Abstract
The use of long-term opioid therapy for the management of chronic pain remains controversial. The highlighted consequences of long-term opioid therapy are aberrant drug-taking behaviors, abuse, and dependence. However, the limitations of this treatment modality usually can be attributed to a lack of efficacy and adverse events. Patients that remain refractory to long-term opioid therapy for chronic pain often have a psychiatric disorder that is acting as a barrier to effectiveness. While standardized approaches to the evaluation of a patient to receive long-term opioid therapy are established, little data exists to document their ability to limit opioid abuse or enhance their efficacy. Screening questionnaires and other attempts at predicting or detecting opioid-related substance use disorders fail to determine the presence of comorbid psychiatric disorders. A comprehensive approach for the psychiatric evaluation of patients with chronic pain will address specific barriers to successful chronic pain management and optimize the chances for success with long-term opioid therapy.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 261-267 |
| Number of pages | 7 |
| Journal | European Journal of Pain Supplements |
| Volume | 4 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 2010 |
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Keywords
- Chronic pain
- Opioids
- Patient-centered
- Psychiatry
- Substance abuse
- Treatment
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Opioids and psychological issues : A practical, patient-centered approach to a risk evaluation and mitigation strategy. / Clark, Michael; Galati, Steven A.
In: European Journal of Pain Supplements, Vol. 4, No. 4, 11.2010, p. 261-267.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Opioids and psychological issues
T2 - A practical, patient-centered approach to a risk evaluation and mitigation strategy
AU - Clark, Michael
AU - Galati, Steven A.
PY - 2010/11
Y1 - 2010/11
N2 - The use of long-term opioid therapy for the management of chronic pain remains controversial. The highlighted consequences of long-term opioid therapy are aberrant drug-taking behaviors, abuse, and dependence. However, the limitations of this treatment modality usually can be attributed to a lack of efficacy and adverse events. Patients that remain refractory to long-term opioid therapy for chronic pain often have a psychiatric disorder that is acting as a barrier to effectiveness. While standardized approaches to the evaluation of a patient to receive long-term opioid therapy are established, little data exists to document their ability to limit opioid abuse or enhance their efficacy. Screening questionnaires and other attempts at predicting or detecting opioid-related substance use disorders fail to determine the presence of comorbid psychiatric disorders. A comprehensive approach for the psychiatric evaluation of patients with chronic pain will address specific barriers to successful chronic pain management and optimize the chances for success with long-term opioid therapy.
AB - The use of long-term opioid therapy for the management of chronic pain remains controversial. The highlighted consequences of long-term opioid therapy are aberrant drug-taking behaviors, abuse, and dependence. However, the limitations of this treatment modality usually can be attributed to a lack of efficacy and adverse events. Patients that remain refractory to long-term opioid therapy for chronic pain often have a psychiatric disorder that is acting as a barrier to effectiveness. While standardized approaches to the evaluation of a patient to receive long-term opioid therapy are established, little data exists to document their ability to limit opioid abuse or enhance their efficacy. Screening questionnaires and other attempts at predicting or detecting opioid-related substance use disorders fail to determine the presence of comorbid psychiatric disorders. A comprehensive approach for the psychiatric evaluation of patients with chronic pain will address specific barriers to successful chronic pain management and optimize the chances for success with long-term opioid therapy.
KW - Chronic pain
KW - Opioids
KW - Patient-centered
KW - Psychiatry
KW - Substance abuse
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=78149357687&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78149357687&partnerID=8YFLogxK
U2 - 10.1016/j.eujps.2010.09.003
DO - 10.1016/j.eujps.2010.09.003
M3 - Article
AN - SCOPUS:78149357687
VL - 4
SP - 261
EP - 267
JO - European Journal of Pain Supplements
JF - European Journal of Pain Supplements
SN - 1754-3207
IS - 4
ER -