Chronic Pain and Hepatitis C Virus Infection in Opioid Dependent Injection Drug Users

被引:16
作者
Tsui, Judith I. [1 ]
Herman, Debra S. [2 ,3 ]
Kettavong, Malyna [2 ,3 ]
Anderson, Bradley J. [2 ,3 ]
Stein, Michael D. [2 ,3 ]
机构
[1] Boston Univ, Sch Med, Boston Med Ctr, Boston, MA 02118 USA
[2] Brown Univ, Butler Hosp, Providence, RI 02912 USA
[3] Brown Univ, Warren Alpert Sch Med, Providence, RI 02912 USA
关键词
Hepatitis C virus; injection drug use; chronic pain; pain hypersensitivity; NECROSIS-FACTOR-ALPHA; METHADONE-MAINTENANCE PATIENTS; DEPRESSIVE SYMPTOMS; PANIC DISORDER; HIV; PREVALENCE; INTERLEUKIN-6; ASSOCIATION; RESPONSES; INTOLERANCE;
D O I
10.1080/10550887.2011.554775
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
It is unknown whether infection with hepatitis C is a risk factor for pain among people who have used injection drugs. Multivariate regression was used to determine whether hepatitis C was associated with greater likelihood of reporting significant chronic pain and discomfort intolerance in a cohort of 97 injection drug users dependent on opioids. Study results suggest that participants with hepatitis C may be more likely to experience chronic pain (aOR = 1.98; 95% confidence interval = 0.76 to 5.12, p= 0.16). Furthermore, hepatitis C was found to be associated with a higher discomfort intolerance scale score, reflecting intolerance to physical discomfort (= 2.34; 95% confidence interval = 0.06 to 4.62; p= 0.04). Hepatitis C may be a cause for chronic pain and discomfort intolerance that is overlooked among injection drug users dependent on opioids.
引用
收藏
页码:91 / 97
页数:7
相关论文
共 42 条
[1]  
[Anonymous], 1996, BDI 2 BECK DEPRESSIO
[2]   Depression and pain comorbidity - A literature review [J].
Bair, MJ ;
Robinson, RL ;
Katon, W ;
Kroenke, K .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (20) :2433-2445
[3]   Musculoskeletal pain and fatigue are associated with chronic hepatitis C - A report of 239 hepatology clinic patients [J].
Barkhuizen, A ;
Rosen, HR ;
Wolf, S ;
Flora, K ;
Benner, K ;
Bennett, RM .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 1999, 94 (05) :1355-1360
[4]   Relations Among Psychopathology, Substance Use, and Physical Pain Experiences in Methadone-Maintained Patients [J].
Barry, Declan T. ;
Beitel, Mark ;
Garnet, Brian ;
Joshi, Dipa ;
Rosenblum, Andrew ;
Schottenfeld, Richard S. .
JOURNAL OF CLINICAL PSYCHIATRY, 2009, 70 (09) :1213-1218
[5]   Extrahepatic manifestations associated with hepatitis C virus infection - A prospective multicenter study of 321 patients [J].
Cacoub, P ;
Renou, C ;
Rosenthal, E ;
Cohen, P ;
Loury, I ;
Loustaud-Ratti, V ;
Yamamoto, AM ;
Camproux, AC ;
Hausfater, P ;
Musset, L ;
Veyssier, P ;
Raguin, G ;
Piette, JC .
MEDICINE, 2000, 79 (01) :47-56
[6]   The association of persistent pain with out-patient addiction treatment outcomes and service utilization [J].
Caldeiro, Ryan M. ;
Malte, Carol A. ;
Calsyn, Donald A. ;
Baer, John S. ;
Nichol, Paul ;
Kivlahan, Daniel R. ;
Saxon, Andrew J. .
ADDICTION, 2008, 103 (12) :1996-2005
[7]  
Cleeland C. S., 1994, Annals Academy of Medicine Singapore, V23, P129
[8]   Pain intolerance in opioid-maintained former opiate addicts: effect of long-acting maintenance agent [J].
Compton, P ;
Charuvastra, VC ;
Ling, W .
DRUG AND ALCOHOL DEPENDENCE, 2001, 63 (02) :139-146
[9]   Pain responses in methadone-maintained opioid abusers [J].
Compton, P ;
Charuvastra, VC ;
Kintaudi, K ;
Ling, W .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2000, 20 (04) :237-245
[10]   Multidimensional aspects of pain in HIV-infected individuals [J].
Del Borgo, C ;
Izzi, I ;
Chiarotti, F ;
Del Forno, A ;
Moscati, AM ;
Cornacchione, E ;
Fantoni, M .
AIDS PATIENT CARE AND STDS, 2001, 15 (02) :95-102