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. Author manuscript; available in PMC: 2007 Dec 10.
Published in final edited form as: J Subst Abuse Treat. 2007 Jan 9;32(4):399–409. doi: 10.1016/j.jsat.2006.10.005

Table 1.

Common reasons cited for inadequate treatment of pain among patients with recognized drug dependence

Physician concerns
 Drug seeking by patients
 Diversion
 Relapse to substance abuse
 Legal repercussions
 Inadequate skills
 Unavailability of specialists
Patient concerns
 Relapse to substance abuse
 Anticipated physical discomforts (thinking that medicines will be injected; fearing side effects)
 Concerns about insurance coverage/cost
 Fearing accusations of malingering
 Perceived “weakness” in taking medications for pain

Note. Based on information from Walker et al. (1992) and Wood et al. (1990).