在接受阿片类药物使用障碍药物治疗的患者中通过流行病诱导的隔离来检查疼痛干扰的变化:二次数据分析
Tessa Frohe1, Tim Janssen2, Bryan R Garner3
1University of Washington.
Research square
|August 23, 2023
概括
疫情期间的社会隔离部分解释了阿片类药物使用障碍 (MOUD) 药物治疗患者的疼痛干扰增加. 促进社会联系的干预措施可以减少疼痛并改善这一群体的生活质量.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- COVID-19大流行加剧了社会隔离和阿片类药物使用,特别影响了服用阿片类药物使用障碍 (MOUD) 药物的患者.
- MOUD患者的高疼痛干扰率需要探索大流行期间阿片类药物使用,疼痛和隔离之间的相互作用.
- 这项研究旨在了解流行病诱导的隔离如何影响MOUD患者的疼痛干扰,控制基线阿片类药物使用.
结论:
- 在大流行前阿片类药物使用和疼痛较高的MOUD患者在社交距离期间报告了更大的隔离,这部分解释了他们增加的疼痛干扰.
- 在疫情期间,社会隔离成为MOUD患者的重要风险因素.
- 建议采取促进社会联系的干预措施,以减轻疼痛干扰并提高MOUD患者的生活质量.
相关概念视频
Analgesia and Pain Management
654
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
654
Opioid Analgesics: Synthetic and Semisynthetic Opioids
335
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
335
Opioid Analgesics: Morphine and Other Natural Cogeners
291
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
291
Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents
246
Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
246
Opioid Receptors: Overview
1.0K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
1.0K
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K


