Screening for Addiction in Patients with Chronic Pain and “Problematic” Substance Use
Journal of Pain and Symptom ManagementPublished 1 December 1998
Peggy Compton, Jack Darakjian, Karen Miotto
Citations268
SJR quartileQ1
SJR score1.21
SNIP1.42
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TL;DR
A recently developed screening tool for addictive disease in chronic pain patients, and pilot efficacy data describing its ability to do so, is presented and three key screening indicators were identified as excellent predictors for the presence of addictive disease.
Abstract
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.
Keywords
Medicine
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