Home > A study of psychological pain in substance use disorder and its relationship to treatment outcome.

Mee, Steven and Bunney, Blynn G and Fujimoto, Ken and Penner, John and Seward, Garrett and Crowfoot, Keeley and Bunney, William E and Reist, Christopher [PLOS One] . (2019) A study of psychological pain in substance use disorder and its relationship to treatment outcome. PLoS ONE, 14 (11) https://doi.org/10.1371/journal.pone.0216266

URL: https://journals.plos.org/plosone/article?id=10.13...

Substance Use Disorder (SUD) is a major public health concern affecting an estimated 22.5 million individuals in the United States. The primary aim of this study was to characterize psychological pain in a cohort of patients participating in outpatient treatment for SUD. A secondary aim was to determine the relationships between pre-treatment assessments of psychological pain, depression, anxiety and hopelessness with treatment retention time and completion rates. Data was analyzed from 289 patients enrolled in an outpatient community drug treatment clinic in Southern California, U.S. A previously determined threshold score on the Mee-Bunney Psychological Pain Assessment Scale (MBP) was utilized to group patients into high and low-moderate scoring subgroups.

The higher pain group scored higher on measures of anxiety, hopelessness and depression compared to those in the low-moderate pain group. Additionally, patients scoring in the higher psychological pain group exhibited reduced retention times in treatment and more than two-fold increased odds of dropout relative to patients with lower pre-treatment levels of psychological pain. Among all assessments, the correlation between psychological pain and treatment retention time was strongest. To our knowledge, this is the first study to demonstrate that psychological pain is an important construct which correlates with relevant clinical outcomes in SUD. Furthermore, pre-treatment screening for psychological pain may help target higher-risk patients for clinical interventions aimed at improving treatment retention and completion rates.


Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general, Opioid
Intervention Type:AOD disorder, AOD disorder treatment method, Psychosocial treatment method
Source:PLOS One
Date:November 2019
Page Range:e0216266
Volume:14
Number:11
EndNote:View
Subjects:F Concepts in psychology > Emotion (anxiety)
G Health and disease > State of health > Mental health
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
VA Geographic area > United States

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