Evidence map›Paper›PMID 40285440›Full record

ArticleSubstance use & misuse2025

A Mixed-Methods Study of Motives for Benzodiazepine Misuse Among Adults Receiving Substance Use Disorder Treatment.

Victoria R Votaw, Emma W Trapani, Rachel B Geyer, Dawn E Sugarman, R Kathryn McHugh

Abstract read
In one paragraph

Article in Substance use & misuse, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Victoria R VotawDivision of Alcohol, Drugs and Addiction, McLean Hospital, Belmont, Massachusetts, USA.ORCID 0000-0002-4238-3383
Emma W TrapaniDivision of Alcohol, Drugs and Addiction, McLean Hospital, Belmont, Massachusetts, USA.
Rachel B GeyerDepartment of Psychology, Miami University, Oxford, Ohio, USA.
Dawn E SugarmanDivision of Alcohol, Drugs and Addiction, McLean Hospital, Belmont, Massachusetts, USA.ORCID 0000-0002-8390-4755
R Kathryn McHughDivision of Alcohol, Drugs and Addiction, McLean Hospital, Belmont, Massachusetts, USA.

Funding

GENDER DIFFERENCES IN MECHANISMS OF RECOVERY FROM OPIOID USE DISORDER AND ANXIETYK23DA035297 · NIDA · MCLEAN HOSPITAL · PI MCHUGH, REBECCA KATHRYN · 2014 to 2018
$959k
Increasing Women's Engagement in Medication Treatment for Opioid Use Disorder through Digital InterventionK23DA050780 · NIDA · MCLEAN HOSPITAL · PI SUGARMAN, DAWN E · 2020 to 2024
$938k
Mentoring in Patient-Oriented Research on Substance Use DisordersK24DA061976 · NIDA · MCLEAN HOSPITAL · PI Rebecca Kathryn McHugh · 2025 to 2026
$417k
NIDA NIH HHS K23 DA035297NIDA NIH HHS K23 DA050780NIDA NIH HHS K24 DA061976
6 · The paper itself

Abstract

backgroundBenzodiazepine misuse is common among individuals with substance use disorders (SUDs) and is associated with poorer clinical outcomes. As benzodiazepines have heterogeneous effects, standard measures of substance use motives may overlook key reasons for misuse. Understanding motives better can inform intervention development.

objectivesOur overarching objective was to characterize motives for benzodiazepine misuse among individuals with SUDs and develop a preliminary measure of these motives.

methodsWe used a two-study, mixed methods design. Participants were recruited from a continuum of SUD treatment programs at a private psychiatric hospital. Study 1 participants (

resultsQualitative analysis from Study 1 revealed six themes reflecting motives subtypes for benzodiazepine misuse, including (1) coping, (2) other substance (i.e., non-benzodiazepine) related, (3) sleep, (4) recreational, (5) benzodiazepine withdrawal and habit, and (6) social contextual. Results from Study 2 further supported the misuse of benzodiazepines to cope with negative affect, modulate the effects of non-benzodiazepine drugs, and improve sleep.

conclusionThis study revealed a broad range of benzodiazepine misuse motives in adults with SUDs, spanning misuse for drug-indicated reasons (e.g., anxiety, sleep), compensatory or synergistic effects with other drugs, physiological dependence, and recreational and social reasons. Treatments for benzodiazepine misuse may need to target multiple, varied motivators for misuse.

Indexed as

BenzodiazepinesDrug MisuseMotivationSubstance-Related DisordersAdaptation, PsychologicalAdultFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesBenzodiazepinesBenzodiazepine misusemixed methodsmotivesprescription drug misusequalitative

Identifiers

PMID40285440
PMCPMC12187532

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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.