Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression
The objective of this study was to understand pain treatment utilization, perceived efficacy, and differences in utilization by gender, clinic site, chronicity of pain, pain severity, and depression severity among people living with HIV (PLWH), chronic pain, and elevated depression symptoms. Partici...
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Veröffentlicht in: | AIDS and behavior 2022-03, Vol.26 (3), p.864-873 |
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creator | Uebelacker, Lisa A. Cherenack, Emily M. Busch, Andrew Baker, Jason V. Pinkston, Megan Gleason, Neil Madden, Stephanie Caviness, Celeste M. Stein, Michael D. |
description | The objective of this study was to understand pain treatment utilization, perceived efficacy, and differences in utilization by gender, clinic site, chronicity of pain, pain severity, and depression severity among people living with HIV (PLWH), chronic pain, and elevated depression symptoms. Participants included 187 PLWH at three HIV clinics in the U.S. Overall, 85% of participants reported taking a pain medication. One quarter (25%) reported non-pharmacological professional treatments for pain (e.g., massage, physical therapy), 60% reported mind–body treatments, including exercise, meditation, and yoga, and 62% reported other non-pharmacological self-administered treatments (e.g., heat/cold). Most pain treatments were considered “slightly helpful” or “moderately helpful.” Non-pharmacological self-administered treatments were more commonly used among women than men and among individuals with constant vs. intermittent pain. Further research is needed to evaluate the efficacy of the preferred analgesic modalities of PLWH. |
doi_str_mv | 10.1007/s10461-021-03447-x |
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Participants included 187 PLWH at three HIV clinics in the U.S. Overall, 85% of participants reported taking a pain medication. One quarter (25%) reported non-pharmacological professional treatments for pain (e.g., massage, physical therapy), 60% reported mind–body treatments, including exercise, meditation, and yoga, and 62% reported other non-pharmacological self-administered treatments (e.g., heat/cold). Most pain treatments were considered “slightly helpful” or “moderately helpful.” Non-pharmacological self-administered treatments were more commonly used among women than men and among individuals with constant vs. intermittent pain. Further research is needed to evaluate the efficacy of the preferred analgesic modalities of PLWH.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-021-03447-x</identifier><identifier>PMID: 34468967</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Analgesics ; Chronic pain ; Chronic Pain - drug therapy ; Depression - therapy ; Female ; Gender differences ; Health behavior ; Health Psychology ; HIV ; HIV Infections - complications ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Meditation ; Men ; Mental depression ; Original Paper ; Pain ; Pain perception ; Pharmacology ; Public Health ; Treatment methods ; Yoga</subject><ispartof>AIDS and behavior, 2022-03, Vol.26 (3), p.864-873</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. 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Participants included 187 PLWH at three HIV clinics in the U.S. Overall, 85% of participants reported taking a pain medication. One quarter (25%) reported non-pharmacological professional treatments for pain (e.g., massage, physical therapy), 60% reported mind–body treatments, including exercise, meditation, and yoga, and 62% reported other non-pharmacological self-administered treatments (e.g., heat/cold). Most pain treatments were considered “slightly helpful” or “moderately helpful.” Non-pharmacological self-administered treatments were more commonly used among women than men and among individuals with constant vs. intermittent pain. Further research is needed to evaluate the efficacy of the preferred analgesic modalities of PLWH.</description><subject>Analgesics</subject><subject>Chronic pain</subject><subject>Chronic Pain - drug therapy</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meditation</subject><subject>Men</subject><subject>Mental depression</subject><subject>Original Paper</subject><subject>Pain</subject><subject>Pain perception</subject><subject>Pharmacology</subject><subject>Public Health</subject><subject>Treatment methods</subject><subject>Yoga</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1P3DAQhi3Uiu8_wKGK1AsHUsaOP-JLJbSFgoSAA3C1nMTeNUrsrZ2l8O8xu5SPHjhYHs8883pGL0J7GH5gAHGYMFCOSyD5VJSK8mENbWImqrIijH7JMUgoBeZsA22ldAcAkgu5jjYyzescb6JwNdNx0G3ow9S1hfZdcRF8-TF7HY0eB-PHVNgQi8ksBp_TV9r54iaZrmge82N0S-KvG2fL0kFxenZ7sJT8ZebRpOSC30Ffre6T2X25t9HNyfH15LQ8v_x9Njk6L1sq6Fh2VaWl1ZwaIutKyM62WlsGDVjCpO1MTbhpWiFprljBm44JYjpBaoybhslqG_1c6c4XzWC6No8Wda_m0Q06PqqgnfpY8W6mpuFeSUyYoDgL7L8IxPBnYdKoBpda0_fam7BIijBeEwZAIKPf_0PvwiL6vJ4inNSAKaXPFFlRbQwpRWNfh8Ggnv1UKz9V9lMt_VQPuenb-zVeW_4ZmIFqBaRc8lMT3_7-RPYJsMGtaQ</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Uebelacker, Lisa A.</creator><creator>Cherenack, Emily M.</creator><creator>Busch, Andrew</creator><creator>Baker, Jason V.</creator><creator>Pinkston, Megan</creator><creator>Gleason, Neil</creator><creator>Madden, Stephanie</creator><creator>Caviness, Celeste M.</creator><creator>Stein, Michael D.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression</title><author>Uebelacker, Lisa A. ; Cherenack, Emily M. ; Busch, Andrew ; Baker, Jason V. ; Pinkston, Megan ; Gleason, Neil ; Madden, Stephanie ; Caviness, Celeste M. ; Stein, Michael D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-d33a9fa64e298379dfcaaf50b0f259fde826ebc794dfcf76bd572ed72811bb593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analgesics</topic><topic>Chronic pain</topic><topic>Chronic Pain - 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subjects | Analgesics Chronic pain Chronic Pain - drug therapy Depression - therapy Female Gender differences Health behavior Health Psychology HIV HIV Infections - complications Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Meditation Men Mental depression Original Paper Pain Pain perception Pharmacology Public Health Treatment methods Yoga |
title | Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression |
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