Physical pain and associated clinical characteristics in treatment-seeking patients in four substance use disorder treatment modalities.
Physical pain among persons seeking treatment for substance use disorders (SUD) and characteristics associated with pain were examined in a secondary analysis of data from the Drug Abuse Treatment Outcome Study (DATOS), a multi-site treatment outcome study. Patients (N = 7,876) in four treatment modalities - long-term residential (LTR), short-term inpatient (STI), outpatient methadone treatment (OMT), and outpatient drug-free (ODF) - reported severity of physical pain experienced during the preceding 12 months. Moderate to severe physical pain was reported by 21.2% of LTR patients, 26.8% of STI patients, 33.6% of OMT patients, and 17.6% of ODF patients. Individuals with and without physical pain were compared across treatment modalities. Patients with pain were more likely to report weekly heroin use [aOR = 1.73 (1.44-2.08)], weekly narcotics use [aOR = 1.43 (1.18-1.74)] and greater depressive symptoms [aOR = 1.30 (1.21-1.38)]. These findings support the presence of a sizable proportion of SUD patients with pain who may benefit from pain assessment as part of their SUD treatment.
Potter
Jennifer Sharpe
JS
McLean Hospital, Belmont, Massachusetts 02478, USA. jennifer potter@hms.harvard.edu
Prather
Kristi
K
Weiss
Roger D
RD
D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000534:rehabilitation; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002908:Chronic Disease; D015897:Comorbidity; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006556:Heroin Dependence / Q000453:epidemiology* / Q000534:rehabilitation; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D009293:Opioid-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D010043:Outcome and Process Assessment, Health Care; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology*; D010147:Pain Measurement; D011379:Prognosis; D011446:Prospective Studies; D012959:Socioeconomic Factors; D014481:United States
D009294:Narcotics; D008691:Methadone