Risk factors for opioid addiction in chronic non-cancer pain
Opioids are very effective pain medications, but they are not without complications. Its use in chronic cancer pain is clearly established, but not in chronic non-cancer pain. Opioid use has increased in recent years, but at the same time, it has been accompanied by an increase in side effects and r...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023069153 |
| _version_ | 1797669823222644736 |
|---|---|
| author | Teresa López-Arteaga Carlos Moreno-Rubio Alicia Mohedano-Moriano |
| author_facet | Teresa López-Arteaga Carlos Moreno-Rubio Alicia Mohedano-Moriano |
| author_sort | Teresa López-Arteaga |
| collection | DOAJ |
| description | Opioids are very effective pain medications, but they are not without complications. Its use in chronic cancer pain is clearly established, but not in chronic non-cancer pain. Opioid use has increased in recent years, but at the same time, it has been accompanied by an increase in side effects and related complications, including abuse, abuse and opioid addiction. If we look in the literature on the subject there is a global concern to make an adequate therapy with risk reduction, but the samples studied make it difficult to extrapolate results to the general population and even more so if we take into account factors such as psychiatric comorbidity. This leads us to consider the need to study our own population, its characteristics and see how it is being treated, to refine as much as possible on an appropriate prescription. The authors have carried out a cross-sectional study on patients with non-cancer chronic pain referred to psychiatry and the presence of opioid use disorder. We found risk factors related to the biopsychosocial characteristics of the patients and the characteristics of pain and its treatment. Knowing the risk factors, we can avoid yatrogeny, implement primary and secondary prevention and, ultimately, improve the quality of patient care. |
| first_indexed | 2024-03-11T20:50:22Z |
| format | Article |
| id | doaj.art-2a0bd4c26a4a402c901852b40c15f4a6 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-11T20:50:22Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-2a0bd4c26a4a402c901852b40c15f4a62023-10-01T06:00:57ZengElsevierHeliyon2405-84402023-09-0199e19707Risk factors for opioid addiction in chronic non-cancer painTeresa López-Arteaga0Carlos Moreno-Rubio1Alicia Mohedano-Moriano2Médico Psiquiatra. Directora Médica Área Integrada de Talavera. Hospital General Universitario Ntra. Sra. Del Prado. Talavera de la Reina, SpainJefe de Servicio de Psiquiatría. Hospital General Universitario Ntra. Sra. Del Prado. Talavera de la Reina, SpainTitular de la Facultad de Ciencias de la Salud Talavera de la Reina. Universidad de Castilla-La Mancha, Spain; Académica del Vicerrectorado de Ciencias de la Salud de la Universidad de Castilla-La Mancha, Spain; Corresponding author. Hospital General Universitario Ntra. Sra. Del Prado, Carretera de Madrid, Km. 114, Spain.Opioids are very effective pain medications, but they are not without complications. Its use in chronic cancer pain is clearly established, but not in chronic non-cancer pain. Opioid use has increased in recent years, but at the same time, it has been accompanied by an increase in side effects and related complications, including abuse, abuse and opioid addiction. If we look in the literature on the subject there is a global concern to make an adequate therapy with risk reduction, but the samples studied make it difficult to extrapolate results to the general population and even more so if we take into account factors such as psychiatric comorbidity. This leads us to consider the need to study our own population, its characteristics and see how it is being treated, to refine as much as possible on an appropriate prescription. The authors have carried out a cross-sectional study on patients with non-cancer chronic pain referred to psychiatry and the presence of opioid use disorder. We found risk factors related to the biopsychosocial characteristics of the patients and the characteristics of pain and its treatment. Knowing the risk factors, we can avoid yatrogeny, implement primary and secondary prevention and, ultimately, improve the quality of patient care.http://www.sciencedirect.com/science/article/pii/S2405844023069153Chronic non-cancer painOpiod use disorderPersonality disorderStressful eventFibromialgic syndromeAffective disorder |
| spellingShingle | Teresa López-Arteaga Carlos Moreno-Rubio Alicia Mohedano-Moriano Risk factors for opioid addiction in chronic non-cancer pain Heliyon Chronic non-cancer pain Opiod use disorder Personality disorder Stressful event Fibromialgic syndrome Affective disorder |
| title | Risk factors for opioid addiction in chronic non-cancer pain |
| title_full | Risk factors for opioid addiction in chronic non-cancer pain |
| title_fullStr | Risk factors for opioid addiction in chronic non-cancer pain |
| title_full_unstemmed | Risk factors for opioid addiction in chronic non-cancer pain |
| title_short | Risk factors for opioid addiction in chronic non-cancer pain |
| title_sort | risk factors for opioid addiction in chronic non cancer pain |
| topic | Chronic non-cancer pain Opiod use disorder Personality disorder Stressful event Fibromialgic syndrome Affective disorder |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023069153 |
| work_keys_str_mv | AT teresalopezarteaga riskfactorsforopioidaddictioninchronicnoncancerpain AT carlosmorenorubio riskfactorsforopioidaddictioninchronicnoncancerpain AT aliciamohedanomoriano riskfactorsforopioidaddictioninchronicnoncancerpain |