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Pain and emotional distress among substance-Use patients beginning treatment relative to a representative comparison group

Wiest, KL and Colditz, JB and Carr, K and Asphaug, VJ and McCarty, D and Pilkonis, PA (2014) Pain and emotional distress among substance-Use patients beginning treatment relative to a representative comparison group. Journal of Addiction Medicine, 8 (6). 407 - 414. ISSN 1932-0620

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Objectives: A secondary analysis assessed health-related quality-oflife (HRQOL) characteristics (ie, anxiety, depression, fatigue, and types of pain) among patients entering substance-use treatment and identified characteristics specific to treatment modalities relative to a representative comparison group.Methods: As part of a larger alcohol bank assessment, substance-use patients (n = 406) beginning methadone treatment (n = 170) or other outpatient treatment (n=236) and a comparison group representative of the general population (n = 1000) completed a survey measuring anxiety, depression, fatigue, pain interference, and pain in the last 7 days. Previous studies lacked comparable and concurrent assessments across these 3 groups.Results: Patients entering substance-use treatment had relatively high levels of emotional distress and poorer HRQOL relative to the general population. Among treatment modalities, patients beginning methadone treatment reported the highest levels of pain interference and pain behavior and the poorest physical functioning. Before the potentially modifying effects ofmethadone maintenance, patients beginning agonist therapy reported the greatest levels of compromised quality of life.Conclusions: These data present the magnitude of differences in HRQOL characteristics between treatment and comparison groups using the same assessment rubric and may help inform the design and timing of treatment modalities, thereby enhancing treatment efficacy for patients.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Wiest, KL
Colditz, JBcolditzjb@pitt.eduJBC28
Carr, K
Asphaug, VJ
McCarty, D
Pilkonis, PA
Date: 1 November 2014
Date Type: Publication
Journal or Publication Title: Journal of Addiction Medicine
Volume: 8
Number: 6
Page Range: 407 - 414
DOI or Unique Handle: 10.1097/adm.0000000000000072
Schools and Programs: School of Medicine > Psychiatry
Refereed: Yes
ISSN: 1932-0620
Related URLs:
PubMed ID: 25275876
Date Deposited: 09 Oct 2014 18:22
Last Modified: 26 Oct 2021 10:55


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