Factors associated with an increased risk of opioid misuse among patients with non-cancerpain in Malaysian pain clinic settings

Sani, Asween R. and Hj. Mohd. Zin, Che Suraya (2024) Factors associated with an increased risk of opioid misuse among patients with non-cancerpain in Malaysian pain clinic settings. Journal of Psychoactive Drugs, 57 (4). pp. 1-12. ISSN 0279-1072

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Abstract

This study examined the factors associated with a high risk of opioid misuse among patients receiving opioid treatment for their non-cancer pain in Malaysian pain clinics. The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R), a validated instrument for predicting the risk of aberrant drug-related behaviors, were used as a proxy to indicate risk of opioid misuse. Data analysis was stratified into high-risk and low-risk patient groups. Patient factors assessed included pain intensity, pain interference with daily activities, and health-related quality of life. Prescription opioid exposure was examined via patient medical and prescription records review. Among the 61 patients recruited, 62.3% scored ≥18 on the SOAPP-R, which indicates a high risk for opioid misuse. Factors associated with a high risk of opioid misuse were found to be high level of pain interference with daily activities, poorer mental health, and younger age. High-risk patients were found to be prescribed a lower mean daily opioid dose of <20 mg/day compared to low-risk patients (20–49 mg/day). This highlights the need for further research to distinguish aberrant drug related behaviors due to inadequate pain management from that of actual prescription opioid misuse among non-cancer pain patients attending pain clinics.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Opioid; pain; pain management; non-cancer pain
Subjects:	R Medicine > RS Pharmacy and materia medica
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Pharmacy Kulliyyah of Pharmacy > Department of Pharmacy Practice
Depositing User:	Prof Dr Che Suraya Mohd Zin
Date Deposited:	03 Sep 2024 15:31
Last Modified:	27 Oct 2025 15:40
URI:	http://irep.iium.edu.my/id/eprint/114235

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