TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Alcohol-Related Disorders/epidemiology
KW - Analgesics, Opioid/adverse effects/therapeutic use
KW - Chronic Disease
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Opioid-Related Disorders/epidemiology
KW - Pain/drug therapy
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Psychometrics
KW - Reference Values
KW - Risk Factors
KW - Severity of Illness Index
KW - Suicide, Attempted/psychology
AU - K. Saffier
AU - C. Colombo
AU - D. Brown
AU - M. P. Mundt
AU - M. F. Fleming
A1 - 
AB - The treatment of chronic pain with opioids remains controversial. Physicians are concerned about addiction and drug diversion, and there is limited empirical information on the use of opioids in patients with chronic pain. This report presents data on the Addiction Severity Index (ASI) collected in a sample of patients (N = 908) receiving opioids from their primary care physicians. The ASI provides clinically important information about patients receiving opioid therapy. The ASI consists of seven subscales, including medical, alcohol, drug, employment/support, legal, family/social, and psychiatric domains. Clinically relevant findings include high ASI medical score (0.87), high psychiatric severity score (0.27), lifetime treatment of alcohol problems (reported by 22% of men), prior delirium tremens (5.6%), prior treatment for drug problems (10.1%), prior drug overdose (12.1%), and drunk-driving citations (28%); 40.3% of women had serious suicidal thoughts, and 23.8% had suicide attempts. The ASI provides important information that can help primary care physicians manage patients with chronic pain who are receiving opioid therapy.
BT - Journal of substance abuse treatment
C5 - Opioids & Substance Use; Measures
CP - 3
CY - United States
IS - 3
JF - Journal of substance abuse treatment
N2 - The treatment of chronic pain with opioids remains controversial. Physicians are concerned about addiction and drug diversion, and there is limited empirical information on the use of opioids in patients with chronic pain. This report presents data on the Addiction Severity Index (ASI) collected in a sample of patients (N = 908) receiving opioids from their primary care physicians. The ASI provides clinically important information about patients receiving opioid therapy. The ASI consists of seven subscales, including medical, alcohol, drug, employment/support, legal, family/social, and psychiatric domains. Clinically relevant findings include high ASI medical score (0.87), high psychiatric severity score (0.27), lifetime treatment of alcohol problems (reported by 22% of men), prior delirium tremens (5.6%), prior treatment for drug problems (10.1%), prior drug overdose (12.1%), and drunk-driving citations (28%); 40.3% of women had serious suicidal thoughts, and 23.8% had suicide attempts. The ASI provides important information that can help primary care physicians manage patients with chronic pain who are receiving opioid therapy.
PP - United States
PY - 2007
SN - 0740-5472; 0740-5472
SP - 303
EP - 311
EP - 
T1 - Addiction Severity Index in a chronic pain sample receiving opioid therapy
T2 - Journal of substance abuse treatment
TI - Addiction Severity Index in a chronic pain sample receiving opioid therapy
U1 - Opioids & Substance Use; Measures
U2 - 17376639
VL - 33
VO - 0740-5472; 0740-5472
Y1 - 2007
ER -