Ilgen MA, Coughlin LN, Bohnert ASB, et al. - In this randomized clinical trial involving 510 candidates, mean (SD) age 34.8 (10.3) years, researchers sought to examine the effectiveness of an integrated behavioral pain management intervention, called Improving Pain During Addiction Treatment (ImPAT), to treat pain, functioning, and substance use in men and women with substance use disorders (SUDs). Greater pain tolerance was seen in men randomized to the ImPAT condition vs men randomized to the control condition, and women randomized to the ImPAT condition experienced significant improvements in pain intensity vs women randomized to the control group over 12 months of follow-up. Regarding substance use–related outcomes, there were no differences detected between the ImPAT and control conditions. While typically behavioral pain management is not part of treatment for addiction, these results suggest that this type of intervention offers better pain-related outcomes, including male pain tolerance and female pain intensity. In order to augment standard addiction treatment, treatment programs should consider offering psychosocial pain management services.