The Association of Loneliness and Non-prescribed Opioid Use in Patients With Opioid Use Disorder
| Autor: | Dabely Cruz-Jose, Benjamin J. Oldfield, Douglas P. Olson, John McDonagh, Cory B. Williams |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry 010102 general mathematics Loneliness Opioid use disorder Odds ratio Logistic regression medicine.disease 01 natural sciences Confidence interval 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Internal medicine medicine Pharmacology (medical) 030212 general & internal medicine 0101 mathematics medicine.symptom Risk factor business Buprenorphine medicine.drug Cohort study |
| Zdroj: | Journal of Addiction Medicine. 14:489-493 |
| ISSN: | 1935-3227 1932-0620 |
| DOI: | 10.1097/adm.0000000000000629 |
| Popis: | Objective To investigate the relationship between loneliness and non-prescribed opioid use in patients diagnosed with opioid use disorder (OUD). Methods This was a cohort study conducted at a federally qualified health center (FQHC) in New Haven, CT. Patients who were treated for OUD by health center providers and prescribed buprenorphine were eligible. Participants were asked to complete the UCLA-Loneliness Scale Version 3. From the electronic medical record, we collected patient demographic and clinical characteristics as well as the results of biological fluid testing obtained throughout their treatment course since entry into care. Multivariable logistic regression was performed to identify independent predictors of the detection of non-prescribed opioids within biological fluid. Results Of the 82 patients enrolled in the study, 33 (40.3%) of the participants had at least 1 biological fluid test positive for non-prescribed opioids after maintenance onto buprenorphine treatment. A higher loneliness score was associated with increased odds of non-prescribed opioids (adjusted odds ratio 1.16; 95% confidence interval 1.06-1.27). Patient age, the number of problems on the problems list, and cocaine use were also positively associated with the presence of non-prescribed opioids whereas having diabetes was negatively associated. Conclusions Among the individuals being treated with buprenorphine for OUD, loneliness may be a risk factor for the use of non-prescribed opioids or treatment failure. |
| Databáze: | OpenAIRE |
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