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Persistent pain and opioid dependence. The evidence for psychological treatment approaches


Baker, CM and Matthewson, ML and Francis, H and Ta'eed, G and Pryer, H and Beardmore, S, Persistent pain and opioid dependence. The evidence for psychological treatment approaches, 49th APS Annual Conference: Psychology meeting society's challenges, 30 September - 3 October, 2014, Hobart, Tasmania (2014) [Conference Extract]

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Research has demonstrated cognitive and behavioural therapies are effective psychological treatments for patients diagnosed with chronic or persistent pain. Diagnosing persistent pain can be a lengthy process of investigation and often during this process analgesics are prescribed to reduce the level of pain and discomfort experienced by patients. The growth in the number of prescribed opioids for persistent pain has increased rapidly in Australia and Tasmania, with much of this growth attributed to treating persistent pain. Despite this there is limited evidence supporting the long term use of opioid analgesics in persistent pain. Research however, shows that psychological therapy contributes more to improving a personís functioning and self-management of their persistent pain. Using a biopsychosocial framework psychologists work with clients to actively manage their pain so that they may reduce their reliance on medications. It is not clear from the literature whether this approach remains effective when the patient already presents with a dependence on their opioid medications. The aim of this study was to systematically review the literature to identify the most effective interventions in treating patients presenting with opioid dependence and persistent pain. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were adopted to conduct the systematic review. A number of databases were searched including Pubmed, Cochrane, Web of Science and PsychArticle databases with search terms consisting of "persistent or chronic pain", in combination with "opioid treatment and dependence", and "psychological treatment, or therapy, or intervention." Best practice guidelines for psychologists to follow when presented with a patient diagnosed with persistent pain concurrently being managed by opioid medications are presented and discussed.

Item Details

Item Type:Conference Extract
Keywords:Persistent pain, opioid abuse, interventions
Research Division:Psychology
Research Group:Clinical and health psychology
Research Field:Health psychology
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in psychology
UTAS Author:Baker, CM (Ms Carolyn Baker)
UTAS Author:Matthewson, ML (Dr Mandy Matthewson)
ID Code:100857
Year Published:2014
Deposited By:Psychology
Deposited On:2015-06-02
Last Modified:2015-06-02

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