Comorbid psychiatric disorders in chronic pain patients with psychoactive substance use disorders

David A. Fishbain, R. B. Cutler, H. L. Rosomoff, R. Steele Rosomoff

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Previous research indicates that significant numbers of psychoactive substance use disorder patients have comorbid psychiatric disorders. Comorbidity between psychoactive substance use disorders and other psychiatric disorders has not previously been investigated in chronic pain patients (CPPs). The purpose of this study was to determine if this type of comorbidity exists within CPPs and if so, is it diagnostically the same as in other psychoactive substance use disorder populations. Two hundred and eighty three consecutive CPP admissions to a pain facility received a semi-structured psychiatric interview based on DSM flowsheets. For the statistical analysis, these CPPs were broken down into three groups: (A) CPPs with a current drug use disorder diagnosis; (B) CPPs with a current alcohol use disorder diagnosis; (C) and CPPs with either (A) or (B) (above). These three groups were compared by X2 to the remaining CPPs for the frequency of each DSM diagnosis. Results. Some DSM affective and personality disorder diagnoses were found to be more frequently associated with all three psychoactive substance use disorder groups versus the remaining CPPs. In addition, Intermittent Explosive disorder, a diagnosis frequently encountered with personality disorders was also more frequently associated with all three psychoactive substance use disorder groups than the remaining CPPs. Conclusions. Psychiatric comorbidity is frequently found in CPPs diagnosed with psychoactive substance use disorders. This comorbidity generally relates to DSM Affective and Personality Disorders. These findings are similar to those reported in non-CPPs with psychoactive substance use disorders.

Original languageEnglish (US)
Pages (from-to)79-87
Number of pages9
JournalPain Clinic
Volume11
Issue number2
StatePublished - Jan 1 1998

Keywords

  • Chronic pain
  • Psychiatric disorders
  • Psychoactive substances

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

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    Fishbain, D. A., Cutler, R. B., Rosomoff, H. L., & Steele Rosomoff, R. (1998). Comorbid psychiatric disorders in chronic pain patients with psychoactive substance use disorders. Pain Clinic, 11(2), 79-87.