Evidence map›Paper›PMID 38327009›Full record

Trial reportSubstance use & addiction journal2024

Mental Health Distress Is Associated With Higher Pain Interference in Patients With Opioid Use Disorder Stabilized on Buprenorphine or Methadone.

Sarah Leyde, Cynthia J Price, Dana D Colgan, Kenneth C Pike, Judith I Tsui, Joseph O Merrill

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance use & addiction journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04082637 (Mindful Body Awareness Training as an Adjunct to Medication Treatment for Opioid Use Disorder), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT04082637 nacompletednot on this map

Mindful Body Awareness Training as an Adjunct to Medication Treatment for Opioid Use Disorder

TypeinterventionalSponsorUniversity of WashingtonRan2019 to 2024Enrolled303ConditionsOpioid-use DisorderArmsMindful Awareness in Body-oriented Therapy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah LeydeDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.ORCID 0000-0002-7708-0972
Cynthia J PriceDepartment of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, USA.
Dana D ColganDepartment of Neurology, Oregon Health & Science University, Portland, OR, USA.
Kenneth C PikeDepartment of Child, Family and Population Health Nursing, University of Washington, Seattle, WA, USA.
Judith I TsuiDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Joseph O MerrillDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.

Funding

Mindful Body Awareness Training as an Adjunct to Medication Assisted Treatment for Opioid Use Disorder: An ancillary studyR01AT010742 · NCCIH · UNIVERSITY OF WASHINGTON · PI MERRILL, JOSEPH O, PRICE, CYNTHIA J · 2019 to 2022
$2.4M
Mindful Body Awareness Training as an Adjunct to Medication Assisted Treatment for Opioid Use DisorderR33AT009932 · NCCIH · UNIVERSITY OF WASHINGTON · PI PRICE, CYNTHIA J · 2019 to 2021
$2.1M
Body-oriented Therapy for Womens Substance Use Disorder TreatmentR01DA033324 · NIDA · UNIVERSITY OF WASHINGTON · PI PRICE, CYNTHIA J · 2013 to 2016
$1.7M
NCCIH NIH HHS R01 AT010742NCCIH NIH HHS R33 AT009932NIDA NIH HHS R01 DA033324
6 · The paper itself

Abstract

backgroundThe relationships between opioid use disorder (OUD), chronic pain, and mental health distress are complex and multidirectional. The objective of this exploratory study was to examine the relationship between mental health conditions and Chronic pain severity and interference among patients stabilized on either buprenorphine or methadone.

methodsWe report baseline data from a randomized trial of a mind-body intervention conducted at 5 outpatient clinics that provided either buprenorphine or methadone treatment. Validated scales were used to measure substance use, mental health distress, and pain severity and interference. Statistical analyses examined the relationship between mental health conditions and pain severity and interference.

resultsOf 303 participants, 57% (n = 172) reported Chronic pain. A total of 88% (n = 268) were prescribed buprenorphine. Mental health conditions were common, with one-quarter of the sample screening positive for all 3 mental health conditions (anxiety, depression, and posttraumatic stress disorder [PTSD]). Compared to participants without Chronic pain, participants with Chronic pain were more likely to screen positive for moderate-severe anxiety (47% vs 31%); moderate-severe depression (54% vs 41%); and the combination of anxiety, depression, and PTSD (31% vs 18%). Among participants with Chronic pain, mental health conditions were associated with higher pain interference. Pain severity was higher among participants with mental health conditions, but only reached statistical significance for depression. Pain interference scores increased with a higher number of co-occurring mental health conditions.

conclusionsAmong individuals stabilized on either buprenorphine or methadone, highly symptomatic and comorbid mental health distress is common and is associated with increased pain interference. Adequate screening for, and treatment of, mental health conditions in patients with OUD and Chronic pain is needed.

Indexed as

Analgesics, OpioidAnxietyBuprenorphineChronic PainMethadoneOpiate Substitution TreatmentOpioid-Related DisordersAdultDepressionFemaleHumansMaleMiddle AgedStress Disorders, Post-TraumaticAnalgesics, OpioidBuprenorphineMethadoneanxietybuprenorphinechronic paindepressionmental healthmethadoneopioid use disorderpain interferenceposttraumatic stress disorder

Identifiers

PMID38327009
PMCPMC11221630

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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.