Factors Associated with an Increased Risk of Opioid Misuse Among Patients with Non-Cancer Pain in Malaysian Pain Clinic Settings

被引:0
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作者
Sani, Asween R. [1 ,2 ]
Zin, Che Suraya [1 ]
机构
[1] Int Islamic Univ Malaysia IIUM, Pharm Practice Dept, Kulliyyah Pharm, Kuantan, Pahang, Malaysia
[2] Univ Coll MAIWP Int UCMI, Fac Pharm, Basic Hlth Sci & Pharmacol Dept, Taman Batu Muda,Batu Caves, Kuala Lumpur 68100, Malaysia
关键词
Opioid; pain; pain management; non-cancer pain; DRUG-RELATED BEHAVIOR; USE DISORDER; UNITED-STATES; PRESCRIPTION; ABUSE; THERAPY; DEPENDENCE; ADDICTION; HISTORY; VALIDATION;
D O I
10.1080/02791072.2024.2387602
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study examined the factors associated with a high risk of opioid misuse among patients receiving opioid treatment for their non-cancer pain in Malaysian pain clinics. The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R), a validated instrument for predicting the risk of aberrant drug-related behaviors, were used as a proxy to indicate risk of opioid misuse. Data analysis was stratified into high-risk and low-risk patient groups. Patient factors assessed included pain intensity, pain interference with daily activities, and health-related quality of life. Prescription opioid exposure was examined via patient medical and prescription records review. Among the 61 patients recruited, 62.3% scored >= 18 on the SOAPP-R, which indicates a high risk for opioid misuse. Factors associated with a high risk of opioid misuse were found to be high level of pain interference with daily activities, poorer mental health, and younger age. High-risk patients were found to be prescribed a lower mean daily opioid dose of <20 mg/day compared to low-risk patients (20-49 mg/day). This highlights the need for further research to distinguish aberrant drug-related behaviors due to inadequate pain management from that of actual prescription opioid misuse among non-cancer pain patients attending pain clinics.
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页数:11
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