Screening for addiction in patients with chronic pain and "problematic" substance use: evaluation of a pilot assessment tool
摘要：
Assessing for the presence of addiction in the chronic pain patient receiving chronic opioid analgesia is a challenging clinical task. This paper presents a recently developed screening tool for addictive disease in chronic pain patients, and pilot efficacy data describing its ability to do so. In a small sample of patients ( n = 52) referred from a multidisciplinary pain center for "problematic" medication use, responses to the screening questionnaire were compared between patients who met combined diagnostic criteria for a substance use disorder and those who did not, as assessed by a trained addiction medicine specialist. Responses of addicted patients significantly differed from those of nonaddicted patients on multiple screening items, with the two groups easily differentiated by total questionnaire score. Further, three key screening indicators were identified as excellent predictors for the presence of addictive disease in this sample of chronic pain patients.
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关键词：
Humans Pain Opioid-Related Disorders Analgesics, Opioid Mass Screening Questionnaires Pilot Projects Adult Aged Evaluation Studies as Topic
DOI：
10.1016/s0885-3924(98)00110-9
被引量：
年份：
1998
Elsevier
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Elsevier
Wiley
万方医学
Ingenta
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