TY - JOUR
KW - medication-assisted treatment
KW - opioid use
KW - pain
KW - physical abuse
KW - Trauma
AU - Driscoll Powers
AU - P. F. Cook
AU - M. Weber
AU - A. Techau
AU - T. Sorrell
A1 - 
AB - BACKGROUND: Opioid use disorder (OUD) is a public health crisis and is challenging to treat. Previous research has shown correlations between OUD, abuse/trauma, and chronic pain. AIMS: The purpose of this study was to investigate history of lifetime sexual, physical, and/or emotional abuse among participants in a medication-assisted treatment (MAT) program for OUD, and to investigate associations between abuse history and chronic pain. METHODS: This is a secondary analysis of intake data from a 2-year, nonexperimental cohort treatment program of patients with OUD in rural Colorado. De-identified data were provided by 476 adult MAT patients using the Adult Addiction Severity Index (ASI-6). The ASI-6 includes three yes/no questions about history of abuse (emotional, physical, and sexual), with separate scoring for "past 30 days" and "lifetime" abuse. RESULTS: Lifetime history among MAT program for OUD patients was 23% for sexual abuse, 43% for physical abuse, and 58% for emotional abuse. History of physical abuse was significantly associated with having a chronic pain diagnosis, χ(2) = 4.49, p = .03, and also with higher reported pain levels, t(460) = 2.71, p = .007. CONCLUSION: Lifetime history of physical abuse was associated with OUD and chronic pain, yet standard pain assessments do not assess these factors. In health care settings, the implementation of standardized trauma-informed screening tools, prompt recognition of abuse/trauma history, and adjunct psychological interventions may reduce stigma, reduce opioid use escalation, and help patients overcome OUD.
AD - Linda Driscoll Powers, BSN-RN, University of Colorado, Aurora, CO, USA.; Paul F. Cook, PhD, University of Colorado, Aurora, CO, USA.; Mary Weber, PhD, PMHNP-BC, FAANP, FAAN, University of Colorado, Aurora, CO, USA.; Aimee Techau, MSN, PMHNP-BC, University of Colorado, Aurora, CO, USA.; Tanya Sorrell, PhD, PMHNP-BC, Rush University, Chicago, IL, USA.
BT - Journal of the American Psychiatric Nurses Association
C5 - Education & Workforce; Healthcare Disparities; Measures; Opioids & Substance Use
CY - United States
DO - 10.1177/10783903221083260
JF - Journal of the American Psychiatric Nurses Association
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Opioid use disorder (OUD) is a public health crisis and is challenging to treat. Previous research has shown correlations between OUD, abuse/trauma, and chronic pain. AIMS: The purpose of this study was to investigate history of lifetime sexual, physical, and/or emotional abuse among participants in a medication-assisted treatment (MAT) program for OUD, and to investigate associations between abuse history and chronic pain. METHODS: This is a secondary analysis of intake data from a 2-year, nonexperimental cohort treatment program of patients with OUD in rural Colorado. De-identified data were provided by 476 adult MAT patients using the Adult Addiction Severity Index (ASI-6). The ASI-6 includes three yes/no questions about history of abuse (emotional, physical, and sexual), with separate scoring for "past 30 days" and "lifetime" abuse. RESULTS: Lifetime history among MAT program for OUD patients was 23% for sexual abuse, 43% for physical abuse, and 58% for emotional abuse. History of physical abuse was significantly associated with having a chronic pain diagnosis, χ(2) = 4.49, p = .03, and also with higher reported pain levels, t(460) = 2.71, p = .007. CONCLUSION: Lifetime history of physical abuse was associated with OUD and chronic pain, yet standard pain assessments do not assess these factors. In health care settings, the implementation of standardized trauma-informed screening tools, prompt recognition of abuse/trauma history, and adjunct psychological interventions may reduce stigma, reduce opioid use escalation, and help patients overcome OUD.
PP - United States
PY - 2022
SN - 1532-5725; 1078-3903
SP - 10783903221083260
T1 - Comorbidity of Lifetime History of Abuse and Trauma With Opioid Use Disorder: Implications for Nursing Assessment and Care
T2 - Journal of the American Psychiatric Nurses Association
TI - Comorbidity of Lifetime History of Abuse and Trauma With Opioid Use Disorder: Implications for Nursing Assessment and Care
U1 - Education & Workforce; Healthcare Disparities; Measures; Opioids & Substance Use
U2 - 35403485
U3 - 10.1177/10783903221083260
VO - 1532-5725; 1078-3903
Y1 - 2022
Y2 - Apr 10
ER -