Introduction:
Addiction is a psycho-behavioral, neurobiological disorder that compels the addicted person to seek illicit drugs, to satisfy his/her cravings, despite knowing there is harm, dysfunction, and despite adequate pain control.
Study Methods:
We reviewed several review articles using Medline, English only, key words of âchronic painâ and âaddictionâ, between 2000 and 2007. A few articles were picked.
Findings:
Several pain management authorities attempted to agree on a conventional definition of addiction. This has been quite difficult because of the stigma and myths about the âdifficult pain patientsâ, and because of behavioral, spiritual, and societal factors. In addition, there is controversy on the role of narcotics in the treatment of non-malignant pain and the very subjective nature of pain. To complicate the issue further, providers confuse pseudo-addiction, tolerance, physical dependence, withdrawals syndromes, and other substance abuse with addiction. This creates chaotic treatment plans. Providers are nor well-versed nor well-trained to dealing with this. Many pain patients suffer in the meanwhile.
Conclusion:
More addiction research and health care provider education has to occur to clarify the saga on addiction to narcotics.