Evaluation and comparison of tools for diagnosing problematic prescription opioid use among chronic pain patients.
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| Title: | Evaluation and comparison of tools for diagnosing problematic prescription opioid use among chronic pain patients. |
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| Authors: | Kovatch, Merav, Feingold, Daniel, Elkana, Odelia, Lev‐Ran, Shaul |
| Source: | International Journal of Methods in Psychiatric Research. Dec2017, Vol. 26 Issue 4, pn/a-N.PAG. 14p. 5 Charts, 2 Graphs. |
| Subjects: | Chronic pain treatment, Opioid abuse, Chronic pain, Pain management, Drug abuse, Patients |
| Abstract: | Prescription opioid medications are commonly used for the treatment of chronic pain. Assessments of problematic opioid use among pain patients are inconsistent across studies, partially due to differences between various measures. Therefore, the most appropriate measure to use is often unclear. In this study we assessed problematic opioid use in a sample of 551 individuals receiving treatment for chronic pain, using three questionnaires: the Alcohol Use Disorder and Associated Disabilities Interview Schedule - Fourth Edition (AUDADIS-IV), the Current Opioid Misuse Measure (COMM) questionnaire and Portenoy's criteria (PC). These questionnaires yielded discordant positive rates of problematic use: 52.6%, 28.7%, and 17.1%, respectively, which did not change substantially when excluding AUDADIS-IV criteria of physical symptoms of tolerance and withdrawal. Although these three questionnaires share some statistically correlated content-based congruent questions, positive response rates to them were significantly different based on construction features, including questionnaires' referred time-frame, wording of questions and response alternatives. The findings of the present study illustrate strengths and limitations of the AUDADIS-IV, COMM and PC in diagnosing problematic opioid use in a population of adults suffering from chronic pain, and highlight the importance of recognizing and addressing specific questionnaire and question-related differences when identifying problematic opioid use in this population. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Methods in Psychiatric Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 126565634 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluation and comparison of tools for diagnosing problematic prescription opioid use among chronic pain patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kovatch%2C+Merav%22">Kovatch, Merav</searchLink><br /><searchLink fieldCode="AR" term="%22Feingold%2C+Daniel%22">Feingold, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Elkana%2C+Odelia%22">Elkana, Odelia</searchLink><br /><searchLink fieldCode="AR" term="%22Lev‐Ran%2C+Shaul%22">Lev‐Ran, Shaul</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Methods+in+Psychiatric+Research%22">International Journal of Methods in Psychiatric Research</searchLink>. Dec2017, Vol. 26 Issue 4, pn/a-N.PAG. 14p. 5 Charts, 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Chronic+pain+treatment%22">Chronic pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abuse%22">Drug abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Prescription opioid medications are commonly used for the treatment of chronic pain. Assessments of problematic opioid use among pain patients are inconsistent across studies, partially due to differences between various measures. Therefore, the most appropriate measure to use is often unclear. In this study we assessed problematic opioid use in a sample of 551 individuals receiving treatment for chronic pain, using three questionnaires: the Alcohol Use Disorder and Associated Disabilities Interview Schedule - Fourth Edition (AUDADIS-IV), the Current Opioid Misuse Measure (COMM) questionnaire and Portenoy's criteria (PC). These questionnaires yielded discordant positive rates of problematic use: 52.6%, 28.7%, and 17.1%, respectively, which did not change substantially when excluding AUDADIS-IV criteria of physical symptoms of tolerance and withdrawal. Although these three questionnaires share some statistically correlated content-based congruent questions, positive response rates to them were significantly different based on construction features, including questionnaires' referred time-frame, wording of questions and response alternatives. The findings of the present study illustrate strengths and limitations of the AUDADIS-IV, COMM and PC in diagnosing problematic opioid use in a population of adults suffering from chronic pain, and highlight the importance of recognizing and addressing specific questionnaire and question-related differences when identifying problematic opioid use in this population. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Methods in Psychiatric Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/mpr.1542 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: n/a Subjects: – SubjectFull: Chronic pain treatment Type: general – SubjectFull: Opioid abuse Type: general – SubjectFull: Chronic pain Type: general – SubjectFull: Pain management Type: general – SubjectFull: Drug abuse Type: general – SubjectFull: Patients Type: general Titles: – TitleFull: Evaluation and comparison of tools for diagnosing problematic prescription opioid use among chronic pain patients. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Kovatch, Merav – PersonEntity: Name: NameFull: Feingold, Daniel – PersonEntity: Name: NameFull: Elkana, Odelia – PersonEntity: Name: NameFull: Lev‐Ran, Shaul IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 10498931 Numbering: – Type: volume Value: 26 – Type: issue Value: 4 Titles: – TitleFull: International Journal of Methods in Psychiatric Research Type: main |
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