Comorbid Pain and Opioid Addiction: Psychosocial and Pharmacological Treatments.
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| Title: | Comorbid Pain and Opioid Addiction: Psychosocial and Pharmacological Treatments. |
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| Authors: | Wachholtz, Amy (AUTHOR), Ziedonis, Douglas (AUTHOR), Gonzalez, Gerardo (AUTHOR) |
| Source: | Substance Use & Misuse. Sep2011, Vol. 46 Issue 12, p1536-1552. 17p. |
| Subjects: | Opioid abuse, Chronic pain, Comorbidity, Opium abuse, Physiological effects of drug abuse?, Pharmacology, Drug abuse treatment |
| Abstract (English): | Treating comorbid pain (nonmalignant) and opioid addiction is a complex endeavor that requires cooperation of multi-modal treatment teams incorporating pharmacological, psychological, and social components. There are multiple barriers for patients, mental health practitioners, and physical health practitioners to provide complete treatment for this difficult treatment population. In this article, we will review which treatments have been empirically validated in this treatment population, where further research is required, and considerations for potential 'best approaches' to use for patient treatment while waiting for empirically validated treatment data. We will also discuss some complementary and alternative medicine approaches that have empirical validity in treating either pain or addiction individually, though empirical validity for the treatment of comorbid pain and addiction has not been established. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Comorbilidad de dolor con adiccion a opiaceos: tratamiento psicosocial y farmacologico El tratamiento de la comorbilidad de dolor (no maligno) con la adicción a opioides es una tarea compleja que requiere la cooperación de los equipos de tratamiento con una aproximación multimodal que incluya componentes farmacológicos, psicológicos y sociales. Hay múltiples barreras para que los pacientes y los profesionales de salud, incluida la salud mental, puedan proporcionar un tratamiento integral para esta población de difícil tratamiento. Este artículo revisa las intervenciones que han sido validadas empíricamente para el tratamiento de esta población y además identifica los vacios donde se requiere más investigación. Igualmente, se presentan las intervenciones que se consideran las "mejores prácticas" a utilizar para el tratamiento del paciente, mientras se esperan los resultados de los tratamiento empíricamente validados. También se discute algunos enfoques de medicina alternativa y complementaria que tiene alguna validez empírica en el tratamiento del dolor o de la adicción por separado, aunque la validez empírica para el tratamiento integrado de esta comorbilidad de dolor con la adicción a opiáceos aún no ha sido establecida. [ABSTRACT FROM AUTHOR] |
| Abstract (French): | Pain comorbidités et des toxicomanies aux opiacés: traitements psychosociaux et pharmacologiques Traitement de comorbidité de la douleur (non cancéreuse) et la dépendance aux opiacés est une entreprise complexe qui nécessite la collaboration de équipes de traitement multi-modales incorporant des facettes pharmacologiques, psychologiques et sociaux. Il existe multiples obstacles pour les patients, les praticiens de santé mentale, et des praticiens de santé physique à fournir complète traitement pour cette population difficile à traiter. Dans cet article, nous passerons en revue les traitements qui ont été empiriquement validées dans cette population, les zones où des recherches supplémentaires sont nécessaires, et des considérations pour "meilleures approches" éventuelles pour le traitement des patients en attendant des données de traitement validé empiriquement. Nous allons également discuter de certaines des approches complémentaires et parallèles qui ont une validité empirique pour le traitement indiviudel de la douleur ou la toxicomanie, si la validité empirique pour le traitement intégré de la douleur et de comorbidité toxicomanie n'a pas été établie. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Treating comorbid pain (nonmalignant) and opioid addiction is a complex endeavor that requires cooperation of multi-modal treatment teams incorporating pharmacological, psychological, and social components. There are multiple barriers for patients, mental health practitioners, and physical health practitioners to provide complete treatment for this difficult treatment population. In this article, we will review which treatments have been empirically validated in this treatment population, where further research is required, and considerations for potential 'best approaches' to use for patient treatment while waiting for empirically validated treatment data. We will also discuss some complementary and alternative medicine approaches that have empirical validity in treating either pain or addiction individually, though empirical validity for the treatment of comorbid pain and addiction has not been established. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10826084 |
| DOI: | 10.3109/10826084.2011.559606 |
