Perceptions of Signs of Addiction Among Opioid Naive Patients Prescribed Opioids in the Emergency Department
| Autor: | Howard S Kim, Peter T Serina, Patrick M. Lank, Laura M. Curtis, Kenzie A. Cameron, Danielle M. McCarthy, Daniel Mark Courtney, Michael S. Wolf, Lauren Opsasnick |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent media_common.quotation_subject Pain medicine MEDLINE Coding (therapy) Perception medicine Humans Pharmacology (medical) Psychiatry media_common business.industry Addiction Emergency department Opioid-Related Disorders Patient Discharge Analgesics Opioid Behavior Addictive Psychiatry and Mental health Opioid Content analysis Female Emergency Service Hospital business medicine.drug |
| Zdroj: | Journal of Addiction Medicine. 15:491-497 |
| ISSN: | 1935-3227 1932-0620 |
| DOI: | 10.1097/adm.0000000000000806 |
| Popis: | Objectives Patient knowledge deficits related to opioid risks, including lack of knowledge regarding addiction, are well documented. Our objective was to characterize patients' perceptions of signs of addiction. Methods This study utilized data obtained as part of a larger interventional trial. Consecutively discharged English-speaking patients, age >17 years, at an urban academic emergency department, with a new opioid prescription were enrolled from July 2015 to August 2017. During a follow-up phone interview 7 to 14 days after discharge, participants were asked a single question, "What are the signs of addiction to pain medicine?" Verbatim transcribed answers were analyzed using a directed content analysis approach and double coding. These codes were then grouped into themes. Results There were 325 respondents, 57% female, mean age 43.8 years, 70.1% privately insured. Ten de novo codes were added to the 11 DSM-V criteria codes. Six themes were identified: (1) effort spent acquiring opioids, (2) emotional and physical changes related to opioid use, (3) opioid use that is "not needed, (4) increasing opioid use, (5) an emotional relationship with opioids, and (6) the inability to stop opioid use. Conclusions Signs of addiction identified by opioid naive patients were similar to concepts identified in medical definitions. However, participants' understanding also included misconceptions, omissions, and conflated misuse behaviors with signs of addiction. Identifying these differences will help inform patient-provider risk communication, providing an opportunity for counseling and prevention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|