The impact of chronic pain and depression on medication for opioid use disorder treatment: A mixed-methods analysis.
Heroin Addict Relat Clin Probl
; 262024.
Article
en En
| MEDLINE
| ID: mdl-39069987
ABSTRACT
Background:
Opioid use disorder (OUD) is associated with significant morbidity and mortality. Medication for opioid use disorder (MOUD) is a cost-effective treatment, but retention rates vary widely.Aim:
Mixed methods studies are needed to better understand how depression and pain impact the experience of OUD and MOUD treatment experiences.Methods:
Participants were recruited from an urban addiction treatment center in the United States. Along with demographic characteristics, current pain severity, pain interference, pain catastrophizing, and depression were assessed via self-report. Correlational analyses, multivariable logistic regression models, Fisher exact tests, and Wilcoxon signed rank tests were used to examine the impact of demographic characteristics, physical pain, and depression on multiple treatmentoutcomes:
90-day treatment engagement (total number of dispensed MOUD doses), retention (yes/no still in treatment at 90 days), and opioid use (positive/negative urinalysis for opioids at 90 days). Ten participants were interviewed about their history with physical pain, depression, opioid use, and OUD treatment experiences. Themes were identified using a rapid analysis, top-down approach.Results:
Fifty participants enrolled in the study and received buprenorphine (12%) or methadone (88%). Older age was associated with 90-day treatment engagement. Higher depression scores were associated with a positive opioid urinalysis at 90-day follow-up. In interviews, participants reported experiencing chronic physical pain and depression before and during their OUD and an interest in addressing mental and physical health in addiction treatment.Conclusions:
Addressing co-occurring physical and mental health concerns during MOUD treatment has the potential to improve the treatment experience and abstinence from opioids.
Texto completo:
1
Base de datos:
MEDLINE
Idioma:
En
Revista:
Heroin Addict Relat Clin Probl
Año:
2024
Tipo del documento:
Article