attitudinal barriers to analgesic use among patients with substance use disorders态度障碍镇痛物质使用障碍的患者中使用.pdfVIP

Hindawi Publishing Corporation Pain Research and Treatment Volume 2012, Article ID 167062, 7 pages doi:10.1155/2012/167062 Research Article Attitudinal Barriers to Analgesic Use among Patients with Substance Use Disorders Leah Zallman,1 Sonia L. Rubens,2 Richard Saitz,2, 3 Jeffrey H. Samet,2, 4 Christine Lloyd-Travaglini,5 and Jane Liebschutz2, 4 1 Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center and Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA 2 Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA 3 Department of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA 4 Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 02118, USA 5 Data Coordinating Center, Boston University School of Public Health, Boston, MA 02118, USA Correspondence should be addressed to Leah Zallman, lzallman@ Received 14 November 2011; Revised 29 February 2012; Accepted 2 March 2012 Academic Editor: Howard Smith Copyright © 2012 Leah Zallman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Attitudinal barriers towards analgesic use among primary care patients with chronic pain and substance use disorders (SUDs) are not well understood. We evaluated the prevalence of moderate to significant attitudinal barriers to analgesic use among 597 primary care patients with chronic pain and current analgesic use with 3 subscales from the Barriers Questionaire II: concern about side effects, fear of addiction, and worry about reportin