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The timing of onset of pain and substance use disorders.
Ilgen MA, Perron B, Czyz EK, McCammon RJ, Trafton J. The timing of onset of pain and substance use disorders. The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions. 2010 Sep 1; 19(5):409-15.
Using data from the National Comorbidity Survey--Replication, this study examined the timing of onset of self-report comorbid chronic nonarthritis pain and substance use disorders (SUDs) and characteristics associated with different onset patterns. Most individuals (58.2%; N = 351/632) report that the SUD preceded the onset of pain. Relative to those with SUDs prior to the onset of chronic pain, those experiencing pain first were less likely to have a drug use disorder, more likely to have head pain, to be younger at the onset of the first condition, and to have a shorter duration between condition onsets.