Chronic pain, substance abuse and depression: Unfolding the common linkage

Agarwal, Supriya; Saxena, Kaveri; Dahuja, Malvika; Choudhary, Sandeep

doi:10.4103/ijpn.ijpn_78_17

Cited by 1 publication

(3 citation statements)

References 1 publication

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“…The current study recruited participants from July to August of 2016 from six homeless shelters in Oklahoma City, Oklahoma, by using flyers posted at the various recruitment sites. Eligibility criteria included being at least 18 years of age, having a minimum of 7th grade English literacy level as indicated by a score of 4 or higher on the Rapid Estimate of Adult Literacy in Medicine-Short Form (Agarwal et al, 2018), and obtaining services (e.g., shelter, counseling) at the six recruitment sites. An informed consent process occurred prior to participants completing the survey, and participants were compensated with a $20 department store gift card.…”

Section: Data and Samplementioning

confidence: 99%

“…While opioid misuse and opioid use disorder (OUD) is growing (Agarwal, Saxena, Dahuja, & Choudhary, 2018), the majority of the literature on opioid misuse is derived from data collected from primary care settings, substance use clinics, or services that cater specifically to veterans (Ives et al, 2006). The diverse scope in settings could be why demographic characteristics have been identified; yet, they vary by study population.…”

Section: Introductionmentioning

confidence: 99%

“…A number of the opioid misuse and OUD studies (Agarwal et al, 2018) have focused on individuals experiencing chronic pain that is both high intensity and high disability (e.g., Hwang et al, 2011). The misuse of opioid prescription(s) for pain has been associated with mental health disorders among veterans (Seal et al, 2012) and retired professional football players with undiagnosed concussions (Cottler et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness

Maza¹,

Hernandez²,

Kendzor³

et al. 2019

Health Behavior Research

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The purpose of this manuscript is to determine the prevalence of opioid misuse/opioid use disorder (OUD) among adults experiencing homelessness and describe characteristics that account for significant variance in relation to opioid misuse in those who misuse and do not misuse opioids. From six homeless shelters in Oklahoma City, adults participated in a survey about their demographics, substance use, mental health, and physical health from July to August of 2016 (n = 569). For assessing substance use, participants responded about their opioid misuse and diagnosis of OUD, current smoking status, arrests due to drug possession or driving while intoxicated, and diagnosis with alcohol use disorder or another drug use disorder, excluding opiate use disorder. A cumulative score of mental health comorbidity was created based on affirmative responses for having been diagnosed with depression, post-traumatic stress disorder (PTSD), schizophrenia/schizoaffective disorder, bipolar disorder, or an anxiety disorder besides PTSD. For physical health, one item from the General Health Survey-Short Form assessed pain, one item from the Behavioral Risk Factor Surveillance Survey assessed health, and one item assessed history of concussion. Bivariate analyses and logistic regression models identified the association. Sixteen percent of participants reported having experienced opioid misuse/been diagnosed with OUD. Substance use behaviors and physical health accounted for significant variance among those who misuse compared to those that do not misuse opioids. The most robust positive association of opioid misuse included: being white, being a current smoker, being diagnosed with another drug disorder, and having a concussion history. Additional research among the homeless population with a focus on concussion history as it relates to substance use and mental health comorbidity is needed.

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Section: Data and Samplementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%