{"id":"https://openalex.org/W1996834041","doi":"https://doi.org/10.1016/0304-3959(89)90097-3","title":"Opioid pseudoaddiction \u2014 an iatrogenic syndrome","display_name":"Opioid pseudoaddiction \u2014 an iatrogenic syndrome","publication_year":1989,"publication_date":"1989-03-01","ids":{"openalex":"https://openalex.org/W1996834041","doi":"https://doi.org/10.1016/0304-3959(89)90097-3","mag":"1996834041","pmid":"https://pubmed.ncbi.nlm.nih.gov/2710565"},"language":"en","primary_location":{"id":"doi:10.1016/0304-3959(89)90097-3","doi":"https://doi.org/10.1016/0304-3959(89)90097-3","is_oa":false,"landing_page_url":"https://doi.org/10.1016/0304-3959(89)90097-3","pdf_url":null,"source":{"id":"https://openalex.org/S140848990","display_name":"Pain","issn_l":"0304-3959","issn":["0304-3959","1872-6623"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W1996834041"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007115845","display_name":"David E. Weissman","orcid":"https://orcid.org/0000-0002-0864-2599","observed_orcids":["https://orcid.org/0000-0002-0864-2599"]},"institutions":[{"id":"https://openalex.org/I204308271","display_name":"Medical College of Wisconsin","ror":"https://ror.org/00qqv6244","country_code":"US","type":"education","lineage":["https://openalex.org/I204308271"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David E. Weissman","raw_affiliation_strings":["Division of Hematology / Oncology, Medical College of Wisconsin, Milwaukee, WIU.S.A. Departments of Anesthesiology and Psychiatry, Medical College of Wisconsin, Milwaukee, WIU.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Hematology / Oncology, Medical College of Wisconsin, Milwaukee, WIU.S.A. Departments of Anesthesiology and Psychiatry, Medical College of Wisconsin, Milwaukee, WIU.S.A","institution_ids":["https://openalex.org/I204308271"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073928570","display_name":"J. David Haddox","orcid":"https://orcid.org/0000-0001-5922-2108","observed_orcids":["https://orcid.org/0000-0001-5922-2108"]},"institutions":[{"id":"https://openalex.org/I204308271","display_name":"Medical College of Wisconsin","ror":"https://ror.org/00qqv6244","country_code":"US","type":"education","lineage":["https://openalex.org/I204308271"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David J. Haddox","raw_affiliation_strings":["Departments of Anesthesiology and Psychiatry, Medical College of Wisconsin, Milwaukee, WIU.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Anesthesiology and Psychiatry, Medical College of Wisconsin, Milwaukee, WIU.S.A","institution_ids":["https://openalex.org/I204308271"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007115845","https://openalex.org/A5073928570"],"corresponding_institution_ids":["https://openalex.org/I204308271"],"apc_list":null,"apc_paid":null,"fwci":6.5898,"has_fulltext":false,"cited_by_count":644,"citation_normalized_percentile":{"value":0.96939867,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":100},"biblio":{"volume":"36","issue":"3","first_page":"363","last_page":"366"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.8862000107765198,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.11020000278949738,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/behavior-change","display_name":"behavior change","score":0.5550000071525574},{"id":"https://openalex.org/keywords/leukemia","display_name":"leukemia","score":0.47600001096725464},{"id":"https://openalex.org/keywords/chest-wall-pain","display_name":"chest wall pain","score":0.722000002861023},{"id":"https://openalex.org/keywords/adolescent-patient","display_name":"adolescent patient","score":0.4580000042915344}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7627174258232117},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5867668390274048},{"id":"https://openalex.org/C48856860","wikidata":"https://www.wikidata.org/wiki/Q12029","display_name":"Addiction","level":2,"score":0.5611159205436707},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.5560222268104553},{"id":"https://openalex.org/C2780820201","wikidata":"https://www.wikidata.org/wiki/Q173235","display_name":"Analgesic","level":2,"score":0.542384684085846},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5104938745498657},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4700407385826111},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.45810627937316895},{"id":"https://openalex.org/C2776045914","wikidata":"https://www.wikidata.org/wiki/Q1382057","display_name":"Patient-controlled analgesia","level":3,"score":0.45367974042892456},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.37126508355140686},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1759277582168579},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10148501396179199},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D007938","descriptor_name":"Leukemia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D007938","descriptor_name":"Leukemia","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009021","descriptor_name":"Morphine Dependence","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/0304-3959(89)90097-3","doi":"https://doi.org/10.1016/0304-3959(89)90097-3","is_oa":false,"landing_page_url":"https://doi.org/10.1016/0304-3959(89)90097-3","pdf_url":null,"source":{"id":"https://openalex.org/S140848990","display_name":"Pain","issn_l":"0304-3959","issn":["0304-3959","1872-6623"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"journal-article"},{"id":"pmid:2710565","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2710565","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pain","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W1541229271","https://openalex.org/W2016798844","https://openalex.org/W2039382400","https://openalex.org/W2093512375","https://openalex.org/W2094640147","https://openalex.org/W2152591206","https://openalex.org/W4241723324"],"related_works":["https://openalex.org/W3136966767","https://openalex.org/W2939642840","https://openalex.org/W2026338502","https://openalex.org/W2133472874","https://openalex.org/W2035736996","https://openalex.org/W1997193320","https://openalex.org/W1991207541","https://openalex.org/W3103707231","https://openalex.org/W1856287391"],"abstract_inverted_index":{"A":[0],"case":[1],"is":[2,36],"presented":[3],"of":[4,15,43,51,58,70,80,93,101,135],"a":[5,48,99],"17-year-old":[6],"with":[7,27,87],"leukemia,":[8],"pneumonia":[9],"and":[10,97,106,119,124,127],"chest-wall":[11],"pain.":[12,136],"Inadequate":[13],"treatment":[14],"the":[16,40,74,84,94,104,107,117,120,132],"patient's":[17,133],"pain":[18,53,76],"led":[19],"to":[20,24,38,72,90,130],"behavioral":[21,88],"changes":[22,89],"similar":[23],"those":[25],"seen":[26],"idiopathic":[28],"opioid":[29],"psychologic":[30],"dependence":[31],"(addiction).":[32],"The":[33,55],"term":[34],"pseudoaddiction":[35,59],"introduced":[37],"describe":[39],"iatrogenic":[41],"syndrome":[42],"abnormal":[44],"behavior":[45],"developing":[46],"as":[47],"direct":[49],"consequence":[50],"inadequate":[52,68],"management.":[54],"natural":[56],"history":[57],"includes":[60],"progression":[61],"through":[62],"3":[63],"characteristic":[64],"phases":[65],"including:":[66],"(1)":[67],"prescription":[69],"analgesics":[71,129],"meet":[73],"primary":[75],"stimulus,":[77],"(2)":[78],"escalation":[79],"analgesic":[81],"demands":[82],"by":[83],"patient":[85,105,118],"associated":[86],"convince":[91],"others":[92],"pain's":[95],"severity,":[96],"(3)":[98],"crisis":[100],"mistrust":[102],"between":[103,116],"health":[108,121],"care":[109,122],"team.":[110],"Treatment":[111],"strategies":[112],"include":[113],"establishing":[114],"trust":[115],"team":[123],"providing":[125],"appropriate":[126],"timely":[128],"control":[131],"level":[134]},"counts_by_year":[{"year":2026,"cited_by_count":15},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":11},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":20},{"year":2017,"cited_by_count":12},{"year":2016,"cited_by_count":19},{"year":2015,"cited_by_count":21},{"year":2014,"cited_by_count":20},{"year":2013,"cited_by_count":23},{"year":2012,"cited_by_count":26}],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2016-06-24T00:00:00"}