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Development of a Self-Report Screening Instrument for Assessing Potential Opioid Medication Misuse in Chronic Pain Patients

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Development of a Self-Report Screening Instrument for Assessing Potential Opioid Medication Misuse in Chronic Pain Patients

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dc.contributor.author Gatchel, Robert J.
dc.contributor.author Adams, Laura L.
dc.contributor.author Robinson, Richard C.
dc.contributor.author Polatin, Peter
dc.contributor.author Gajraj, Noor
dc.contributor.author Deschner, Martin
dc.contributor.author Noe, Carl
dc.date.accessioned 2010-08-10T20:29:57Z
dc.date.available 2010-08-10T20:29:57Z
dc.date.issued 2004
dc.identifier.citation Journal of Pain and Symptom Management 27:440-459, 2004 en_US
dc.identifier.uri http://hdl.handle.net/10106/4997
dc.description Author's final draft after peer review, also known as a post print. en_US
dc.description.abstract This study comprised the first step in the psychometric development of a self-report screening instrument for risk of opioid medication misuse among chronic pain patients. A 26-item instrument, the Pain Medication Questionnaire (PMQ), was constructed based on suspected behavioral correlates of opioid medication misuse, which heretofore have received limited empirical investigation. The PMQ was administered to 184 patients at an interdisciplinary pain treatment center. Reliability coefficients for the PMQ were found to be of moderate but acceptable strength. Construct and concurrent validity were examined through correlation of PMQ scores to measures of substance abuse, physical and psychological functioning, and physicians’ risk assessments. To explore high and low cutoff points for misuse risk, subgroups were formed according to the upper and lower thirds of PMQ scores and compared on validity measures. Higher PMQ scores were associated with history of substance abuse, higher levels of psychosocial distress, and poorer functioning. Future psychometric analyses will consider predictive validity and examine shortened versions of the instrument. en_US
dc.description.sponsorship Supported in part by Grants 2RO1-MH46452, 2R01-DE10713 and 2K02 MH01107 from the National Institutes of Health, and a grant from the Sid Richardson Foundation. en_US
dc.description.sponsorship The Eugene McDermott Center for Pain Management en
dc.description.sponsorship The University of Texas Southwestern Medical Center at Dallas en
dc.language.iso en_US en_US
dc.publisher Elsevier en_US
dc.subject chronic pain en_US
dc.subject interdisciplinary treatment en_US
dc.subject opioid medication misuse en_US
dc.subject Pain Medication Questionnaire en_US
dc.subject psychometric properties en_US
dc.title Development of a Self-Report Screening Instrument for Assessing Potential Opioid Medication Misuse in Chronic Pain Patients en_US
dc.type Article en_US
dc.publisher.department Department of Psychology, The University of Texas at Arlington en
dc.identifier.externalLink http://www.elsevier.com/wps/find/journaldescription.cws_home/505775/description#description en_US
dc.identifier.externalLinkDescription The original publication is available at the journal homepage. en_US

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