ArticlePain medicine (Malden, Mass.)2014
Health care experiences when pain and substance use disorder coexist: "just because i'm an addict doesn't mean i don't have pain".
Article in Pain medicine (Malden, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Association between comorbid chronic pain or prior hospitalization for mental illness and substance use treatment among a cohort at high risk of opioid overdose.Journal of substance use and addiction treatment · 2024Trial
- Pain in methadone patients: Time to address undertreatment and suicide risk (ANRS-Methaville trial).PloS one · 2017Trial
- Substances and substance combinations among accidental substance-related acute toxicity deaths (AATDs) in Canada from 2016 to 2017.BMC public health · 2025Article
- Patient-centered Engagement as a Mediator in the Associations of Healthcare Discrimination, Pain Care Denial, and Later Substance Use Among a Sample of Predominately African Americans Living with HIV.AIDS and behavior · 2024Article
- Closing the Digital Divide in Interventions for Substance Use Disorder.Journal of psychiatry and brain science · 2024Article
- "I'm Not the Same Person Anymore": Thematic Analysis Exploring Experiences of Dependence to Prescribed Analgesics in Patients with Chronic Pain in the UK.Pain and therapy · 2023Article
- Barriers to Assessing and Treating Trauma in Primary Care and Opportunities for Improvement: Perspectives from Prescribers of Medications for Opioid Use Disorder.Substance use & misuse · 2023Article
- Elective surgery for acute pain in patients with substance use disorder: lessons learned at a rural neurosurgical center. Patient series.Journal of neurosurgery. Case lessons · 2022Article
- Prevalence and Characteristics of Chronic Pain in Buprenorphine and Methadone-Maintained Patients.Frontiers in psychiatry · 2021Article
- Factors Influencing Judgments to Consult Prescription Monitoring Programs: A Factorial Survey Experiment.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2020Article
- Assessing Patients' Risk for Opioid Use Disorder.AACN advanced critical care · 2019Article
- Network Alterations in Comorbid Chronic Pain and Opioid Addiction: An Exploratory Approach.Frontiers in human neuroscience · 2019Article
- Chronic Pain Opioid-Maintained Patients Receive Less Analgesic Opioid Prescriptions.Frontiers in psychiatry · 2018Article
- A New Clinical Pain Knowledge Test for Nurses: Development and Psychometric Evaluation.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2017Article
- Characterizing pain and associated coping strategies in methadone and buprenorphine-maintained patients.Drug and alcohol dependence · 2015Article
- A qualitative exploration of chronic pain and opioid treatment among HIV patients with drug use disorders.Journal of opioid managementArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
objectiveTo report the health care experiences of 34 individuals with coexisting substance use disorder (SUD) and chronic pain.
designNarrative inquiry qualitative study of 90-minute interviews.
settingMidwest metropolitan methadone clinic. SUBJECTS: All individuals had SUD and were treated for SUD with methadone. They all self-identified as having pain longer than 6 months.
methodsThis qualitative design allowed exploration of how participants made sense of events related to living with SUD and chronic pain. Narrative inquiry gives a consistent story from the participants' perspective, and researchers can perform additional analysis using the storyline. Thematic analysis occurred of their health care experiences.
resultsResults revealed that participants 1) spoke about how they used deception to obtain opioids when their drug cravings were out of control; 2) were disturbed by health care providers having little understanding or ability to help them with their painful condition; 3) felt they wanted to abuse opioids again when receiving poor treatment by the health care team; 4) related what went well in their health care to help them maintain their sobriety; and 5) recommended improvements on health care interventions that included effective treatment of pain.
conclusionsCoexisting chronic pain and SUD create unique health care needs by mutually activating and potentiating the other. There are very few comparable studies exploring the experiences of individuals when pain and SUD coexist. The health care team can better develop treatment plans and test interventions sensitive to their unique needs when they understand the experiences of this population.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.