My Pain is 10 out of 10. Patients vs. Actors in Clinical Settings

Over the past two decades, opioid medication abuse among the U.S. population has expanded to a scourge extent. While the U.S. only accommodates 4% of the world’s population, Americans consume 86% of the world’s opioids, 99% of the worldwide hydrocodone supply, and 66% of the world’s illegal drugs. Prescription opioids, which are currently the second most misused class of medication following cannabis. Results of the 2010 National Survey on Drug Use and Health (NSDUH) showed that a predicted 22.6 million people aged 12 or olderwere current or past month illicit drug users. Nearly 7 million individuals among these used marijuana and 5.1 million used painkillers. Only 17.3% of users of nontherapeutic opioids indicated that they received the drugs through a prescription from a physician. The widely growing use of therapeutic opioids shows hydrocodone topping all prescriptions with 136.7 million prescriptions in 2011.with all narcotic analgesics reaching more than 238 million prescriptions. Opioid analgesics are now accountable for a higher mortality rate than suicide and motor vehicle accidents. The majority deaths (60%) occur in patients who received prescriptions based on prescribing guidelines by medical boards, irrespective of the doses. In comparison, 40% of deaths occur in individuals abusing the drugs obtained through illegal means.

References

47 Cites in Article

Reference Format

E Higgins (1997). Beyond pleasure and pain.
Dennis Turk,Akiko Okifuji (2002). Psychological factors in chronic pain: Evolution and revolution..
R Gatchel,D Turk (1999). Psychosocial factors in pain: Critical perspectives.
D Turk,H Flor (1999). Chtonic Pain: A Biobehaviotal Petspecuve. Psychosocial factors in pain: Critical perspectives.
E Keogh,M Cochrane (2002). Anxiety sensitivity, cognitive biases, and the experience of pain.
G Asmundson (2001). Commentary: Anxiety, sensitivity and the pain experience.
Joanne Dahl,Kelly Wilson,Annika Nilsson (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial.
Joel Geiderman (2001). Sympathetic dystrophy.
Daniel Doleys,Jeffrey Dolce,Annette Doleys,Maureen Crocker,Susan Wolfe (1986). The effects of evaluation, narcotics and behavioral treatment on pain ratings in chronic pain patients.
L Mccracken,R Gross,P Sorg,T Edmands (1993). Prediction of pain in patients with chronic low back pain: effects of inaccurate prediction and painrelated anxiety.
G Crombez,J Vlaeyen,P Heuts,R Lysens (1999). Painrelated fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability.
J Liebschutz,R Saitz,R Weiss,T Averbuch,S Schwartz,E Meltzer (2010). Clinical factors associated with prescription drug use disorder in urban primary care patients with chronic pain.
N Sehgal,L Manchikanti,H Smith (2012). Prescription opioid abuse in chronic pain: a review of opioid abuse predictors and strategies to curb opioid abuse.
(2010). Substance Use and Mental Health Characteristics by Employment Status.
D Cohen,A Reporting (2002). Substance Abuse or Dependence.
L Paulozzi,K Mack,J Hockenberry (2014). Variation among states in prescribing of opioid pain relievers and benzodiazepines-United States, 2012.
T Cicero,M Lynskey,A Todorov,J Inciardi,H Surratt (2008). Co-morbid pain and psychopathology in males and females admitted to treatment for opioid analgesic abuse.
S Passik,K Kirsh,L Webster (2011). Pseudoaddiction revisited: a commentary on clinical and historical considerations.
J Ballantyne,K Laforge (2007). Opioid dependence and addiction during opioid treatment of chronic pain.
Mark Sullivan,Mark Edlund,Ming-Yu Fan,Andrea Devries,Jennifer Braden,Bradley Martin (2010). Risks for possible and probable opioid misuse among recipients of chronic opioid therapy in commercial and medicaid insurance plans: The TROUP Study.
Peggy Compton,V Charuvastra,Kay Kintaudi,Walter Ling (2000). Pain Responses in Methadone-Maintained Opioid Abusers.
J Boscarino,M Rukstalis,S Hoffman,J Han,P Erlich,G Gerhard (2010). Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system.
W Becker,L Sullivan,J Tetrault,R Desai,D Fiellin (2008). Non-medical use, abuse and dependence on prescription opioids among US adults: psychiatric, medical and substance use correlates.
Renee Goodwin,Deborah Hasin (2002). Sedative use and misuse in the United States.
J Haddox,M Smith (2005). Characteristics of non-medical users of hydromorphone: results from the National Survey on Drug Use and Health.
S Mccabe,C Teter,C Boyd (2005). Illicit use of prescription pain medication among college students.
Linda Simoni-Wastila,Grant Ritter,Gail Strickler (2004). Gender and Other Factors Associated with the Nonmedical Use of Abusable Prescription Drugs.
K Conway,W Compton,F Stinson,B Grant (2006). Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
Krista Dowling,Carla Storr,Howard Chilcoat (2006). Potential Influences on Initiation and Persistence of Extramedical Prescription Pain Reliever Use in the US Population.
Scott Fishman,Tara Bandman,Annabel Edwards,David Borsook (1999). The Opioid Contract in the Management of Chronic Pain.
R Vissers (2002). Drug seekers offer opportunity to practice humane medicine.
Rade Vukmir (2004). Drug Seeking Behavior.
David Weissman,David Haddox (1989). Opioid pseudoaddiction — an iatrogenic syndrome.
James Zacny,George Bigelow,Peggy Compton,Kathleen Foley,Martin Iguchi,Christine Sannerud (2003). College on Problems of Drug Dependence taskforce on prescription opioid non-medical use and abuse: position statement.
Robert Jamison,Edgar Ross,Edward Michna,Li Chen,Caroline Holcomb,Ajay Wasan (2010). Substance misuse treatment for high-risk chronic pain patients on opioid therapy: A randomized trial.
K Solis (2010). Ethical, legal, and professional challenges posed by "controlled medication seekers" to healthcare providers, part 2.
S Hickox (2011). Drug Testing of Medical Marijuana Users in the Workplace: An Inaccurate Test of Impairment.
C Eccleston (2001). Role of psychology in pain management.
Chris Eccleston,Geert Crombez,Sarah Aldrich,Cathy Stannard (2001). Worry and chronic pain patients: A description and analysis of individual differences.
S Morley (2008). Psychology of pain.
J Vlaeyen,S Morley (2005). Cognitive-behavioral treatments for chronic pain: what works for whom? The Clinical journal of pain.
Tamar Pincus,Stephen Morley (2001). Cognitive-processing bias in chronic pain: A review and integration..
Steven Passik,Kenneth Kirsh (2004). Assessing aberrant drug-taking behaviors in the patient with chronic pain.
Control Cfd,Prevention (2010). Adult use of prescription opioid pain medications-Utah, 2008.
Kenneth Silverman,Mary Chutuape,George Bigelow,Maxine Stitzer (1996). Voucher-based reinforcement of attendance by unemployed methadone patients in a job skills training program.
W Compton,N Volkow (2006). Abuse of prescription drugs and the risk of addiction.
Wilson Compton,Nora Volkow (2006). Major increases in opioid analgesic abuse in the United States: Concerns and strategies.

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How to Cite This Article

Saeed Ahmed, MD. 2015. \u201cMy Pain is 10 out of 10. Patients vs. Actors in Clinical Settings\u201d. Global Journal of Medical Research - K: Interdisciplinary GJMR-K Volume 15 (GJMR Volume 15 Issue K3).

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-K Classification NLMC Code: WL 704

Submission ReceivedFebruary 6, 2015
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Accepted March 4, 2015
Published March 15, 2015

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Total Score: 148

Country: United States

Subject: Global Journal of Medical Research - K: Interdisciplinary

Authors: Mariyah Hussain, MD, Saeed Ahmed, MD, Hena Jawaid, MBBS, Mustafa Qureshi, MD, Hooria Manzoor, MD, Tazeen Azfar, MD, Swati Sood, MD, Rizwan Ahmed, MBBS, Safiullah, MD (PhD/Dr. count: 0)

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