BACKGROUND Opioid addiction and overdose are epidemic in the U.S. Victims of traumatic injury are at greater than average risk for opioid misuse and related complications. Potential risk screens and preventive interventions in this clinical population remain under-investigated. The current project seeks to develop and pilot the implementation of a screening tool for opioid risk at American Coll...

Chronic pain is commonly treated by prescribing an opioid medication. For those suffering from both chronic pain and substance dependence, barriers to adequate pain management increase. This often causes both disorders to exacerbate one another. Effective treatment may also be hampered by opioid-induced hyperalgesia, tolerance, physical dependence, "chemical coping," and diminished physical and...

Pain and stress are protective mechanisms essential in avoiding harmful or threatening stimuli and ensuring survival. Despite these beneficial roles, chronic exposure to either pain or stress can lead to maladaptive hormonal and neuronal modulations that can result in chronic pain and a wide spectrum of stress-related disorders including anxiety and depression. By inducing allostatic changes in...

background: work-related musculoskeletal disorders are the most important factors of absent from work, increased costs and human damages experienced by workers. the aim of this study was to determine the prevalence of work-related musculoskeletal disorders of nurses in al-zahra hospital and the effect of eight-week selected corrective exercises and ergonomic interventions on them. methods: nord...

background: adjustment disorder (ajd) is a transient mental health condition emerging after stressful life events. its diagnostic criteria have recently been under revision which led to the development of the adjustment disorder–new module 20 (adnm-20) as a self-report assessment. objective: to identify a threshold value for people at high risk for ajd. methods: as part of a randomized controll...

background: the use of methamphetamine and other drugs among young adults has been a theme of growing interest and concern on the part of researchers and health associations. this paper reports recent use of methamphetamine and its relation with some demographic variables among substance users in west of iran. method s: this cross-sectional study was carried out on 559 substance users of hamada...

the purpose of this study was to investigate the effectiveness of emotional regulation training group therapy, based on dialectical behavioral therapy (dbt) and cognitive therapy, on improving emotional regulation and distress tolerance skills and relapse prevention in addicts.in a quasiexperimental study, 39 patients with the diagnosis of opioid dependence based on dsm-iv criteria were randoml...

purpose: to ascertain the role of social support and positive affect in prediction of addiction relapse. materials and methods: the research method was a causal-comparison. population included all the clients seeking for medical advice in the centers for addiction treatment in saravan and iranshar. the sample includes 186 participants (83 participants had no relapse and 83 participants had rela...