Cargando…
Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults
BACKGROUND: The primary aim of this work was to present the prevalence data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a representative 3-year longitudinal survey (ages 18+ years) that captured information on patterns of self-reported pain interference and pre...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935147/ https://www.ncbi.nlm.nih.gov/pubmed/27418863 http://dx.doi.org/10.2147/SAR.S102251 |
_version_ | 1782441418058366976 |
---|---|
author | Novak, Scott P Glasheen, Cristie Roland, Carl L |
author_facet | Novak, Scott P Glasheen, Cristie Roland, Carl L |
author_sort | Novak, Scott P |
collection | PubMed |
description | BACKGROUND: The primary aim of this work was to present the prevalence data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a representative 3-year longitudinal survey (ages 18+ years) that captured information on patterns of self-reported pain interference and prescription pain reliever misuse. A second aim was to assess the degree to which the risk of various types of opioid misuse (onset, desistance, and incidence of dependence) was related to the longitudinal course of self-reported pain interference over the 3-year period. METHODS: We used a two-wave, nationally representative sample of adults (aged 18+ years) in which the baseline data were collected during 2001–2002 and a single follow-up was obtained ~3 years later (2004–2005 with 34,332 respondents with complete data on study variables for both waves). RESULTS: Our findings indicated that ~10% reported high pain interference in the past month at each wave. There was tremendous stability in levels of pain, with ~5% reporting consistent levels of high impairment over the 3-year study, a proxy for chronic pain. Levels of pain were more strongly associated with prescription pain reliever misuse concurrently rather than prospectively, and the association was largely linear, with the likelihood of misuse increasing with levels of pain. Finally, health service factors were also prominent predictors of onset, but not the outcomes, of desistance or transitions to problem use. CONCLUSION: This study is the first to use a nationally representative sample with measures of pain and drug use history collected over an extended period. These results may help provide clinicians with an understanding that the risk of misuse is greatest when pain is active and may help guide the selection of appropriate intervention materials and monitor strategies for those at greatest risk. |
format | Online Article Text |
id | pubmed-4935147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-49351472016-07-14 Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults Novak, Scott P Glasheen, Cristie Roland, Carl L Subst Abuse Rehabil Original Research BACKGROUND: The primary aim of this work was to present the prevalence data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a representative 3-year longitudinal survey (ages 18+ years) that captured information on patterns of self-reported pain interference and prescription pain reliever misuse. A second aim was to assess the degree to which the risk of various types of opioid misuse (onset, desistance, and incidence of dependence) was related to the longitudinal course of self-reported pain interference over the 3-year period. METHODS: We used a two-wave, nationally representative sample of adults (aged 18+ years) in which the baseline data were collected during 2001–2002 and a single follow-up was obtained ~3 years later (2004–2005 with 34,332 respondents with complete data on study variables for both waves). RESULTS: Our findings indicated that ~10% reported high pain interference in the past month at each wave. There was tremendous stability in levels of pain, with ~5% reporting consistent levels of high impairment over the 3-year study, a proxy for chronic pain. Levels of pain were more strongly associated with prescription pain reliever misuse concurrently rather than prospectively, and the association was largely linear, with the likelihood of misuse increasing with levels of pain. Finally, health service factors were also prominent predictors of onset, but not the outcomes, of desistance or transitions to problem use. CONCLUSION: This study is the first to use a nationally representative sample with measures of pain and drug use history collected over an extended period. These results may help provide clinicians with an understanding that the risk of misuse is greatest when pain is active and may help guide the selection of appropriate intervention materials and monitor strategies for those at greatest risk. Dove Medical Press 2016-06-30 /pmc/articles/PMC4935147/ /pubmed/27418863 http://dx.doi.org/10.2147/SAR.S102251 Text en © 2016 Novak et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Novak, Scott P Glasheen, Cristie Roland, Carl L Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title | Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title_full | Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title_fullStr | Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title_full_unstemmed | Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title_short | Prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of US adults |
title_sort | prescription pain reliever misuse and levels of pain impairment: 3-year course in a nationally representative outpatient sample of us adults |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935147/ https://www.ncbi.nlm.nih.gov/pubmed/27418863 http://dx.doi.org/10.2147/SAR.S102251 |
work_keys_str_mv | AT novakscottp prescriptionpainrelievermisuseandlevelsofpainimpairment3yearcourseinanationallyrepresentativeoutpatientsampleofusadults AT glasheencristie prescriptionpainrelievermisuseandlevelsofpainimpairment3yearcourseinanationallyrepresentativeoutpatientsampleofusadults AT rolandcarll prescriptionpainrelievermisuseandlevelsofpainimpairment3yearcourseinanationallyrepresentativeoutpatientsampleofusadults |