Prevalence Of Chronic Pain In Patients With Alcohol Dependence Syndrome In Tertiary Care Center In India
- Author:
Jitendra Rohilla
- Publication Type:Journal Article
- Keywords:
Addiction, Alcohol Dependence Syndrome, Chronic Pain
- From:ASEAN Journal of Psychiatry
2016;17(2):199-208
- CountryMalaysia
- Language:English
-
Abstract:
Chronic pain and substance abuse are common problems with each
having its own unique difficulties with partial response to treatment and poor
outcomes. Relationship of chronic pain with alcohol dependence has not been
explored unlike other substances specially opioids. This study aims to assess the
prevalence and characteristic of chronic pain among respondents with alcohol
dependence syndrome (ADS) and also attempts to explore the relationship of
alcohol use and its effect on pain. Methods: A Cross-sectional prevalence study
was carried out in outpatient services of Center for Addiction Medicine at
National Institute of Mental Health and Neurosciences, Bangalore, India. Six
hundred forty six subjects fulfilling the DSM IV diagnostic criteria for Alcohol
Dependence Syndrome (ADS) were screened for chronic pain. The assessments
included semi-structured proforma for demographic and clinical details, Brief
pain inventory (BPI) and Severity of Alcohol Dependence Questionnaire (SADQC).
Results: Chronic pain was prevalent in 118 (18 %) subjects with alcohol
dependence syndrome with 49% of them reporting pain to be of severe intensity.
Mean + SD (standard deviation) duration of pain in months was 26.2 + 33.7.
Chronic pain was significantly more common among older patients. Majority of
subjects (73.6 %) subjects reported use of alcohol for managing pain.
Conclusions: Chronic severe pain either as a cause or effect of alcohol
dependence is prevalent in such subjects. Efforts should be made to better
understand and address the pain problems in this patient population.
- Full text:P020170619564052318252.pdf
