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Psychological approach in headache patients with pain medication misuse in an outpatient center for drug treatment in Barcelona

Published online by Cambridge University Press:  23 March 2020

E. Ros-Cucurull ,
M. Perea ,
D. Romero ,
R.F. Palma-Álvarez ,
P. Pozo-Rosich ,
M. Torres-Ferrús ,
L. Grau-López ,
A.C. Abad ,
N. Martínez  and
A. Esojo
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E. Ros-Cucurull
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain Autonomous University of Barcelona, Psychiatry Department, Barcelona, Spain
M. Perea
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain Parc Taulí Hospital, Psychiatry Service, Sabadell, Spain
D. Romero
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain
R.F. Palma-Álvarez
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain
P. Pozo-Rosich
Affiliation:
Vall Hebron University Hospital, Headache Outpatient Unit, Department of Neurology, Barcelona, Spain
M. Torres-Ferrús
Affiliation:
Vall Hebron University Hospital, Headache Outpatient Unit, Department of Neurology, Barcelona, Spain
L. Grau-López
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain Autonomous University of Barcelona, Psychiatry Department, Barcelona, Spain
A.C. Abad
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain
N. Martínez
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain Autonomous University of Barcelona, Psychiatry Department, Barcelona, Spain
A. Esojo
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain
M. Robles-Martínez
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain
C. Roncero
Affiliation:
Vall Hebron University Hospital, CIBERSAM, Psychiatry Service, Barcelona, Spain Vall Hebron University Hospital, Addiction and Dual Diagnosis Unit, Barcelona, Spain Autonomous University of Barcelona, Psychiatry Department, Barcelona, Spain

Abstract

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Introduction

Pain medication misuse is commonly found in patients under headache treatment and may produce co-morbid anxiety and depressive symptomatology. Management of this issue requires a comprehensive and integrative treatment including psychotherapy. Group interventions have been scarcely studied in addictive disorders, those interventions aims to decrease drug misuse and improve related psychiatric symptoms.

Aim

To study the efficacy of group interventions base on cognitive-behavior approach in patients with pain medication misuse.

Method

Patients with pain medication misuse were included and were evaluated with BDI, STAI, SF36 and HIT scales (basal and at the end of treatment sessions). Patients were recruited from headache outpatient unit. Twelve sessions of one hour were performed with a cognitive-behavior approach (weekly).

Results

We present preliminary results about the efficacy of group interventions in patients with pain medication misuse. Descriptive results pre- and post- treatment were analyzed in depressive symptoms (M = 20.14, SD = 12.25; M = 14.67, SD = 19.50) and in areas of quality of life: physical functioning (M = 48.75, SD = 31.13; M = 60.50, SD = 41.68), bodily pain (M = 12, SD = 9.25; M = 42.75, SD = 34.09), general health perceptions (M = 25.75, SD = 16.96; M = 44.25, SD = 22.33), vitality (M = 33.75, SD = 13.82; M = 48, SD = 34.82).

Conclusions

Pain medication misuse is commonly found in chronic headache patients, consequently worst outcomes for both pathologies. Group interventions may be useful in management of pain, anxiety and other comorbidities. Furthermore, it may favor drug use decrease and even abstinence.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Substance related and addictive disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. s876
Copyright
Copyright © European Psychiatric Association 2017
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