The timing of onset of pain and substance use disorders

Am J Addict. Sep-Oct 2010;19(5):409-15. doi: 10.1111/j.1521-0391.2010.00065.x.


Using data from the National Comorbidity Survey--Replication, this study examined the timing of onset of self-report comorbid chronic nonarthritis pain and substance use disorders (SUDs) and characteristics associated with different onset patterns. Most individuals (58.2%; N = 351/632) report that the SUD preceded the onset of pain. Relative to those with SUDs prior to the onset of chronic pain, those experiencing pain first were less likely to have a drug use disorder, more likely to have head pain, to be younger at the onset of the first condition, and to have a shorter duration between condition onsets.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age of Onset*
  • Chronic Disease
  • Female
  • Health Surveys
  • Humans
  • Male
  • Pain / complications
  • Pain / epidemiology*
  • Self Report
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / epidemiology*
  • Time Factors
  • United States / epidemiology