The association of persistent pain with out‐patient addiction treatment outcomes and service utilization

Caldeiro, Ryan M.; Malte, Carol A.; Calsyn, Donald A.; Baer, John; Nichol, Paul; Kivlahan, Daniel R.; Saxon, Andrew J.

doi:10.1111/j.1360-0443.2008.02358.x

Cited by 102 publications

(95 citation statements)

References 25 publications

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“…Of note, abovementioned variables are considered important risk factors of relapse (Boschloo et al, 2012;Bottlender & Soyka, 2005;Brower, 2003;Loree et al, 2015). Although the intensity of physical pain by itself has been shown to be a significant predictor of relapse (Caldeiro et al, 2008), its complex relationships with other recognized predictors to date have not been investigated. Interestingly, the multivariate analysis revealed that severity of sleep problems remained significant in the multivariate model of predictors of pain severity.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, Potter and colleagues used data from a large survey of substance use disorder treatment programs in the United States and found that between 18% and 38% of patients reported at least moderately severe pain during the prior 12 months (Potter et al, 2008). In addition, chronic and persistent pain is associated with worse pain-related and substance-related outcomes among adults treated for substance use disorders (Caldeiro et al, 2008;Larson et al, 2007). Thus, chronic pain is a highly prevalent and potentially problematic condition in general substance use disorder treatment settings.…”

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confidence: 99%

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Physical Pain in Alcohol-Dependent Patients Entering Treatment in Poland—Prevalence and Correlates

Jakubczyk

Ilgen

Bohnert

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Chronic pain and problematic alcohol use commonly co-exist, as the use of alcohol is commonly considered a useful pain self-management strategy. The purpose of this study was to characterize pain and pain-related problems in a group of primary alcohol-dependent individuals entering treatment facilities. Method: A sample of 366 (73.5% men and 26.5% women) alcohol-dependent (according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria) subjects was recruited in alcohol treatment centers in Warsaw, Poland. Information was obtained about demographics, social functioning, sexual and physical abuse during childhood, and severity of alcohol and sleep problems as well as level of impulsivity and general psychopathology. The study group was divided into a "mild or no pain" group and a "moderate or greater pain" group. Results: Among the study group, 34.4% of individuals reported moderate or greater physical pain during the last 4 weeks. The statistical analysis revealed that the experience of physical pain was significantly associated with lower level of education, unemployment, experience of sexual abuse before 18 years of age, and severity of alcohol dependence as well as other potential predictors of relapse (impulsivity, sleep problems, general psychopathology). When entered into logistic regression analysis with other dependent variables, the level of general psychopathology, severity of sleep problems, age, and education were all significantly associated with pain severity. Conclusions: Physical pain is a prevalent and potentially impairing experience in adults seeking treatment for alcohol dependence.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Physical Pain in Alcohol-Dependent Patients Entering Treatment in Poland—Prevalence and Correlates

Jakubczyk

Ilgen

Bohnert

et al. 2015

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

show abstract

“…In another possible explanation for the association between chronic SUDs, these two conditions have a shared risk factor, such as a family history of depression, that places an individual at greater risk for developing each condition. Irrespective of the causes, addressing pain in those with drug-or alcohol-use-related problems could be particularly important because of the previously described association between pain and worse posttreatment outcomes in those with SUDs (Caldeiro et al, 2008;Larson et al, 2007).…”

Section: Pain In Driver Intervention Programsmentioning

confidence: 98%

Pain Interference in Individuals in Driver Intervention Programs for Driving Under the Influence Offenders

Ilgen

McLouth

Barry

et al. 2010

Substance Use & Misuse

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Pain-related problems among individuals in court-mandated Driver Intervention Programs (DIPs) for "driving under the influence" (DUI) offenders have not been well studied. This project examines 3,189 individuals from a DIP in Dayton, Ohio. Over 11% of participants reported significant pain-related interference in the past 4 weeks. Pain was significantly more likely in those with depression, more childhood conduct problems, and recent use of multiple illicit drugs. Many individuals seen in court-mandated DIP programs for DUI offenders also report difficulties with pain. DIP programming should address pain in relation to substance use and mental health issues.

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“…27 Among veterans with CNCP in outpatient addiction treatment, individuals had shorter periods of treatment engagement and were more likely to have relapsed by 12-month follow-up compared with non-CNCP clients. 28 Similarly, individuals with CNCP who completed only substance abuse detoxification were more likely to relapse postdetox compared with individuals without CNCP. 29 …”

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confidence: 98%

Association of Chronic Noncancer Pain With Substance Abuse Treatment Outcomes Among a Community Mental Health Center Sample

Stevenson

Cole

Walker

et al. 2014

Addictive Disorders &Amp; Their Treatment

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Objectives:The purpose of this study is to examine the association of chronic noncancer pain (CNCP) with substance abuse treatment outcomes as measured by illicit drug use, unemployment, and arrests 12 months after an intake assessment. Methods:The sample included 1196 adults from 14 community-based substance abuse treatment programs that incorporated residential, outpatient, case management, and intensive outpatient services. Within the sample, 226 individuals reported the occurrence of CNCP at both treatment intake and 12-month followup. Binomial logistic regression analyses were used to examine substance abuse treatment outcomes comparing cases with CNCP (n = 226) to cases without CNCP (n = 970). As mental health confounds both CNCP and substance abuse treatment issues, baseline covariates were used to control for selfreported depression and anxiety in the models. Results:Individuals in the sample at intake who were older, of white race, who reported past 12-month anxiety symptoms, use of illicit drugs, and who were unemployed, retired, or disabled were more likely to report CNCP. Binary logistic regression models indicate that within this sample, CNCP was associated with continued illicit drug use at 12-month follow-up, but not with arrests or unemployment status at follow-up. Conclusions:The higher rates of illicit drug use at intake and continued drug use at follow-up for individuals with CNCP may indicate the need for specific pain management assistance. Recommendations include providing standard CNCP screening and assessment as part of substance abuse treatment protocols along with resource referrals.

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The association of persistent pain with out‐patient addiction treatment outcomes and service utilization

Abstract: Persistent pain is common among veterans in out-patient addiction treatment and is associated with poorer rates of abstinence, worse alcohol use severity and greater service utilization and costs than those with low pain.

Cited by 102 publications

References 25 publications

Physical Pain in Alcohol-Dependent Patients Entering Treatment in Poland—Prevalence and Correlates

Physical Pain in Alcohol-Dependent Patients Entering Treatment in Poland—Prevalence and Correlates

Pain Interference in Individuals in Driver Intervention Programs for Driving Under the Influence Offenders

Association of Chronic Noncancer Pain With Substance Abuse Treatment Outcomes Among a Community Mental Health Center Sample

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