Cited by 221Opioid Use Disorder TreatmentPain Management and Opioid UseSubstance Abuse Treatment and Outcomes

Definitions related to the medical use of opioids: Evolution towards universal agreement

Open access
Savage, Seddon R., Joranson, David E., Covington, Edward C., Schnoll, Sidney H., Heit, Howard A., Gilson, Aaron M.·2003·Journal of Pain and Symptom Management

Abstract

Misunderstandings regarding the nature and occurrence of addiction have historically been barriers to the appropriate treatment of pain and have stigmatized the medical use of opioids. This article reviews the evolution of nomenclature related to addiction, presents current scientific understanding of addiction that may help shape universally acceptable terminology, and discusses an integrated effort of pain and addiction professionals to reach consensus on addiction-related terms. The article suggests key principles that may clarify terminology including: clear differentiation of the concepts of addiction and physical dependence, conceptualization of addiction as a multidimensional disease, and use of a label for the phenomenon of addiction that does not include the ambiguous term "dependence." More universal agreement on terminology related to addiction is expected to improve the treatment of both pain and addictive disorders; improve communication between health care providers, regulators, and enforcement agencies; and reduce health care and other societal costs.

Integrity signals

Registry

Crossref · 10.1016/s0885-3924(03)00219-7

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58 of 58 references verified0 citation errors · 0 not checkable

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Authors
Savage, S. R., Joranson, D. E., Covington, E. C., Schnoll, S. H., Heit, H. A., & Gilson, A. M.
Affiliations
Dartmouth College (US)
Corresponding author
Savage, Seddon R.
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2003-07
Volume
26
Issue
1
Pages
655-667
ISSN
0885-3924 (ISSN-L)
OpenAlex
W2041342242
Cited by
221
References
58
Citations by year
2025: 4 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 6 · 2018: 12 · 2017: 8 · 2016: 11 · 2015: 9 · 2014: 13 · 2013: 16 · 2012: 10
FWCI
1.83
Type
journal article
Language
en
Open access
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Pfizer Pharmaceuticals
  • United States Drug Enforcement Administration
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
addiction, physical dependence, pain management, opioid use disorder, stigma
MeSH terms
Analgesics, Opioid, Humans, Opioid-Related Disorders, Terminology as Topic, Pain, Consensus

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