The feasibility and acceptability of groups for pain management in methadone maintenance treatment.

Abstract:

OBJECTIVES:Effective and safe pain management interventions in methadone maintenance treatment are needed. METHODS:We examined the feasibility (ie, single-session attendance) and acceptability (ie, patient satisfaction and booster session attendance) of cognitive-behavioral therapy-informed groups for pain management-Coping With Pain, Relaxation Training, Group Singing, and Mindful Walking. Pre- and postsession measures were collected. RESULTS:A total of 349 (out of a census of approximately 800) methadone-maintained patients attended at least 1 of the groups. Group satisfaction was high. Booster session attendance was numerically lower in Mindful Walking (14%) than in the other groups (at least 40%). Repeat attendance at Coping With Pain was associated with reduced characteristic pain intensity and depression, whereas repeat attendance at Relaxation Training was associated with decreased anxiety. CONCLUSIONS:Coping With Pain, Relaxation Training, and Group Singing are transportable, affordable, adaptable, and tolerated well by patients with pain and show promise as components of a multimodal pain management approach in methadone maintenance treatment.

journal_name

J Addict Med

authors

Barry DT,Savant JD,Beitel M,Cutter CJ,Schottenfeld RS,Kerns RD,Moore BA,Oberleitner L,Joy MT,Keneally N,Liong C,Carroll KM

doi

10.1097/ADM.0000000000000055

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

338-44

issue

5

eissn

1932-0620

issn

1935-3227

journal_volume

8

pub_type

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