Challenges to Treatment of Chronic Pain and Addiction During the "Opioid Crisis"

被引：22

作者：

Krashin, Daniel ^{[1
,2
]}

Murinova, Natalia ^{[3
]}

Sullivan, Mark ^{[4
]}

机构：

[1] Univ Washington, Dept Psychiat, Seattle, WA 98195 USA

[2] Univ Washington, Dept Anesthesia & Pain Med, Seattle, WA 98195 USA

[3] Univ Washington, Dept Neurol, Seattle, WA 98195 USA

[4] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

来源：

CURRENT PAIN AND HEADACHE REPORTS | 2016年 / 20卷 / 12期

关键词：

Chronic pain; Opioid use disorder; Opioid overdose; Heroin; Opioid crisis; Public health; DEPRESSION RECURRENCE; PRESCRIPTION OPIOIDS; WASHINGTON-STATE; INCREASED RISK; INITIATION; EPIDEMIC; THERAPY; BRAIN; ABUSE;

D O I：

10.1007/s11916-016-0596-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Health care in the USA faces a double challenge, the crisis of chronic pain and the crisis of opioid misuse and overdose. Patients have been prescribed opioids at high doses with unclear indications for long periods of time, putting them at high risk for morbidity and mortality. A significant proportion of these patients have comorbid psychiatric or substance use disorders complicating their pain conditions. The challenges to treating these patients adequately are discussed, along with potential solutions to these issues at the level of the individual provider, healthcare systems, and society.

引用

页数：3

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