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Aberrant Drug-taking Behaviors and Headache: Patient Versus Physician Report

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Abstract:

Objective: To explore prevalence of aberrant medication-taking behaviors (AMTB) among headache patients and treating physician's awareness of such behaviors. Methods: Fifty patientphysician dyads were surveyed on patients' AMTB. Results: The most frequently endorsed behaviors by patients and physicians, respectively, were going to the ER for pain medication (n = 19) and continuing to take pain medication despite minimal relief (n = 23). For the majority of AMTB, phi coefficients indicating level of patient-physician agreement were equal to chance. Conclusions: Headache patients perform a wide range of AMTB. Low rates of patient-physician agreement indicate that physicians possess limited knowledge of patients' AMTB.

Keywords: aberrant drug-taking behavior; headache; pain; prescription drug abuse

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.30.5.4

Affiliations: 1: Associate Professor, Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, VA. 2: Assistant Professor, Community Health Education, Department of Exercise Science, Virginia Commonwealth University School of Education, Richmond, VA. 3: Associate Professor, Athletic Training, Department of Exercise Science, Virginia Commonwealth University School of Education, Richmond, VA. 4: Associate Professor, Department of Neurology, Virginia Commonwealth University Medical Center, Richmond, VA. 5: Professor, Department of Neurology, Virginia Commonwealth University Medical Center, Richmond, VA.

Publication date: September 1, 2006

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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