Chronic pain, substance abuse and addiction

2003 ◽  
Vol 38 (3) ◽  
pp. 525-537 ◽  
Author(s):  
Peggy Compton ◽  
Peter Athanasos
Keyword(s):  
2013 ◽  
Vol 58 (6) ◽  
pp. E1-E15 ◽  
Author(s):  
Donna E Stewart ◽  
Harriet MacMillan ◽  
Nadine Wathen

• IPV is an underrecognized problem that occurs in all countries, cultures, and socioeconomic groups. • IPV has an enormous impact on personal health, and economic and social well-being. • IPV may occur in heterosexual and LGBTQ relationships and may be perpetrated by either sex. • Canadian data from 1999 show about equal proportions of men and women had been victims of physical (seven and eight per cent, respectively) and psychological (18 and 19 per cent, respectively) IPV in the previous five years. • Exposure to IPV has deleterious effects on children and other family members. • Some populations are at greater risk or have special needs for IPV. These include immigrant women, Aboriginal women, LGBTQ communities, people with ALs, pregnant women, dating adolescents, older people, alcohol and other substance abusing people, low-income people, and those without a current partner (that is, IPV perpetrated by a former partner). • Mental health problems associated with IPV include depression, anxiety disorders, chronic pain syndromes, eating disorders, sleep disorders, psychosomatic disorders, alcohol and other substance abuse, suicidal and self-harm behaviours, nonaffective psychosis, some personality disorders, and harmful health behaviours, such as risk taking and smoking. As IPV is a major determinant of mental health, it is of vital importance to mental health professionals. • Physical health problems associated with IPV include death, a broad range of injuries, reproductive disorders, gastrointestinal disorders, chronic pain syndromes, fibromyalgia, poor physical functioning, and lower health-related quality of life. Sexually transmitted diseases, unwanted pregnancies and physical inactivity are also increased. • Children's exposure to IPV may have short- and long-term health impacts on the child, especially mental health effects. • Perpetrators of IPV most frequently have personality disorders, but substance abuse and other types of mental illness or brain dysfunction may also occur.


2001 ◽  
Vol 13 (1) ◽  
pp. 21-28
Author(s):  
B. Van Houdenhove

SUMMARYChronic pain is a phenomenon with important psychiatric aspects from a diagnostic as well as a therapeutic point of view. The place of chronic pain in the different versions of the Diagnostic and Statistical Manual of Mental Disorders, and the differential-diagnosis are critically discussed. The comorbidity with depression, anxiety disorders, substance abuse and personality disorders is extensively treated. Finally, the essential role of the psychiatrist in the multidisciplinary therapeutic approach of these patients is emphasised.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Nalini Vadivelu ◽  
Alice M. Kai ◽  
Gopal Kodumudi ◽  
Dan Haddad ◽  
Vijay Kodumudi ◽  
...  

2018 ◽  
Vol 32 (1) ◽  
pp. 51
Author(s):  
Kaveri Saxena ◽  
Supriya Agarwal ◽  
Malvika Dahuja ◽  
Sandeep Choudhary

2020 ◽  
Vol 34 (2) ◽  
pp. 255-267
Author(s):  
Alan D. Kaye ◽  
Sandeep Kandregula ◽  
Jennifer Kosty ◽  
Anthony Sin ◽  
Bharat Guthikonda ◽  
...  

2021 ◽  
Author(s):  
Alan D. Kaye ◽  
Martin J Carney ◽  
Mark R. Jones ◽  
Harold J. Campbell ◽  
Burton R. Beakley

Health care providers face a considerable challenge when treating chronic pain patients with prescription opioid medications. Although indications exist for the use of these drugs, their addictive nature and street value render them high-risk targets for abuse, misuse, and diversion. All patients receiving opioids should, therefore, be screened for abuse potential before beginning opioid therapy, be required to sign an opioid agreement, and receive close monitoring throughout the course of their treatment. Patients who present with a history of active substance abuse are at higher risk for iatrogenic dependence and necessitate more frequent monitoring. Herein arise several ethical issues, such as the principle of justice, which mediates equitable treatment for all patients. This review discusses the disease underlying substance abuse and clinical manifestations thereof, as well as relevant pathophysiology, ethical issues, and guidelines for the safe treatment with opioids. This review contains 3 tables and 43 references. Key Words: addiction, ethics, opioids, safety, substance abuse 


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