Cognitive-Behavioral Therapy for Pain and Opioid Dependence in Methadone Maintenance Treatment

Yale University

Status and phase: Completed; Phase 1

Conditions: Opiate Dependence; Chronic Pain

Treatments: Behavioral: Cognitive-Behavioral Therapy for Pain and Opioid Dependence; Behavioral: Methadone Drug Counseling

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01334580

K23DA024050-03 (U.S. NIH Grant/Contract)

0703002496_B

Details and patient eligibility

About

This study involves the comparison of two treatment approaches for patients with chronic pain who are entering methadone maintenance treatment (MMT) for opioid addiction: (a) an integrated counseling that addresses both chronic pain and opioid dependence(POD)and (b) a counseling intervention that addresses opioid dependence only.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years of age or older
• prescription opioid or heroin addiction
• moderate to severe chronic pain
• enrolled in methadone maintenance at the APT Foundation for opioid addiction
• understand English

Exclusion criteria

• current suicide or homicide risk
• life-threatening or unstable medical problem

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

---

40 participants in 2 patient groups

Methadone Drug Counseling

Active Comparator group

Description:

Methadone Drug Counseling is provided by skilled drug counselors over a 12 week period and focuses on cessation of illicit drugs

Treatment:

Behavioral: Methadone Drug Counseling

Cognitive-Behavioral Therapy for Pain and Opioid Dependence

Experimental group

Description:

CBT is provided by skilled psychologists in weekly sessions for 12 weeks and focuses on reducing illicit drug use and increasing pain management.

Treatment:

Behavioral: Cognitive-Behavioral Therapy for Pain and Opioid Dependence