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Chapter 38.Substance-Related Disorders in Patients With Chronic Pain

Edited by:
    https://doi.org/10.1176/appi.books.9781615373970.kb38

    Sections

    Chronic Pain and Opioids: Shortcomings of the Biomedical Model | Terminology of Chronic Pain and Substance Use Disorders | Opioid Use, Pain, and Reward | Pain in the Medical Setting: Preventing Misuse and Addiction During Opioid Pain Management | Differential Diagnosis of the Poorly Functioning Patient With Pain | Buprenorphine and Methadone in the Management of Pain and Addiction | Management of Acute, Perioperative, and Postoperative Pain in Patients Being Treated for Opioid Use Disorder | Gender Differences in Chronic Pain and Addiction | Conclusion | References

    Excerpt

    The management of chronic pain, which involves various psychological, psychiatric, and medical comorbidities, has long been a challenge. The increase in opioid prescribing by physicians to treat pain over the last three decades and the subsequent increase in opioid misuse and overdose deaths have emphasized the challenges relating to treating comorbid pain and substance use disorders.

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