EPA-1277 – Opioids: the enemy or the ally? - 01/08/14
Résumé |
Introduction |
Chronic pain is a prevalent condition worldwide. Opioids have beneficial effects when treating pain, but also involve risks. Opioid iatrogenic dependence(OID) is becoming more prevalent in western countries. Co-occurring psychiatric disorders are both among its predisposing factors and its complications.
Objectives |
To review factors predicting response to opioid treatment, especially those related with psychiatric comorbidities. We describe a case of OID as an example of the patient-type.
Aims |
Attention needs to be paid to OID considering its growing health impact.
Materials/Methods |
Throughout the case of a patient with chronic pain due to post-radiotherapic proctalgia, who suffered from depression and showed maladaptive personality traits, we describe a case of OID.
Results |
All patients assisted at our Pain Clinic have current or previous psychiatric disorders, and in almost half of the cases is major depression, as it happens in our case-example. Concomitant psychopharmacological treatment of opioid dependence and psychiatric comorbidities (including other drugs abuse/dependence) improves outcomes.
Conclusions |
A global view of the opioid-consumer that includes comorbid psychiatric conditions is needed.
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Vol 29 - N° S1
P. 1 - 2014 Retour au numéro
Article précédent
- EPA-1276 – Internet use and abuse: attachment and new forms of psychopathology
- B. Volpi, R. Tambelli, R. Baiocco, P. Marconi
- EPA-1278 – “My dad is disfigured!” – case report of PTSD after oncologic disease of the parent
- R. Silva, J. Garrido, C. Araújo, V. Leite
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