Lynn Webster...

[101N]

Has no shame...

OPIOIDS, SUBSTANCE ABUSE & ADDICTIONS SECTION

Comparative Effects of Morning vs Evening Dosing of Extended-Release Hydromorphone on Sleep Physiology in Patients with Low Back Pain: A Pilot Study

1. Lynn R. Webster MD*,
2. Michael D. Smith PharmD,
3. Sam Mackin BA and
4. Matthew Iverson MPH

Article first published online: 3 OCT 2014

DOI: 10.1111/pme.12577

Wiley Periodicals, Inc

Issue

Pain Medicine
Volume 16, Issue 3, pages 460–471, March 2015

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[Ducttape]

what i think is more apropos to current practice is the other article in that issue:

Can a Psychologically Based Treatment Help People to Live with Chronic Pain When They Are Seeking a Procedure to Reduce It?

Results

After the 2-week ACT-based interdisciplinary treatment, the majority of patients showed a clinically significant improvement on pain, depression, physical functioning, social functioning, and pain acceptance. Regression analyses indicated that change in pain acceptance related to improvements in depression, mental health, physical function, and social function. Results with regard to the trial of neuromodulation revealed that patients who did not proceed to the trial at their physician's request (n = 13) reported significantly worse depression and mental health, and lower levels of pain acceptance and committed action following the 2-week program compared with those who went for the trial.

Conclusion
People seeking medical interventions to reduce pain appear able to benefit from an interdisciplinary treatment aimed to improve daily functioning and mental health through increased psychological flexibility.