ArticleSubstance abuse2014
Psychological and drug abuse symptoms associated with nonmedical use of opioid analgesics among adolescents.
Article in Substance abuse, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Health harms of non-medical prescription opioid use: A systematic review.Drug and alcohol review · 2022Pooled it
- Psychotherapies in opioid use disorder: toward a step-care model.Journal of neural transmission (Vienna, Austria : 1996) · 2024Review
- Multidisciplinary Strategies for Preventing Opioid Misuse and Escalation by Targeting Mental Health Symptoms and Conditions.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Economic Evaluation Design within the HEAL Prevention Cooperative.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Behavioral Health Risk Factors for Nonmedical Prescription Opioid Use in Adolescence.Pediatrics · 2021Article
- Trajectories of Opioid Use Following First Opioid Prescription in Opioid-Naive Youths and Young Adults.JAMA network open · 2021Article
- Assessment of Prescription Opioid Medical Use and Misuse Among Parents and Their Adolescent Offspring in the US.JAMA network open · 2021Article
- Guidelines for Opioid Prescribing in Children and Adolescents After Surgery: An Expert Panel Opinion.JAMA surgery · 2021Review
- Real-World Evidence in Prescription Medication Use Among U.S. Adults with Neck Pain.Pain and therapy · 2020Article
- Optimism and opioid misuse among justice-involved children.Addictive behaviors · 2020Article
- Prescription opioid misuse among adolescents and emerging adults in the United States: A scoping review.Preventive medicine · 2020Article
- Prescription Drug Misuse: Taking a Lifespan Perspective.Substance abuse : research and treatment · 2020Review
- Long-term prescription opioid utilization, substance use disorders, and opioid overdoses after adolescent trauma.The journal of trauma and acute care surgery · 2019Article
- Article
- Opioid Use Disorders in Adolescents-Updates in Assessment and Management.Current pediatrics reports · 2018Article
- Affective dysregulation predicts incident nonmedical prescription analgesic use among college students.Addictive behaviors · 2018Article
- Characterizing the Interrelationships of Prescription Opioid and Benzodiazepine Drugs With Worker Health and Workplace Hazards.Journal of occupational and environmental medicine · 2017Review
- Diversion of ADHD Stimulants and Victimization Among Adolescents.Journal of pediatric psychology · 2016Article
- Adult attention-deficit hyperactivity disorder, risky behaviors, and motorcycle injuries: a case-control study.Neuropsychiatric disease and treatment · 2015Article
- Longitudinal trajectories of non-medical use of prescription medication among middle and high school students.Journal of addictive diseasesArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundApproximately 18% of US adolescents engaged in prescription opioid abuse in 2013. However, this estimate may be misleading because it includes both medical misusers and nonmedical users, and there is evidence that these are 2 groups that differ relative to substance abuse and criminal risk. Thus, this study does not combine medical and nonmedical users; rather, it seeks to better understand the characteristics of nonmedical users.
methodsThis was a school-based, cross-sectional study that was conducted during 2009-2010 in southeastern Michigan with a sample of 2627 adolescents using a Web-based survey. Three mutually exclusive groups were created based on responses regarding medical and nonmedical use of opioid analgesics. Group 1 had never used an opioid analgesic, Group 2 used an opioid analgesic only as prescribed, and Group 3 nonmedically used an opioid analgesic. In addition, Group 3 was divided into 2 mutually exclusive subgroups (self-treaters and sensation-seekers) based on reasons for nonmedical use. A series of multinomial logistic regressions were conducted to determine if the groups differed on the presence of pain, psychological symptoms (e.g., affective disorder, conduct disorder, attention-deficit/hyperactivity disorder [ADHD]), and drug abuse.
resultsSixty-five percent (65.0%) of the sample was white/Caucasian and 29.5% was African American. The average age was 14.8 years (SD = 1.9). Seventy percent (70.4%; n = 1850) reported no lifetime opioid use, 24.5% (n = 644) were medical users, 3.5% (n = 92) were nonmedical users who used for pain relief only, and 1.6% (n = 41) were classified as nonmedical users for reasons other than for pain relief (e.g., to get high). Both medical users and nonmedical users reported more pain and substance abuse symptoms compared with never users. Those nonmedical users who used opioids for sensation-seeking motivations had greater odds of having psychological symptoms.
conclusionsThese data support the need to further consider subgroups of nonmedical users of opioid analgesics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.