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dc.contributor.authorElander, James
dc.contributor.authorKapadi, Romaana
dc.contributor.authorBateman, Antony H
dc.date.accessioned2021-11-24T10:46:46Z
dc.date.available2021-11-24T10:46:46Z
dc.date.issued2021-11-03
dc.identifier.citationElander, J., Kapadi, R., & Bateman, A.H. (2021). 'Patient-reported factors associated with degree of pain medication dependence and presence of severe dependence among spinal outpatients'. Pain Management, pp. 1-23.en_US
dc.identifier.issn1758-1869
dc.identifier.doi10.2217/pmt-2021-0055
dc.identifier.urihttp://hdl.handle.net/10545/626137
dc.description.abstractTo identify risk factors for pain medication dependence. Chronic spinal pain outpatients (n=106) completed the Leeds Dependence. Questionnaire (LDQ) and measures of potential risk factors. Participants with high (n=3) and low (n=3) dependence were interviewed. Mean LDQ score was 11.52 (SD 7.35) and 15/106 participants (14.2%) were severely dependent (LDQ ≥20). In linear regression, pain intensity (β=0.313, p<0.001), being disabled by pain (β=0.355, p<0.001), borrowing pain medication (β=0.209, p=0.006), and emergency phone calls or clinic visits (β=0.169, p=0.029) were associated with degree of dependence across the range of LDQ scores. In logistic regression, pain intensity (p=0.001) and borrowing pain medication (p=0.004) increased the odds of severe dependence. Interviewees described how their pain influenced their pain medication use and one described pain medication addiction. Interventions to reduce pain intensity and pain-related disability may reduce pain medication dependence.en_US
dc.description.sponsorshipN/Aen_US
dc.language.isoenen_US
dc.publisherFuture Medicine Ltden_US
dc.relation.urlhttps://www.futuremedicine.com/doi/10.2217/pmt-2021-0055en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectSpinal painen_US
dc.subjectChronic painen_US
dc.subjectPain medicationen_US
dc.subjectDependenceen_US
dc.subjectPainkilleren_US
dc.subjectAddictionen_US
dc.titlePatient-reported factors associated with degree of pain medication dependence and presence of severe dependence among spinal outpatientsen_US
dc.typeArticleen_US
dc.identifier.eissn1758-1877
dc.contributor.departmentUniversity of Derbyen_US
dc.contributor.departmentRoyal Derby Spinal Centre, Royal Derby Hospitalen_US
dc.identifier.journalPain Managementen_US
dc.identifier.pii10.2217/pmt-2021-0055
dc.source.journaltitlePain Management
dcterms.dateAccepted2021-10-12
dc.author.detail779740en_US


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