Functional disability among chronic pain patients receiving long-term opioid treatment.
Open Access
- 1 April 2012
- journal article
- research article
- Published by Informa UK Limited in Journal of Social Work in Disability & Rehabilitation
- Vol. 11 (2), 128-42
- https://doi.org/10.1080/1536710X.2012.677653
Abstract
This study of 2,163 adult chronic, non-cancer-pain, long-term opioid therapy patients examines the relationship of depression to functional disability by measuring average pain interference, activity limitation days, and employment status. Those with more depression symptoms compared to those with fewer were more likely to have worse disability on all 3 measures (average pain interference score >5, OR = 5.36, p < .0001; activity limitation days ≥ 30, OR = 4.05, p < .0001; unemployed due to health reasons, OR = 4.06, p < .0001). Depression might play a crucial role in the lives of these patients; identifying and treating depression symptoms in chronic pain patients should be a priority.Keywords
This publication has 34 references indexed in Scilit:
- Trends in prescribed opioid therapy for non-cancer pain for individuals with prior substance use disordersPain, 2009
- Trends in long-term opioid therapy for noncancer pain among persons with a history of depressionGeneral Hospital Psychiatry, 2009
- Higher Opioid Doses Predict Poorer Functional Outcome in Patients with Chronic Disabling Occupational Musculoskeletal DisordersJournal of Bone and Joint Surgery, 2009
- The PHQ-8 as a measure of current depression in the general populationJournal of Affective Disorders, 2009
- Relationship between psychological factors and performance-based and self-reported disability in chronic low back painEuropean Spine Journal, 2008
- Employment Outcomes of Persons With a Mental Disorder and Comorbid Chronic PainPsychiatric Services, 2008
- De Facto Long-term Opioid Therapy for Noncancer PainThe Clinical Journal of Pain, 2008
- Joint Effect of Depression and Chronic Conditions on Disability: Results From a Population-Based StudyPsychosomatic Medicine, 2007
- Work status and chronic low back pain: exploring the international classification of functioning, disability and healthDisability and Rehabilitation, 2006
- Grading the severity of chronic painPain, 1992