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Pain and motives for use among non‐treatment seeking individuals with prescription opioid dependence
Author(s) -
Barth Kelly S.,
Maria Megan MoranSanta,
Lawson Katie,
Shaftman Stephanie,
Brady Kathleen T.,
Back Sudie E.
Publication year - 2013
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.2013.12038.x
Subject(s) - medical prescription , opioid , opioid epidemic , psychology , opioid related disorders , psychiatry , clinical psychology , medicine , pharmacology , receptor
Background and Objectives Patients with prescription opioid use disorders and co‐occurring pain present a formidable challenge for healthcare providers, and little is known about patients with this dual diagnosis. This study examined the prevalence of pain and motives for use among individuals with prescription opioid dependence. Methods Participants (N = 127) included 86 non‐treatment seeking individuals with current prescription opioid dependence and 41 healthy controls. They were administered a battery of assessments to evaluate pain and substance use. Results Participants with prescription opioid dependence were significantly more likely than controls to report current pain (62.2 vs. 12.2%), as well as higher levels of pain interference and severity. The most common source of prescription opioids was a physician (91.3%) and the most common motive for using prescription opioids, initially and currently, was to relieve pain (70.3% and 81.0%, respectively). Motivation for subsequent non‐medical use of prescription opioids included to get high (73.8%), to increase energy (71.0%), to decrease anxiety (51.2%), and to improve sleep (35.7%). Conclusion Pain is a significant comorbidity and motivator for the non‐medical use of prescription opioids. Provider and patient education regarding the safe use of prescription opioids, as well as interventions targeting prescription opioid dependence, are needed. (Am J Addict 2013;22:486–491)