TY - JOUR KW - Adult KW - Analgesics, Opioid/adverse effects/therapeutic use KW - Analgesics/adverse effects/therapeutic use KW - Buprenorphine, Naloxone Drug Combination KW - Buprenorphine/adverse effects/therapeutic use KW - Chronic Pain/epidemiology/rehabilitation KW - Combined Modality Therapy/utilization KW - Comorbidity KW - Complementary Therapies/utilization KW - Female KW - Humans KW - Male KW - Middle Aged KW - Naloxone/adverse effects/therapeutic use KW - Narcotic Antagonists/adverse effects/therapeutic use KW - Opiate Substitution Treatment/utilization KW - Opioid-Related Disorders/epidemiology/rehabilitation KW - Primary Health Care/utilization KW - Treatment Outcome KW - Utilization Review AU - D. T. Barry AU - J. D. Savant AU - M. Beitel AU - C. J. Cutter AU - B. A. Moore AU - R. S. Schottenfeld AU - D. A. Fiellin A1 - AB - Previous studies have not examined patterns of pain treatment use among patients seeking office-based buprenorphine-naloxone treatment (BNT) for opioid dependence. OBJECTIVES: To examine, among individuals with pain seeking BNT for opioid dependence, the use of pain treatment modalities, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment while in BNT. METHODS: A total of 244 patients seeking office-based BNT for opioid dependence completed measures of demographics, pain status (ie, "chronic pain (CP)" [pain lasting at least 3 months] vs "some pain (SP)" [pain in the past week not meeting the duration criteria for chronic pain]), pain treatment use, perceived efficacy of prior pain treatment, and interest in receiving pain treatment while in BNT. RESULTS: In comparison with the SP group (N = 87), the CP group (N = 88) was more likely to report past-week medical use of opioid medication (adjusted odds ratio [AOR] = 3.2; 95% CI, 1.2-8.4), lifetime medical use of nonopioid prescribed medication (AOR = 2.2; 95% CI, 1.1-4.7), and lifetime use of prayer (AOR = 2.8; 95% CI, 1.2-6.5) and was less likely to report lifetime use of yoga (AOR = 0.2; 95% CI, 0.1-0.7) to treat pain. Although the 2 pain groups did not differ on levels of perceived efficacy of prior lifetime pain treatments, in comparison with the SP group, the CP group was more likely to report interest in receiving pain treatment while in BNT (P < 0.001). CONCLUSIONS: Individuals with pain seeking BNT for opioid dependence report a wide range of conventional, complementary, and alternative pain-related treatments and are interested (especially those with CP) in receiving pain management services along with BNT. BT - Journal of addiction medicine C5 - Opioids & Substance Use CP - 4 CY - United States DO - 10.1097/ADM.0b013e31826d1df3 IS - 4 JF - Journal of addiction medicine N2 - Previous studies have not examined patterns of pain treatment use among patients seeking office-based buprenorphine-naloxone treatment (BNT) for opioid dependence. OBJECTIVES: To examine, among individuals with pain seeking BNT for opioid dependence, the use of pain treatment modalities, perceived efficacy of prior pain treatment, and interest in pursuing pain treatment while in BNT. METHODS: A total of 244 patients seeking office-based BNT for opioid dependence completed measures of demographics, pain status (ie, "chronic pain (CP)" [pain lasting at least 3 months] vs "some pain (SP)" [pain in the past week not meeting the duration criteria for chronic pain]), pain treatment use, perceived efficacy of prior pain treatment, and interest in receiving pain treatment while in BNT. RESULTS: In comparison with the SP group (N = 87), the CP group (N = 88) was more likely to report past-week medical use of opioid medication (adjusted odds ratio [AOR] = 3.2; 95% CI, 1.2-8.4), lifetime medical use of nonopioid prescribed medication (AOR = 2.2; 95% CI, 1.1-4.7), and lifetime use of prayer (AOR = 2.8; 95% CI, 1.2-6.5) and was less likely to report lifetime use of yoga (AOR = 0.2; 95% CI, 0.1-0.7) to treat pain. Although the 2 pain groups did not differ on levels of perceived efficacy of prior lifetime pain treatments, in comparison with the SP group, the CP group was more likely to report interest in receiving pain treatment while in BNT (P < 0.001). CONCLUSIONS: Individuals with pain seeking BNT for opioid dependence report a wide range of conventional, complementary, and alternative pain-related treatments and are interested (especially those with CP) in receiving pain management services along with BNT. PP - United States PY - 2012 SN - 1932-0620; 1932-0620 SP - 274 EP - 279 EP - T1 - Use of conventional, complementary, and alternative treatments for pain among individuals seeking primary care treatment with buprenorphine-naloxone T2 - Journal of addiction medicine TI - Use of conventional, complementary, and alternative treatments for pain among individuals seeking primary care treatment with buprenorphine-naloxone U1 - Opioids & Substance Use U2 - 23041680 U3 - 10.1097/ADM.0b013e31826d1df3 VL - 6 VO - 1932-0620; 1932-0620 Y1 - 2012 ER -