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At least 25% of patients with substance use disorders (SUDs) have chronic pain, which complicates treatment of both disorders. These researchers recruited 510 patients with comorbid chronic pain (mean age, 35; 52% men) from a residential SUD treatment program and randomized them to eight group sessions of either Improving Pain During Addiction Treatment (ImPAT), a combined cognitive-behavioral therapy and acceptance-based therapy, or supportive psychoeducation.
The therapies were matched for time and degree of engagement and contact with the therapist. Of the group, 86% had more than one SUD, and 47% were incarcerated at least once during follow-up. Significant treatment-group differences in changes through the 12-month follow-up were greate…