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Longitudinal Association Between Pain Severity and Subsequent Opioid Use in Prescription Opioid Dependent Patients With Chronic Pain

About the Course:

This course examines the link between the existence of chronic pain and pain severity on subsequent opioid is in dependent patients with chronic pain. This study is a secondary analysis of a national, randomized, controlled trial of buprenorphine-naloxone plus counseling for prescription opioid dependent patients. The authors found links with depression, PTSD, anxiety, ADD and bipolar Disorder, and accounted for co-occurring psychiatric disorder variables using a multivariable logistic regression model. This is a moderately research intensive course.

This course is based on the article, Longitudinal association between pain severity and subsequent opioid use in prescription opioid dependent patients with chronic pain created by Margaret L. Griffin, PhD et al. in 2016.

Publication Date:


Course Material Authors

Margaret L. Griffin, PhD

As a medical sociologist at McLean Hospital since 1983, Dr. Griffin has focused primarily on clinical research in addiction, with the goal of disseminating findings to clinicians not involved in research. For example, her paper on gender differences in recovery from cocaine abuse has been widely cited. Other studies have focused on treating substance-dependent patients with a co-occurring psychiatric disorder and, most recently, long-term outcomes of prescription opioid-dependent patients. A theme of her investigations is addressing important methodological issues, such as assessing primary substance of abuse. Results of her investigations have resulted in numerous peer-reviewed publications and presentations to the scientific and clinical community

Katherine A. McDermott

Katherine graduated from Yale University with a B.A. in Psychology. At Yale, she worked as a research assistant for Susan Nolen-Hoeksema, assisting on studies of emotion regulation in depression and eating disorders. Before coming to Florida State, she worked with Dr. Roger Weiss in the Alcohol and Drug Abuse Treatment Program at McLean Hospital for three years. Her research interests include the maintenance factors in generalized anxiety disorder, primarily perseverative thinking and distress intolerance, as well as the development of computerized treatments for anxiety.

R. Kathryn McHugh, PhD

R. Kathryn McHugh, PhD, engages in clinical and translational research focusing on the nature and treatment of anxiety and addiction. She is particularly interested in the study of affective vulnerability factors, such as distress intolerance and stress reactivity, that are common across psychological disorders, with a focus on those that can be modified with treatment. Additionally, Dr. McHugh conducts research on the dissemination and implementation of evidence-based treatments, with a particular focus on behavioral therapies

Course Creator

L.A. Rankin

L.A. Rankin is a social worker with experience in many different settings with a variety of clients. She has worked with dementia and Alzheimers patients, dual diagnosis MH/MR, in a battered women’s shelter, and a rape crisis center. She also has 11 years of experience as a child protective social worker, where she earned certificates in domestic abuse/family violence and substance abuse.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge. The content is at an intermediate level.

Course Objectives:

  1. Acknowledge chronic pain is a risk factor in opioid use disorder.

  2. Identify explanations for the association between pain and opioid use.

  3. Recognize the factors for risk to relapse in this population.

Use our CE Approvals tool to look up your state requirements and how can help you meet them, or log in to your member account to show approvals relevant to your licensure.

American Academy of Health Care Providers in the Addictive Disorders (AAHCPAD)

1 CE Credit hour

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NAADAC, the Association for Addiction Professionals (NAADAC)

1 CE Credit hour

This course has been approved by CE Learning Systems, service provider of, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #107243, CE Learning Systems is responsible for all aspects of their programming.

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National Association of School Psychologists (NASP)

1 CPD hour

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National Board for Certified Counselors (NBCC)

1 CE Credit hour

CE Learning Systems, service provider of has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5951. Programs that do not qualify for NBCC credit are clearly identified. CE Learning Systems is solely responsible for all aspects of the programs.

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Course Material

References being on page 9.

Exam Questions

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Course Number 102724
1 credit hour
Log in for credit hours relevant to your licensure.

  • Reading-Based Online
Exam Fee: $5.97 No exam fee with a membership package!
4.5 out of 5
62 members have taken this course


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