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The effect of chemical dependency on pain perception in persons with AIDS.
Hoyt M; Nokes K; Newshan G; Staats J; Thorn M; St. Vincent's Hospital,
December 30, 1995
Natl Conf Hum Retroviruses Relat Infect (1st). 1993 Dec 12-16;:141.

Objective: To explore differences in pain perception between those PWA who were or had been chemically dependent and those PWA with no history of chemical dependency. Methods: A convenience sample (N=71) was drawn from 2 large urban hospitals. Chemical dependence was measured using the Brief Michigan Alcoholism Screening Test (MAST) and the Drug and Alcohol Screening Test (DAST). Persons with scores of six or above on MAST or DAST were determined to be in the chemically dependent category and their perception of pain was compared to PWA who were not chemically dependent. The perception of pain was measured with the Wisconsin Brief Pain Inventory (BPI), which measures intensity of pain, pain relief, and the amount that pain interferes with activities of daily living. Results: The hypothesis that the two groups would demonstrate a significantly different perception of pain was not supported in the study. Overall, PWA stated that pain interfered with activities at an average score of six on a scale range of zero to ten. PWA with a history of chemical dependency and others without this history had an average pain relief of 62 and 52 percent, respectively. Mean pain intensity scores averaged at nearly six (6), on a zero to ten scale. Self-report of substance use did not correlate well with scores on MAST and DAST, indicating a need for more precise measurements of dependence.

Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Cartilage Diseases/*COMPLICATIONS/DRUG THERAPY/MICROBIOLOGY Case Report Ciprofloxacin/THERAPEUTIC USE Human Male Salmonella/*ISOLATION & PURIF/PATHOGENICITY ABSTRACT

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