [OR], 2.08; 95% 1.17-3.70), illness (OR, 1.88; 1.07-3.29), lifetime psychiatric 1.77; 1.06-2.97), distress 1.63; 1.22-2.18), time treatment 2.23; CI,1.06-4.68).Amonginpatients,thecorrelatesofchronicpainwererace(blacksvswhites: OR, 0.52; 0.31-0.90; Hispanics vs whites: 0.48; 0.24-0.95), drug craving 2.78; 1.54-5.02), 2.17; 1.37-3.43), 1.36; 1.03-1.81). significantly more likely than to have used illicit drugs, as well alcohol, treat their complaint (51% 34%, P=.005) but less been prescribed medications (52% 67%, P=.01). Conclusions is prevalent among substance abuse treatment, especially patients. associated functional impairment vary population. Self-medication for psychoactive drugs appears problematic users who enroll drug-free programs. Substance programs need develop comprehensive structured management