Title: Recommendations

Context:
Those patients receiving opioid analgesics who do not meet DSM-5 criteria for OUD may benefit from an  alternative management strategy: close follow-up and CBT. Jamison et al. (2010) randomized patients at  high-risk for OUD (as measured by standard rating scales) to receive either standard pain management or  close follow-up with CBT for pain.[114] Both of these groups were compared to a low-risk, chronic pain  control group receiving standard management. The authors report that, compared to a matched high-risk  group receiving standard care, patients receiving additional monitoring and CBT exhibited significantly  reduced illicit substance use over six months (percentage of patients with positive drug misuse index  scores: 73.7% versus 26.3% versus 25.0%; p<0.01). At six months, there was no difference between the  high-risk group receiving close follow-up and the low-risk group receiving standard therapy. Authors also  reported that pain perception was less in the high-risk group receiving additional monitoring and behavior  therapy; however, analysis of activity interference reporting reflected no significant difference between  study groups.

Question: Who may benefit from an alternative management strategy?

Answer: Those patients receiving opioid analgesics who do not meet DSM-5 criteria for OUD