The timing of onset of pain and substance use disorders.
Using data from the National Comorbidity Survey--Replication, this study examined the timing of onset of self-report comorbid chronic nonarthritis pain and substance use disorders (SUDs) and characteristics associated with different onset patterns. Most individuals (58.2%; N = 351/632) report that the SUD preceded the onset of pain. Relative to those with SUDs prior to the onset of chronic pain, those experiencing pain first were less likely to have a drug use disorder, more likely to have head pain, to be younger at the onset of the first condition, and to have a shorter duration between condition onsets.
Ilgen
Mark A
MA
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan 48109-5763, USA. marki@umich.edu
Perron
Brian
B
Czyz
Ewa K
EK
McCammon
Ryan J
RJ
Trafton
Jodie
J
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D002908:Chronic Disease; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D010146:Pain / Q000150:complications / Q000453:epidemiology*; D057566:Self Report; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*; D013997:Time Factors; D014481:United States / Q000453:epidemiology