Medication misuse, abuse and dependence in chronic pain patients

J Psychosom Res. 1997 Nov;43(5):497-504. doi: 10.1016/s0022-3999(97)00171-2.

Abstract

We report the prevalence of drug use, misuse, abuse, and dependence in 125 chronic pain patients attending specialist pain clinics in South London. A total of 110 patients (88%) were taking medications for their pain problem. Opioid analgesics (69.6%), nonopioids (48%), antidepressants (25%), and benzodiazepines (17.6%) were the drugs most frequently used. Psychoactive substance abuse or dependence (DSM-III-R) was diagnosed in 12%. A total of 9.6% of the patients met the DSM-III-R criteria for substance abuse or dependence in remission. Data are also presented on the misuse and abuse of nonpsychoactive drugs, qualitative information on how patients use drugs, and the information they have received about medication.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Analgesics, Opioid* / administration & dosage
  • Analgesics, Opioid* / adverse effects
  • Chronic Disease
  • Cross-Sectional Studies
  • Drug Utilization
  • Female
  • Humans
  • Incidence
  • London / epidemiology
  • Male
  • Middle Aged
  • Opioid-Related Disorders / diagnosis
  • Opioid-Related Disorders / epidemiology*
  • Opioid-Related Disorders / psychology
  • Pain / drug therapy
  • Pain / epidemiology*
  • Pain / psychology
  • Pain Clinics / statistics & numerical data
  • Psychotropic Drugs* / administration & dosage
  • Psychotropic Drugs* / adverse effects
  • Self Medication / psychology
  • Self Medication / statistics & numerical data
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / psychology
  • Urban Population / statistics & numerical data*

Substances

  • Analgesics, Opioid
  • Psychotropic Drugs