Prescription Opioid Use among Adults with Mental Health Disorders in the United States

@article{Davis2017PrescriptionOU,
  title={Prescription Opioid Use among Adults with Mental Health Disorders in the United States},
  author={Matthew A Davis and Lewei Allison Lin and Haiyin Liu and Brian Daniel Sites},
  journal={The Journal of the American Board of Family Medicine},
  year={2017},
  volume={30},
  pages={407 - 417}
}
  • M. DavisL. Lin B. Sites
  • Published 1 July 2017
  • Medicine, Psychology
  • The Journal of the American Board of Family Medicine
Background: The extent to which adults with mental health disorders in the United States receive opioids has not been adequately reported. [] Key Method Methods: We performed a cross‐sectional study of a nationally representative sample of the noninstitutionalized U.S. adult population from the Medical Expenditure Panel Survey. We examined the relationship between mental health (mood and anxiety) disorders and prescription opioid use (defined as receiving at least 2 prescriptions in a calendar year).

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References

SHOWING 1-10 OF 30 REFERENCES

Association between mental health disorders, problem drug use, and regular prescription opioid use.

Common mental health disorders and problem drug use are associated with initiation and use of prescribed opioids in the general population and remained significant predictors of opioid use in 2001.

Disproportionate longer-term opioid use among U.S. adults with mood disorders

Targeting the transition to longer-term opioid use may help clinicians reduce potentially inappropriate opioid prescriptions in this high-risk population of adults with mood disorders.

Association of mental health disorders with prescription opioids and high-risk opioid use in US veterans of Iraq and Afghanistan.

Mental health diagnoses, especially PTSD, were associated with an increased risk of receiving opioids for pain, high-risk opioid use, and adverse clinical outcomes among US veterans of Iraq and Afghanistan.

Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014.

Findings indicate that the opioid overdose epidemic is worsening and there is a need for continued action to prevent opioid abuse, dependence, and death, improve treatment capacity for opioid use disorders, and reduce the supply of illicit opioids, particularly heroin and illicit fentanyl.

National estimates of health services expenditures for children with behavioral disorders: an analysis of the medical expenditure panel survey.

Overall health care costs similar to children with physical conditions but greater than children without any of these conditions because of increased costs for office-based visits and prescription medications were found.

Understanding Risk Factors for Opioid Overdose in Clinical Populations to Inform Treatment and Policy

Opioid dosage was the factor most consistently analyzed and also associated with increased risk of overdose and other risk factors include concurrent use of sedative-hypnotics, use of extended-release/long-acting opioids, and the presence of substance use and other mental health disorder comorbidities.

What factors affect physicians' decisions to prescribe opioids for chronic noncancer pain patients?

Physicians' practice in prescribing of opioids appears to be influenced most by patients' nonverbal communications of pain, distress, and suffering.

CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016.

This guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.