The Connection Between Pain and Substance Use in Cancer Survivors
Living with cancer often brings an array of challenges, including persistent pain that can significantly impact daily life. Alongside this, many cancer survivors turn to substances like cigarettes, e-cigarettes, alcohol, and cannabis to manage their symptoms. However, a recent study has shed light on the complex relationship between pain and substance use in this population, highlighting the importance of integrated treatment approaches.
Study Details
To better understand the relationship between pain and the use of non-opioid substances in cancer survivors, researchers analyzed data from two major national health surveys in the United States. The first dataset came from Wave 6 (2021) of the Population Assessment of Tobacco and Health (PATH) Study, comprising 1,252 adults who had a history of cancer. The second dataset was from the 2020 National Health Interview Survey, which included 4,130 cancer survivors.
Key Findings
The PATH Study revealed a strong correlation between higher levels of pain and increased likelihood of using cigarettes, e-cigarettes, and cannabis. Conversely, those experiencing more pain were less likely to consume alcohol. Similarly, the National Health Interview Survey found that chronic pain was associated with a higher probability of smoking cigarettes and a decreased likelihood of drinking alcohol.
Health Implications
Both studies uncovered a significant link between substance use and pain among cancer survivors, emphasizing the dual burden these individuals face. Cigarette smoking and significant pain were consistently linked to fatigue, sleep disturbances, and diminished mental and physical health. These factors collectively contribute to a poorer quality of life.
these findings show that because pain and substance use are interconnected among cancer survivors, it’s important to focus on treating both together in cancer care. pain can drive substance use, and substance use can worsen pain, creating a cycle that’s hard to break. while cancer survivors might smoke cigarettes or use substances to get immediate relief from their pain and cope with other symptoms, this can be incredibly harmful for their health by reducing the effectiveness of cancer treatments and increasing risk for cancer recurrence.
Jessica M. Powers, PhD, lead author of Northwestern University’s Feinberg School of Medicine
The Interconnected Cycle
The interplay between pain and substance use creates a vicious cycle that can be difficult to break. Cancer survivors often turn to cigarettes, e-cigarettes, alcohol, and cannabis for temporary relief. However, these substances do more harm than good. Smoking, in particular, can compromise the effectiveness of cancer treatments, leading to a higher risk of cancer recurrence. Meanwhile, excessive alcohol and cannabis use can exacerbate health problems and impede recovery.
Integrated Treatment Approach
Given the complex relationship between pain and substance use, it is crucial to adopt an integrated treatment strategy. Healthcare providers must address pain management alongside substance use disorders to help cancer survivors lead healthier lives. By breaking this cycle, patients can improve their quality of life, enhance their physical and mental health, and increase the chances of a successful recovery.
Conclusion
The relationship between pain and substance use in cancer survivors is a critical issue that deserves attention. The study underscores the need for comprehensive treatment plans that tackle both pain and substance use simultaneously. By addressing these interconnected challenges, healthcare providers can make a significant difference in the lives of cancer survivors, helping them navigate their journey with more resilience and quality of life.
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