A National Epidemic of Unintentional Prescription Opioid Overdose Deaths: How Physicians Can Help Control It

被引:114
作者
Paulozzi, Leonard J. [1 ]
Weisler, Richard H. [2 ,3 ]
Patkar, Ashwin A. [2 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA USA
[2] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC USA
[3] Univ N Carolina, Chapel Hill Sch Med, Dept Psychiat, Chapel Hill, NC 27515 USA
关键词
CHRONIC PAIN; DISORDERS; ANALGESICS; PREVALENCE; ABUSE;
D O I
10.4088/JCP.10com06560
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Both the usage of prescription drugs such as opioid analgesics and benzodiazepines and overdoses involving them have increased dramatically in the United States since the 1990s. Patients using these drugs often have a combination of painful conditions, substance abuse, and other forms of mental illness. Psychiatrists and many primary care physicians might not be familiar with existing evidence-based guidelines for opioid prescribing or with programs designed to reduce the abuse of prescription drugs such as state prescription drug monitoring programs. Psychiatrists need to be informed regarding this problem to partner effectively with both pain specialists and primary care providers in their community. J Clin Psychiatry 2011;72(5):589-592 (C) Copyright 2011 Physicians Postgraduate Press, Inc.
引用
收藏
页码:589 / 592
页数:4
相关论文
共 23 条
[1]  
[Anonymous], MOD POL US CONTR SUB
[2]  
BAEHREN DF, 2009, ANN EMERG MED
[3]   Trends in long-term opioid therapy for chronic non-cancer pain [J].
Boudreau, Denise ;
Von Korff, Michael ;
Rutter, Carolyn M. ;
Saunders, Kathleen ;
Ray, G. Thomas ;
Sullivan, Mark D. ;
Campbell, Cynthia I. ;
Merrill, Joseph O. ;
Silverberg, Michael J. ;
Banta-Green, Caleb ;
Weisner, Constance .
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 2009, 18 (12) :1166-1175
[4]   Trends in long-term opioid therapy for noncancer pain among persons with a history of depression [J].
Braden, Jennifer Brennan ;
Sullivan, Mark D. ;
Ray, G. Thomas ;
Saunders, Kathleen ;
Merrill, Joseph ;
Silverberg, Michael J. ;
Rutter, Carolyn M. ;
Weisner, Constance ;
Banta-Green, Caleb ;
Campbell, Cynthia ;
Von Korff, Michael .
GENERAL HOSPITAL PSYCHIATRY, 2009, 31 (06) :564-570
[5]   Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain [J].
Chou, Roger ;
Fanciullo, Gilbert J. ;
Fine, Perry G. ;
Adler, Jeremy A. ;
Ballantyne, Jane C. ;
Davies, Pamela ;
Donovan, Marilee I. ;
Fishbain, David A. ;
Foley, Kathy M. ;
Fudin, Jeffrey ;
Gilson, Aaron M. ;
Kelter, Alexander ;
Mauskop, Alexander ;
O'Connor, Patrick G. ;
Passik, Steven D. ;
Pasternak, Gavril W. ;
Portenoy, Russell K. ;
Rich, Ben A. ;
Roberts, Richard G. ;
Todd, Knox H. ;
Miaskowski, Christine .
JOURNAL OF PAIN, 2009, 10 (02) :113-130
[6]  
*DRUG ENF ADM, OX
[7]   The Missing P in Psychiatric Training Why It Is Important to Teach Pain to Psychiatrists [J].
Elman, Igor ;
Zubieta, Jon-Kar ;
Borsook, David .
ARCHIVES OF GENERAL PSYCHIATRY, 2011, 68 (01) :12-20
[8]  
*GOV I ALC SUBST A, SAF OP PRESCR SUMM S
[9]   Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders - Results from the national epidemiologic survey on alcohol and related conditions [J].
Grant, BF ;
Stinson, FS ;
Dawson, DA ;
Chou, SP ;
Dufour, MC ;
Compton, W ;
Pickering, RP ;
Kaplan, K .
ARCHIVES OF GENERAL PSYCHIATRY, 2004, 61 (08) :807-816
[10]  
Haddox JD, 1997, CLIN J PAIN, V13, P6