bannerHON
img
HONnews
HONnews
img PATIENT / PARTICULIER img PROFESSIONNEL DE SANTE img WEBMESTRE img
img
 
img
HONcode sites
Khresmoi - new !
HONselect
News
Conferences
Images

Themes:
A B C D E F G H I
J K L M N O P Q
R S T U V W X Y Z
Browse archive:
2018: S A J J M A M F J
2017: D N O S

 
  Other news for:
Substance-Related Disorders
Drug Interactions
Pain
Hypnotics and Sedatives
 Resources from HONselect
Chronic Pain Common Among Those Who OD on Opioids

By Alan Mozes

TUESDAY, Nov. 28, 2017 (HealthDay News) -- More than 60 percent of opioid overdose deaths involve people who suffer from chronic pain, a new analysis reveals.

Many of them also struggled with depression or anxiety, the investigators found.

The findings stem from a study that examined the medical backgrounds of more than 13,000 men and women who died from an opioid overdose between 2001 and 2007.

"The frequent occurrence of treated chronic pain and mental health conditions among overdose decedents underscores the importance of offering substance use treatment services in clinics that treat patients with chronic pain and mental health problems," said lead investigator Dr. Mark Olfson, a professor of psychiatry at Columbia University Medical Center.

"Such a strategy," he said in a center news release, "might increase early clinical intervention in patients who are at high risk for fatal opioid overdose."

The number of Americans who died from an opioid overdose quadrupled from 1999 to 2015, according to data from the U.S. Centers for Disease Control and Prevention.

To explore the role that chronic pain plays in opioid abuse and deaths, the researchers focused on Medicaid enrollees who had died after an overdose. More than half of the 13,000 included in the analysis had been diagnosed with chronic pain in the year before they died. Roughly a third had been diagnosed with a drug use disorder in that year.

In addition, more than half had filled prescriptions for either opioids or benzodiazepines (sedatives or depressants), with many having sought out both drugs. Combining the two is very risky, as it can lead to a life-threatening case of extremely shallow breathing known as "respiratory depression," the researchers said.

Still, fewer than 1 in 20 of people included in the analysis had specifically been diagnosed as having had an opioid use disorder during their last month of life. This "suggests that dropout from drug treatment is common before fatal opioid overdose," Olfson said.

"Improving treatment retention, with contingency management or other effective behavioral interventions, might help lower the risk of fatal overdose in these patients," he said.

The current findings were published online Nov. 28 in the American Journal of Psychiatry.

More information

The U.S. National Institute on Drug Abuse has more on the opioid abuse crisis.

SOURCE: Columbia University Medical Center, news release, Nov. 28, 2017

Copyright © 2017 HealthDay. All rights reserved. URL:http://consumer.healthday.com/Article.asp?AID=728828

Resources from HONselect: HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.
Pain
Overdose
Research Personnel
Substance-Related Disorders
Therapeutics
Mental Health
Lead
Psychiatry
Depression
Risk
The list of medical terms above are retrieved automatically from the article.

Disclaimer: The text presented on this page is not a substitute for professional medical advice. It is for your information only and may not represent your true individual medical situation. Do not hesitate to consult your healthcare provider if you have any questions or concerns. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified healthcare professional.
Be advised that HealthDay articles are derived from various sources and may not reflect your own country regulations. The Health On the Net Foundation does not endorse opinions, products, or services that may appear in HealthDay articles.


Home img About us img MediaCorner img HON newsletter img Site map img Ethical policies img Contact