Prescription Opioid Misuse Index: A brief questionnaire to assess misuse

被引:98
作者
Knisely, Janet S. [1 ]
Wunsch, Martha J. [1 ]
Cropsey, Karen L. [1 ]
Campbell, Eleanor D. [2 ]
机构
[1] Virginia Commonwealth Univ, Dept Psychiat, Richmond, VA 23298 USA
[2] Virginia Commonwealth Univ, Dept Biostat, Richmond, VA 23298 USA
关键词
Screening instrument; Prescription drug abuse; Opioids; Pain;
D O I
10.1016/j.jsat.2008.02.001
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Prescription Opioid Misuse Index (POMI) was developed and used in a larger study designed to assess Correlates of OxyContin abuse in pain patients prescribed OxyContin, patients treated for OxyContin addiction, and individuals incarcerated for OxyContin-related charges. The POMI was administered to 40 Subjects with addiction problems and 34 pain patients who had received OxyContin for pain. Receiver operating characteristic curve analysis indicated that endorsing two or more of six items reliably classified a person as at risk for misuse of their medication. When comparing drug abuse/dependence in subjects classified as misusers or users, significantly more misusers received a diagnosis for alcohol (p < .01), illicit drugs (p < .05), and other prescription medications (p < .05) and reported greater lifetime use of alcohol (p < .002) and illicit drugs (p < .01). No between-group differences were found regarding psychiatric problems. The POMI appears to be a sensitive and specific instrument for identifying patients who misuse opioid medications. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:380 / 386
页数:7
相关论文
共 21 条
[1]  
*AM AC PAIN MED, 2001 CONS STAT DEF R
[2]   Validation of a screener and opioid assessment measure for patients with chronic pain [J].
Butler, SF ;
Budman, SH ;
Fernandez, K ;
Jamison, RN .
PAIN, 2004, 112 (1-2) :65-75
[3]  
COLLIVER JD, 2006, ANAL SERIES SUBSTA A, V28
[4]   Screening for addiction in patients with chronic pain and "problematic" substance use: Evaluation of a pilot assessment tool [J].
Compton, P ;
Darakjian, J ;
Miotto, K .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1998, 16 (06) :355-363
[5]   Major increases in opioid analgesic abuse in the United States: Concerns and strategies [J].
Compton, WM ;
Volkow, ND .
DRUG AND ALCOHOL DEPENDENCE, 2006, 81 (02) :103-107
[6]   THE USE OF THE DSM-III-R CHECKLIST FOR INITIAL DIAGNOSTIC ASSESSMENTS [J].
HUDZIAK, JJ ;
HELZER, JE ;
WETZEL, MW ;
KESSEL, KB ;
MCGEE, B ;
JANCA, A ;
PRZYBECK, T .
COMPREHENSIVE PSYCHIATRY, 1993, 34 (06) :375-383
[7]  
IVES TJ, 2006, BMC HLTH SERVICES RE, V6
[8]  
Manchikanti Laxmaiah, 2003, Pain Physician, V6, P425
[9]   NEW DATA FROM THE ADDICTION SEVERITY INDEX - RELIABILITY AND VALIDITY IN 3 CENTERS [J].
MCLELLAN, AT ;
LUBORSKY, L ;
CACCIOLA, J ;
GRIFFITH, J ;
EVANS, F ;
BARR, HL ;
OBRIEN, CP .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1985, 173 (07) :412-423
[10]  
Miller Norman S, 2004, Am J Ther, V11, P26, DOI 10.1097/00045391-200401000-00008