Clinicians recognize the importance of monitoring aberrant medication-related behaviors chronic pain patients while being prescribed opioid therapy. The purpose this study was to develop and validate Current Opioid Misuse Measure (COMM) for those already on long-term An initial pool 177 items developed with input from 26 management addiction specialists. Concept mapping identified six primary concepts underlying medication misuse, which were used an item pool. Twenty-two specialists rated...

There has been a need for brief assessment tool providers who treat chronic pain patients to determine potential risk of abuse when prescribed opioids pain. The purpose this study was develop and begin the validation self-administered screening (Screener Opioid Assessment Patients with Pain, SOAPP) considered long-term opioid therapy. A consensus 26 addiction experts obtained on important characteristics that predict future medication misuse using concept mapping. 24-item SOAPP (version 1.0)...

A randomized, open, long-term, repeated-dose comparison of an anti-inflammatory drug and two opioid regimens in 36 patients with back pain.To examine the long-term safety efficacy chronic therapy a randomized trial pain.All participants underwent 4-week washout period no medication before being randomly assigned to one three treatment for 16 weeks: 1) naproxen only, 2) set-dose oxycodone, or 3) titrated-dose oxycodone sustained-release morphine sulfate. All then were titrated dose opioids...

This manuscript describes the development and initial validation of a self-report questionnaire designed to assess an individual's readiness adopt self-management approach their chronic pain condition. Theory preliminary empirical work informed pool items that were administered sample individuals reporting pain. Analyses data support four factor measure is consistent with transtheoretical model change associated stages model. Each factors, precontemplation, contemplation, action,...

Electronic data collection for monitoring pain has become increasingly popular in clinical research. However, no direct comparison been made between electronic diaries and self-report paper or phone interviews. We asked 36 patients with chronic low back to monitor their 1 year; 20 of them used both a palmtop computer diaries, 16 alone. All were called once week rate pain. Regression analyses measurement error model run on hourly scores recorded by diaries. Ratings intensity highly reliable...

Objective To investigate the role of psychiatric history and psychologic adjustment on aberrant drug-related behavior among patients prescribed opioids for noncancer pain. Methods Two hundred twenty-eight chronic pain were classified as either high or low morbidity basis their responses subscale Prescription Drug Use Questionnaire (PDUQ). They also completed Brief Pain Inventory (BPI), Screener Opioid Assessment Patients (SOAPP), Current Medication Misuse Measure (COMM). followed 5 months...

The visual analogue scale (VAS) is an established, validated, self-report measure usually consisting of a 10 cm line on paper with verbal anchors labeling the ends. Palmtop computers (PTCs also known as personal digital appliances) have incorporated VAS entry by use touch screen. However, validity and psychophysical properties electronic never been formally compared conventional VAS. aim this study to determine agreement between (eVAS) (pVAS) modes. Twenty-four healthy volunteers were...

Chronic pain patients who show aberrant drug-related behavior often are discontinued from treatment when they noncompliant with their use of opioids for pain. The purpose this study was to conduct a randomized trial in were prescribed noncancer back and showed risk potential or demonstration opioid misuse see if close monitoring cognitive behavioral substance counseling could increase overall compliance opioids. Forty-two meeting criteria high-risk either standard control (High-Risk Control;...

To examine the incidence of abnormal urine toxicology screening among chronic pain patients prescribed opioids for their and to relate these results patient descriptors type, number, dose opioids.A retrospective analysis data from 470 who had at a management program in an urban teaching hospital was performed. Urine samples were analyzed using gas chromatography-mass spectrometry. Patients categorized as having screens that "normal" (expected findings based on drugs) or abnormal. Abnormal...

Comprised mainly of depression, anxiety, and high neuroticism, psychopathology diminishes the effectiveness many chronic pain treatments. But, it is not known if associated with diminished opioid analgesia in patients chronic, noncancer pain. We tested hypothesis that discogenic low back 60 on opioids a double blind, placebo controlled, random crossover designed trial. Patients were stratified into three groups psychological symptom severity (LOW, MOD, HIGH), based composite scores anxiety...

Objectives The Current Opioid Misuse Measure (COMM) is a self-report measure of risk for aberrant medication-related behavior among persons with chronic pain who are prescribed opioids pain. It was developed to complement predictive screeners opioid misuse potential and improve clinician's ability periodically assess patient's misuse. aim this study cross-validate the COMM sample noncancer patients. Methods Two hundred twenty-six participants were recruited from 5 management centers in...

Objective: There is growing concern of medication misuse and noncompliance among patients with chronic pain prescribed opioids for pain. The aim this survey was to obtain information from primary care providers (PCPs) about their perception prescribing pain.Methods: PCPs were invited complete a packet questionnaires attitudes concerns These included 1) General Health Questionnaire, 2) Test Opioid Knowledge (TOK), 3) Therapy Provider Survey, 4) Concerns About Analgesic Prescription...

Objectives: The Screener and Opioid Assessment for Patients with Pain—Revised (SOAPP-R) is a self-report questionnaire designed to predict aberrant medication-related behaviors among persons chronic pain. This measure was developed complement current risk assessment practices improve clinician's ability assess patient's opioid misuse. aim of this study cross-validate the SOAPP-R new sample chronic, noncancer pain patients. Methods: Three hundred two participants (N = 302) prescribed opioids...

Diverting attention away from noxious stimulation (i.e., distraction) is a common pain-coping strategy. Its effects are variable across individuals, however, and the authors hypothesized that chronic pain patients who reported higher levels of catastrophizing would derive less pain-reducing benefit distraction.Chronic (n=149) underwent psychometric quantitative sensory testing, including assessment temporal summation in presence absence distracting motor task.A simple distraction task...

Opioids are frequently prescribed for chronic low back pain (CLBP), but there little prospective data on which patient subgroups may benefit. Psychiatric comorbidity, such as high levels of depression and anxiety symptoms (termed comorbid negative affect [NA]), is a common presentation predict diminished opioid analgesia and/or increased misuse.The authors conducted 6½-month cohort study oral therapy, with an active drug/placebo run-in period, in 81 CLBP patients low, moderate, NA. Treatment...