Chronic Pain and Opioid Dependence Assessment and Treatment
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain, Chronic Pain, Psychiatric, Gastrointestinal, Pain |
| Therapuetic Areas: | Gastroenterology, Musculoskeletal, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 6/30/2016 |
| Start Date: | August 2008 |
| End Date: | July 2015 |
This study involves the development of an integrated psychotherapy that addresses both
chronic pain and opioid dependence(POD).
chronic pain and opioid dependence(POD).
To conduct a pre-pilot study with 20 POD patients to a) evaluate the acceptability and
potential efficacy of specific sessions (i.e., reduced illicit opioid use as assessed by
urine toxicology and self-report findings, and decreased pain as evidenced by attenuated
pain intensity and pain interference on self-report measures from baseline throughout
treatment) for inclusion in integrated Cognitive Behavioral Therapy (CBT) for POD and the
sequence of sessions, b) assess patients' satisfaction with integrated CBT as evidenced by
qualitative feedback from individual exit interviews, and c) develop and modify initial
therapist training and process rating measures. Products will include a) a manual for
integrated CBT for POD to be used in opioid treatment programs and primary care settings
with POD patients, b) therapist training materials, and c) process rating instruments.
potential efficacy of specific sessions (i.e., reduced illicit opioid use as assessed by
urine toxicology and self-report findings, and decreased pain as evidenced by attenuated
pain intensity and pain interference on self-report measures from baseline throughout
treatment) for inclusion in integrated Cognitive Behavioral Therapy (CBT) for POD and the
sequence of sessions, b) assess patients' satisfaction with integrated CBT as evidenced by
qualitative feedback from individual exit interviews, and c) develop and modify initial
therapist training and process rating measures. Products will include a) a manual for
integrated CBT for POD to be used in opioid treatment programs and primary care settings
with POD patients, b) therapist training materials, and c) process rating instruments.
Inclusion Criteria:
- at least 18 years of age
- currently in Methadone Maintenance Treatment (MMT) at the APT Foundation in New
Haven, CT
- opioid dependence
- experience moderate to severe chronic pain
Exclusion Criteria:
- current suicide or homicide risk
- are unable to complete the informed consent or surveys because of psychiatric
impairment
- have cognitive impairment
- are unable to read or understand English
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Yale University School of Medicine Founded in 1810, the Yale School of Medicine is a...
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