JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (8): 87-91.doi: 10.6040/j.issn.1671-7554.0.2014.949

Previous Articles     Next Articles

Status and related factors of aberrant drug-related behaviors in patients with chronic pain

ZHAO Yang, LOU Fenglan   

  1. School of Nursing, Shandong University, Jinan 250012, Shandong, China
  • Received:2014-12-15 Published:2015-08-10

Abstract: Objective To investigate the status and related factors of aberrant drug-related behaviors in patients with chronic pain. Methods A total of 218 patients with chronic pain from Shandong Provincial Hospital Affiliated to Shandong University and Qilu Hospital of Shandong University were investigated using general information questionnaire, the Current Opioid Misuse Measure (COMM), Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS) and the Hospital Anxiety and Depression Scale (HADS). Results The average score of aberrant drug-related behaviors was (11.24±7.80). Stepwise regression analysis showed that age, months of opioid treatment, smoking, rumination, and depression were the independent influencing factors of aberrant drug-related behaviors. Conclusion Medical stuff should have a better understanding of the related factors of aberrant drug-related behaviors in patients with chronic pain and provide individualized assessment and intervention measures in order to achieve excellent therapeutic effect as well as to improve the quality of life.

Key words: Aberrant drug-related behaviors, Related factors, Chronic pain

CLC Number: 

  • R47
[1] Passik SD, Messina J, Golsorkhi A, et al. Aberrant drug-related behavior observed during clinical studies involving patients taking chronic opioid therapy for persistent pain and fentanyl buccal tablet for breakthrough pain[J]. J Pain Symptom Manage, 2011, 41(1):116-125.
[2] Roxburgh A, Bruno R, Larance B, et al. Prescription of opioid analgesics and related harms in Australia[J]. Med J Aust, 2011, 195(5):280-284.
[3] Manchikanti L, Helm S 2nd, Fellows B, et al. Opioid epidemic in the United States[J]. Pain Physician, 2012, 15(3 Suppl):ES9-ES38.
[4] Fischer B, Argento E. Prescription opioid related misuse, harms, diversion and interventions in Canada:a review[J]. Pain Physician, 2012, 15(3 Suppl):ES191-ES203.
[5] Dhalla IA, Mamdani MM, Sivilotti ML, et al. Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone[J]. CMAJ, 2009, 181(12):891-896.
[6] Butler SF, Budman SH, Fernandez KC, et al. Development and validation of the current opioid misuse measure[J]. Pain, 2007, 130(1-2):144-156.
[7] Butler SF, Budman SH, Fanciullo GJ, et al. Cross validation of the current opioid misuse measure to monitor chronic pain patients on opioid therapy[J]. Clin J Pain, 2010, 26(9):770-776.
[8] Meltzer EC, Rybin D, Saitz R, et al. Identifying prescription opioid use disorder in primary care: diagnostic characteristics of the Current Opioid Misuse Measure (COMM)[J]. Pain, 2011, 152(2):397-402.
[9] Finkelman MD, Kulich RJ, Zoukhri D, et al. Shortening the Current Opioid Misuse Measure via computer-based testing: a retrospective proof-of-concept study[J]. BMC Med Res Methodol, 2013, 13:126.
[10] 周成超,楚洁,王婷,等.简易心理状况评定量表Kessler10中文版的信度和效度评价[J].中国临床心理学杂志, 2008, 16(6):627-629. ZHOU Chengchao, CHU Jie, WANG Ting, et al. Reliability and validity of 10-item Kessler Scale (K10) Chinese version in evaluation of metal health status of Chinese population[J]. Chinese Journal of Clinical Psychology, 2008, 16(6):627-629.
[11] Tan G, Jensen MP, Thornby JI, et al. Validation of the brief pain inventory for chronic nonmalignant pain[J]. Pain, 2004, 5(2):133-137.
[12] Sullivan MJ, Bishop SR, Pivik J. The Pain Catastrophizing Scale:development and validation[J]. Psychol Assess, 1995, 7:524-532.
[13] Yap JC, Lau J, Chen PP, et al. Validation of the Chinese Pain Catastrophizing Scale (HK-PCS) in patients with chronic pain[J]. Pain Med, 2008, 9(2):186-195.
[14] Zigmond AS, Snaith RP. The hospital and anxiety and depression scale[J]. Acta Psychiatr Scand, 1983, 67(6):361-370.
[15] 叶维菲, 徐俊冕. 综合性医院焦虑抑郁量表在综合性医院患者中的应用与评价[J]. 中国行为医学科学杂志, 1993, 2(3):17-19.
[16] Strassels SA. Economic burden of prescription opioid misuse and abuse[J]. J Manag Care Pharm, 2009, 15(7):556-562.
[17] White AG, Birnbaum HG, Schiller M, et al. Analytic models to identify patients at risk for prescription opioid abuse[J]. Am J Manag Care, 2009, 15(12):897-906.
[18] Starrels JL, Becker WC, Weiner MG, et al. Low use of opioid risk reduction strategies in primary care even for high risk patients with chronic pain[J]. J Gen Intern Med, 2011, 26(9):958-964.
[19] Wasan AD, Butler SF, Budman SH, et al. Does report of craving opioid medication predict aberrant drug behavior among chronic pain patients?[J]. Clin J Pain, 2009, 25(3):193-198.
[20] Wasan AD, Butler SF, Budman SH, et al. Psychiatric history and psychologic adjustment as risk factors for aberrant drug-related behavior among patients with chronic pain[J]. Clin J Pain, 2007, 23(4):307-315.
[21] Jamison RN, Ross EL, Michna E, et al. Gender differences in risk factors for aberrant prescription opioid use[J]. J Pain, 2010, 11(4):312-320.
[22] Ives TJ, Chelminski PR, Hammett-Stabler CA, et al. Predictors of opioid misuse in patients with chronic pain: a prospective cohort study[J]. BMC Health Serv Res, 2006, 6:46.
[23] Edwards RR, Wasan AD, Michna E, et al. Elevated pain sensitivity in chronic pain patients at risk for opioid misuse[J]. J Pain, 2011, 12(9):953-963.
[24] Jamison RN, Link CL, Marceau LD. Do pain patients at high risk for substance misuse experience more pain? A longitudinal outcomes study[J]. Pain Med, 2009, 10(6):1084-1094.
[25] Martel MO, Wasan AD, Jamison RN, et al. Catastrophic thinking and increased risk for prescription opioid misuse in patients with chronic pain[J]. Drug Alcohol Depend, 2013, 132(1-2):335-341.
[26] Edlund MJ, Sullivan M, Steffick D, et al. Do users of regularly prescribed opioids have higher rates of substance use problems than nonusers?[J]. Pain Med, 2007, 8(8):647-656.
[27] Manchikanti L, Giordano J, Boswell MV, et al. Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients[J]. J Opioid Manag, 2007, 3(2):89-100.
[1] LIN Pingzhen, XUE Jiaomei, YANG Bei, LI Meng, ZHOU Mailin, CAO Fenglin. Correlation between posttraumatic growth and psychological adjustment of cancer survivors based on Pearson correlation coefficient: a Meta-analysis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(9): 110-121.
[2] DONG Xiuhong. Effect of cognitive-behavioral therapy plus hypnosis in controlling cancer-related fatigue in gastric cancer patients receiving chemotherapy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(7): 56-59.
[3] SUN Yuanyuan, GAO Wei, CUI Ying, ZHANG Hong, JIAO Jianfen, LI Kan, XU Ruicai. A systematic review on the effects of venous access port and PICC in cancer patients undergoing chemotherapy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(10): 73-81.
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 126-126.
[5] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 130-131.
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 127-128.
[7] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 129-129.
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 142-143.
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(Z1): 156-157.
[10] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 134-135.
[11] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 139-140.
[12] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 141-141.
[13] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 144-145.
[14] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(Z1): 182-182.
[15] REN Xiao-bo, YANG Rong, LI Jia, LI Lei. Application of systematic nursing intervention on patients with acute pancreatitis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(Z1): 174-175.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!