Psychological treatments for comorbid chronic pain and opioid use disorder: Current research and future directions.

Frank J Schwebel, Matison W McCool, Katie Witkiewitz
Author Information
  1. Frank J Schwebel: University of New Mexico, USA. Electronic address: fschwebel@unm.edu.
  2. Matison W McCool: University of New Mexico, USA.
  3. Katie Witkiewitz: University of New Mexico, USA.

Abstract

chronic pain and opioid use disorder cause significant social, physical, and economic burdens on individuals and society. Historically, chronic pain and opioid use disorder have been treated individually, yet they often are comorbid conditions and treatment targeting both concurrently might improve outcomes. This article reviewed psychological treatment approaches for comorbid chronic pain and opioid use disorder. Treatments were classified as cognitive behavioral therapy-based, mindfulness-based, or integrated treatments. Treatments were primarily delivered in-person other than a cognitive behavioral digital health approach. Mindfulness-based and integrated interventions demonstrated the best outcomes. Given the significant public health burden from comorbid chronic pain and opioid use disorder, there is an urgent need for increased research and implementation of psychological treatments for these conditions.

Keywords

References

  1. BMJ Open. 2016 Jun 20;6(6):e010364 [PMID: 27324708]
  2. Eur Addict Res. 2022;28(3):231-240 [PMID: 35196659]
  3. Lancet Digit Health. 2021 Jun;3(6):e397-e407 [PMID: 34045004]
  4. Eur J Pain. 2006 May;10(4):287-333 [PMID: 16095934]
  5. J Opioid Manag. 2017 Jul/Aug;13(4):207-220 [PMID: 28953313]
  6. J Pain. 2020 Jul - Aug;21(7-8):798-807 [PMID: 31760109]
  7. Int J Gen Med. 2021 Jun 03;14:2305-2311 [PMID: 34113160]
  8. Drug Alcohol Depend. 2019 Oct 1;203:61-65 [PMID: 31404850]
  9. JAMA. 2018 Mar 6;319(9):872-882 [PMID: 29509867]
  10. Lancet. 2017 Sep 16;390(10100):1211-1259 [PMID: 28919117]
  11. Pain. 2010 Sep;150(3):390-400 [PMID: 20334973]
  12. JAMA Netw Open. 2022 Nov 1;5(11):e2242533 [PMID: 36394874]
  13. Pain Med. 2021 May 21;22(5):1080-1094 [PMID: 33175158]
  14. J Pain. 2010 Nov;11(11):1230-9 [PMID: 20797916]
  15. J Gen Intern Med. 2022 Apr;37(Suppl 1):113-117 [PMID: 34389937]
  16. Med Care. 2013 Oct;51(10):870-8 [PMID: 24025657]
  17. Contemp Clin Trials. 2023 Mar;126:107096 [PMID: 36693589]
  18. Ann Intern Med. 2022 Jan;175(1):46-55 [PMID: 34724405]
  19. Neurosci Biobehav Rev. 2019 Apr;99:298-310 [PMID: 30790634]
  20. JAMA. 2018 Dec 18;320(23):2448-2460 [PMID: 30561481]
  21. Pain. 2016 Aug;157(8):1607-1610 [PMID: 26859821]
  22. JAMA Intern Med. 2020 Jan 1;180(1):91-105 [PMID: 31682676]
  23. Addict Behav. 2018 Nov;86:130-137 [PMID: 29731244]
  24. Subst Abuse Treat Prev Policy. 2022 May 7;17(1):35 [PMID: 35525964]
  25. Drug Alcohol Depend. 2019 Jan 1;194:460-467 [PMID: 30508769]
  26. Medicine (Baltimore). 2021 Feb 12;100(6):e23859 [PMID: 33578513]
  27. Pain Manag Nurs. 2015 Aug;16(4):503-14 [PMID: 26088940]
  28. J Consult Clin Psychol. 2014 Jun;82(3):448-459 [PMID: 24491075]

Grants

  1. T32 AA018108/NIAAA NIH HHS
  2. K23 DA058015/NIDA NIH HHS
  3. K23 AA031729/NIAAA NIH HHS
  4. RM1 DA055301/NIDA NIH HHS
  5. UH3 DA051241/NIDA NIH HHS

MeSH Term

Humans
Opioid-Related Disorders
Chronic Pain
Comorbidity
Mindfulness
Cognitive Behavioral Therapy

Word Cloud

Created with Highcharts 10.0.0painuseopioiddisorderchroniccomorbidbehavioraltreatmentsChronicsignificantconditionstreatmentoutcomespsychologicalTreatmentscognitiveintegratedhealthresearchPsychologicalcausesocialphysicaleconomicburdensindividualssocietyHistoricallytreatedindividuallyyetoftentargetingconcurrentlymightimprovearticlereviewedapproachesclassifiedtherapy-basedmindfulness-basedprimarilydeliveredin-persondigitalapproachMindfulness-basedinterventionsdemonstratedbestGivenpublicburdenurgentneedincreasedimplementationdisorder:CurrentfuturedirectionsCognitivetherapyMindfulnessOpioidintervention

Similar Articles

Cited By

No available data.