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The consultation-liaison (CL) psychiatrist is consulted fairly often for problems related to pain. This may vary substantially, however, depending on the presence of pain specialists from other disciplines, typically anesthesiology, and the CL psychiatrist’s interest in and comfort with pain problems. If the CL psychiatrist accepts these consults, however, and is considered knowledgeable, requests for help will be frequent.

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References

  • Anooshian J, Streltzer J, Goebert D. Effectiveness of a psychiatric pain clinic. Psychosomatics 1999;40:226–232.

    PubMed  CAS  Google Scholar 

  • Ballantyne J, Mao J. Opioid therapy for chronic pain. N Engl J Med 2003;349:1943–1953.

    Article  PubMed  CAS  Google Scholar 

  • Breivik H, Rennemo F. Clinical evaluation of combined treatment with methadone and psychotropic drugs in cancer patients. Acta Anaesth Scand Suppl 1982;74:135–140.

    Article  CAS  Google Scholar 

  • Compton P, Charuvastra VC, Kintaudi K, Ling W. Pain responses in methadone-maintained opioid abusers. J Pain Symptom Manage 2000;20:237–245.

    Article  PubMed  CAS  Google Scholar 

  • Doverty M, White JM, Somogyi AA, Bochner F, Ali R, Ling W. Hyperalgesic responses in methadone maintenance patients Pain 2001;90:91–96.

    CAS  Google Scholar 

  • Drug Abuse Warning Network. Narcotic analgesics, 2002 update. 2004. Available on the web at https://dawninfo.samhsa.gov/old_dawn/pubs_94_02/shortreports/files/DAWN_tdr_na2002.pdf.

  • Engel GL. Psychogenic pain and pain-prone patient. Am J Med 1959;26:899–918.

    Article  PubMed  CAS  Google Scholar 

  • Gorman AL, Elliott KJ, Inturrisi CE. The d- and l-isomers of methadone bind to the non-competitive site on the N-methyl-D-aspartate (NMDA) receptor in rat forebrain and spinal cord. Neurosci Lett 1997;223:5–8.

    Article  PubMed  CAS  Google Scholar 

  • Gourlay GK, Cherry DA, Cousins MJ. A comparative study of the efficacy and pharmacokinetics of oral methadone and morphine in the treatment of severe pain in patients with cancer. Pain 1986;25:297–312.

    Article  PubMed  CAS  Google Scholar 

  • Ibuki T, Dunbar SA, Yaksh TL. Effect of transient naloxone antagonism on tolerance development in rats receiving continuous spinal morphine infusion. Pain 1997;70:125–132.

    Article  PubMed  CAS  Google Scholar 

  • Jamison RN, Kauffman J, Katz NP. Characteristics of methadone maintenance patients with chronic pain. J Pain Symptom Manage 2000;19:53–62.

    Article  PubMed  CAS  Google Scholar 

  • King T, Gardell LR, Wang R, et al. Role of NK-1 neurotransmission in opioid-induced hyperalgesia. Pain 2005;116:276–288.

    Article  PubMed  CAS  Google Scholar 

  • Marks RM, Sachar EJ. Undertreatment of medical inpatients with narcotic analgesics. Ann Intern Med 1973;78:173–181.

    PubMed  CAS  Google Scholar 

  • Mercadante S, Sapio M, Serretta R, Caligara M. Patient-controlled analgesia with oral methadone in cancer pain: preliminary report. Ann Oncol 1996;7:613–617.

    PubMed  CAS  Google Scholar 

  • Morbidity and Mortality Weekly Report. Increase in poisoning deaths caused by non-illicit drugs-Utah. MMWR 2005;54(2):33–36.

    Google Scholar 

  • Nestler EJ. Molecular neurobiology of addiction. Am J Addict 2001;10:201–217.

    Article  PubMed  CAS  Google Scholar 

  • Newman RI, Seres JL, Yospe LP, Garlington B. Multidisciplinary treatment of chronic pain: long-term follow-up of low-back pain patients. Pain 1978;4:283–292.

    Article  PubMed  CAS  Google Scholar 

  • O’Neill WM, Hanks GW, Simpson P, Fallon MT, Jenkins E, Wesnes K. The cognitive and psychomotor effects of morphine in healthy subjects: a randomized controlled trial of repeated (four) oral doses of dextropropoxyphene, morphine, lorazepam and placebo. Pain 2000;85:209–215.

    Article  PubMed  Google Scholar 

  • Portenoy RK, Foley KM. Chronic use of opioid analgesics in non-malignant pain: report of 38 cases. Pain 1986;25:171–186.

    Article  PubMed  CAS  Google Scholar 

  • Rosenblum A, Joseph H, Fong C, Kipnis S, Cleland C, Portenoy RK. Prevalence and characteristics of chronic pain among chemically dependent patients in methadone maintenance and residential treatment facilities. JAMA 2003;14;289:2370–2378.

    Article  Google Scholar 

  • Schreiber S, Backer MM, Weizman R, Pick CG. Augmentation of opioid induced antinociception by the atypical antipsychotic drug risperidone in mice. Neurosci Lett 1997;228:25–28.

    Article  PubMed  CAS  Google Scholar 

  • Stinus L, Allard M, Gold L, Simmonet G. Changes in CNS neuropeptide FF-like material, pain sensitivity, and opiate dependence following chronic morphine treatment. Peptides 1995;16:1235–1241.

    Article  PubMed  CAS  Google Scholar 

  • Streltzer J. Chronic pain and addiction. In: Leigh H, ed. Consultation-Liaison Psychiatry: 1990 and Beyond. New York: Plenum Press, 1994:43–51.

    Google Scholar 

  • Streltzer J, Eliashof BA, Kline AE, Goebert D. Chronic pain disorder following physical injury. Psychosomatics 2000;41:227–234.

    Article  PubMed  CAS  Google Scholar 

  • Streltzer J, Johansen L: Prescription drug dependence and evolving beliefs about pain management. Am J Psychiatry 2006;163:594–598.

    Article  PubMed  Google Scholar 

  • Streltzer J. Pain Management in the Opioid-dependent Patient. Current Psychiatry Reports 2001;3:489–496.

    Article  PubMed  CAS  Google Scholar 

  • Streltzer J. Treatment of iatrogenic drug dependence in the general hospital. Gen Hosp Psychiatry 1980;2:262–266.

    Article  PubMed  CAS  Google Scholar 

  • Streltzer J, Wade TC. Cultural factors in the undertreatment of postoperative pain. Psychosom Med 1981;43:397–403.

    PubMed  CAS  Google Scholar 

  • Vanderah TW, Gardell LR, Burgess SE, et al. Dynorphin promotes abnormal pain and spinal opioid antinociceptive tolerance. J Neurosci 2000;20:7074–7079.

    PubMed  CAS  Google Scholar 

  • Verebely K, Volavka J, Mule S, Resnick R. Methadone in man: pharmacokinetic and excretion studies in acute and chronic treatment. Clinical Pharmacology and Therapeutics 1975;18:180–190.

    PubMed  CAS  Google Scholar 

  • Von Korff M, Deyo RA. Potent opioids for chronic musculoskeletal pain: flying blind? Pain 2004;109:207–209.

    Article  Google Scholar 

  • Xie J, Herman D, Stiller C, et al. Cholecystokinin in the rostral ventromedial medulla mediates opioid-induced hyperalgesia and antinociceptive tolerance. J Neurosci 2005;25:409–416.

    Article  PubMed  Google Scholar 

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Streltzer, J. (2007). Chronic Pain. In: Handbook of Consultation-Liaison Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-69255-5_11

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