Differential Experience of Interdose Withdrawal During Long-Term Opioid Therapy and its Association With Patient and Treatment Characteristics: A Latent Class Analysis in Chronic Pain Population

Autor: Sara Rodríguez-Espinosa, Ainhoa Coloma-Carmona, Ana Pérez-Carbonell, José F. Román-Quiles, José L. Carballo
Rok vydání: 2022
Předmět:
Zdroj: The Journal of Pain. 23:1427-1436
ISSN: 1526-5900
Popis: Opioid withdrawal is characterized by a set of physical and psychological symptoms that depend on both opioid and patient specific characteristics. The present study aims to identify different latent classes of chronic pain patients according to the type of opioid withdrawal symptoms experienced, and to analyze the relationships between the classes and demographic, opioid therapy, psychological and substance use variables. This cross-sectional descriptive study included 391 chronic pain patients on long-term opioid therapy. A Latent Class Analysis (LCA) identified 3 classes (BIC = 7051.89, entropy = .87, LRTs P.01). The mild withdrawal class showed low probabilities of presenting physical and psychological symptoms, the moderate withdrawal class was characterized by experiencing psychological symptoms, and the severe withdrawal class stood out for high probabilities of presenting both types of symptoms. The classes differed from each other, with higher rates of moderate-severe POUD, opioid misuse, anxiety, depression, and greater pain intensity and interference in more severe withdrawal classes (P.05). The multinomial logistic regression showed that moderate-severe POUD and anxiety were the strongest variables related to moderate (OR
Databáze: OpenAIRE