{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T08:16:09Z","timestamp":1793088969412,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T00:00:00Z","timestamp":1649548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100011340","name":"warner college of natural resources, colorado state university","doi-asserted-by":"publisher","award":["SB 17-074"],"award-info":[{"award-number":["SB 17-074"]}],"id":[{"id":"10.13039\/100011340","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"national center for research resources","doi-asserted-by":"publisher","award":["UL1 RR025780"],"award-info":[{"award-number":["UL1 RR025780"]}],"id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/xxx","name":"Colorado State Legislature","doi-asserted-by":"publisher","id":[{"id":"10.13039\/xxx","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Opioid use disorder (OUD) is a public health crisis and is challenging to treat. Previous research has shown correlations between OUD, abuse\/trauma, and chronic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIMS:<\/jats:title>\n                    <jats:p>The purpose of this study was to investigate history of lifetime sexual, physical, and\/or emotional abuse among participants in a medication-assisted treatment (MAT) program for OUD, and to investigate associations between abuse history and chronic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This is a secondary analysis of intake data from a 2-year, nonexperimental cohort treatment program of patients with OUD in rural Colorado. De-identified data were provided by 476 adult MAT patients using the Adult Addiction Severity Index (ASI-6). The ASI-6 includes three yes\/no questions about history of abuse (emotional, physical, and sexual), with separate scoring for \u201cpast 30 days\u201d and \u201clifetime\u201d abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Lifetime history among MAT program for OUD patients was 23% for sexual abuse, 43% for physical abuse, and 58% for emotional abuse. History of physical abuse was significantly associated with having a chronic pain diagnosis, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 4.49, p = .03, and also with higher reported pain levels, t(460) = 2.71, p = .007.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Lifetime history of physical abuse was associated with OUD and chronic pain, yet standard pain assessments do not assess these factors. In health care settings, the implementation of standardized trauma-informed screening tools, prompt recognition of abuse\/trauma history, and adjunct psychological interventions may reduce stigma, reduce opioid use escalation, and help patients overcome OUD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903221083260","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T01:48:57Z","timestamp":1649641737000},"page":"149-159","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Comorbidity of Lifetime History of Abuse and Trauma With Opioid Use Disorder: Implications for Nursing Assessment and Care"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7138-7682","authenticated-orcid":false,"given":"Linda","family":"Driscoll Powers","sequence":"first","affiliation":[{"name":"Linda Driscoll Powers, BSN-RN, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul F.","family":"Cook","sequence":"additional","affiliation":[{"name":"Paul F. Cook, PhD, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Weber","sequence":"additional","affiliation":[{"name":"Mary Weber, PhD, PMHNP-BC, FAANP, FAAN, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Techau","sequence":"additional","affiliation":[{"name":"Aimee Techau, MSN, PMHNP-BC, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Sorrell","sequence":"additional","affiliation":[{"name":"Tanya Sorrell, PhD, PMHNP-BC, Rush University, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,10]]},"reference":[{"key":"bibr1-10783903221083260","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.61.3.218"},{"key":"bibr2-10783903221083260","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr3-10783903221083260","doi-asserted-by":"publisher","DOI":"10.1038\/npp.2015.252"},{"key":"bibr4-10783903221083260","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2018.03.015"},{"key":"bibr5-10783903221083260","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2011.03482.x"},{"key":"bibr6-10783903221083260","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr7-10783903221083260","unstructured":"Centers for Disease Control and Prevention. 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