Cognitive behavioral therapy for chronic pain and opioid use disorder

Gaeta, Marina; Beitel, Mark; Cutter, Christopher J.; Barry, Declan T.

doi:10.1016/b978-0-12-820237-1.00022-3

Cited by 2 publications

(2 citation statements)

References 74 publications

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“… 22 , 25 Psychological treatments such as cognitive behavioral therapy and mindfulness have been suggested as modalities to improve negative affect and pain among individuals with pain and OUD. 23 , 26 Exploring such notions further may lead to improved personalization of OUD treatment approaches. However, randomized controlled trials of these interventions have yet to show improvements in pain over standard care, and more research is needed.…”

Section: Discussionmentioning

confidence: 99%

Pain and its Perceived Relatedness to the Onset, Maintenance, and Relapse of Opioid use Disorder: A Descriptive Study of Non-Treatment-Seeking Individuals

Rausch,

Entrup,

Deaner

et al. 2024

Canadian Journal of Pain

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Background Previous research has found chronic pain to be prevalent among individuals with opioid use disorder (OUD). The perception that pain is related to OUD onset, maintenance, relapse, and treatment delay has been noted in this population. However, prior works primarily involved treatment-engaged populations. Scant research describes such perceptions among non-treatment-seeking individuals. Aims This study describes pain burden and perceptions regarding the role of pain in OUD onset, maintenance, relapse, and addiction treatment delay in a sample of individuals with untreated OUD. Methods This cross-sectional study surveyed syringe exchange participants ( n = 141). Participants responded to a survey including Diagnostic and Statistical Manual of Mental Disorders , Fifth Edition OUD criteria, pain survey scales, demographic characteristics, and questions regarding pain and its perceived relatedness to aspects of OUD. Results Most participants reported pain within the past 4 weeks (127, 91.4%). Data displayed a skew toward more intense pain ratings, with 120 reporting their pain as greater than mild (86.3%). A majority of participants agreed that pain was responsible for their OUD onset (79, 56.4%), maintenance (76, 54.3%), past relapse experience (82, 57.9%), and treatment delay (81, 57.9%). Correlative analyses revealed that pain severity and interference measures displayed moderate and statistically significant associations with extent of perceived relatedness of pain to these aspects of OUD. Conclusions Among this sample of individuals with untreated OUD, pain and pain interference were prevalent. Pain was perceived to be related to OUD onset, maintenance, relapse, and treatment delay by a majority of the sample. These findings are in accordance with and expand upon prior works. Abbreviations OUD: opioid use disorder; DSM-5: Diagnostic and Statistical Manual 5; BPI: Brief Pain Inventory; NIDA: National Institute on Drug Abuse; IASP: International Association for the Study of Pain; MOUD: Medications for Opioid Use Disorder; IQR: Interquartile Range.

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Section: Discussionmentioning

confidence: 99%

Pain and its Perceived Relatedness to the Onset, Maintenance, and Relapse of Opioid use Disorder: A Descriptive Study of Non-Treatment-Seeking Individuals

Rausch,

Entrup,

Deaner

et al. 2024

Canadian Journal of Pain

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“…2022 yılında yapılan ve bilişsel davranışçı terapilerin umut verici olduğunu bildiren başka bir çalışmada da opioid olmayan farmakoterapiyi psikoterapi ve diğer farmakolojik olmayan ağrı yönetimi müdahaleleriyle birleştiren bir biyopsikososyal modelin optimal düzeyde etkili olabileceği belirtilmektedir (40). Bu çalışmayla benzer şekilde entegre bakımın önemine vurgu yapan çalışmalar da vardır (8,41).…”

Section: Arındırma Sürecinde Psikiyatri Hemşiresinin Ağrı Yönetiminde...unclassified

Opioid Kullanım Bozukluğu arındırma sürecinde ağrının yönetimi: Konfor Kuramı ve Nörobilim temelinde bir yaklaşım

ÖLÇÜM

Karadere

2023

Hitit Medical Journal

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Yasadışı opioid kullanımı son yıllarda giderek artmaktadır. Opioid Kullanım Bozukluğunda tedavi, arındırma ve sürdürüm olmak üzere iki aşamadan oluşmaktadır. Arındırma süreci yaklaşık bir hafta süren, yerine koyma tedavisini kapsar. Genellikle arındırma tedavisinin son evresinde kullanılan buprenorfin/nalokson kombinasyonunun azaltılarak kesilmesi ve sürdürüm tedavisinde kullanılacak olan naltrekson hidroklorür ilacına başlanması tercih edilmektedir. Bu geçiş sürecinde ağrı başta olmak üzere ortaya çıkabilen yoksunluk belirtilerinin etkin yönetilememesi, tedavide kalma ile ilişkilidir. Bu kritik süreçte izlem, ek ilaç desteği ve ilaç dışı müdahaleler ile hastanın tedavide kalmasını sağlamakta psikiyatri hemşirelerinin rolü önemlidir. Bu derleme çalışmasında arındırma sürecinde ağrı yönetimine konfor kuramı ve nörobilim temelinde bir yaklaşım getirilmesi amaçlanmıştır.

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Cognitive behavioral therapy for chronic pain and opioid use disorder

Cited by 2 publications

References 74 publications

Pain and its Perceived Relatedness to the Onset, Maintenance, and Relapse of Opioid use Disorder: A Descriptive Study of Non-Treatment-Seeking Individuals

Pain and its Perceived Relatedness to the Onset, Maintenance, and Relapse of Opioid use Disorder: A Descriptive Study of Non-Treatment-Seeking Individuals

Opioid Kullanım Bozukluğu arındırma sürecinde ağrının yönetimi: Konfor Kuramı ve Nörobilim temelinde bir yaklaşım

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