Barth Wilsey|Scott M. Fishman|Alexander Tsodikov|Christine Ogden|Ingela Symreng|Amy A. Ernst
Psychological Comorbidities Predicting Prescription Opioid Abuse among Patients in Chronic Pain Presenting to the Emergency Department
VA Northern California Health Care System|University of California, Davis
attempted identify psychological comorbidities associated propensity prescription opioid abusepatients presenting emergency department seeking opioid refills chronic pain evaluated five validated selfreport instruments structured clinical interviews potential prescription opioid abuse modeled multiple regression analysis using depression anxiety disorders personality disorder addiction independent variablesof 113 patients studied 91 81 showed propensity prescription opioid abuse determined scores screener opioid assessment patients pain instrument depression anxiety history substance common panic attacks posttraumatic stress disorder personality disorders also found albeit less frequently panic attacks trait anxiety presence personality disorder accounted 38 variance potential prescription opioid abusepatients chronic pain assessed psychological addiction disorders increased risk abusing opioids also referred psychosocial treatment part care appropriate