A supportive school environment may reduce the risk of non-medical prescription opioid use due to impaired mental health among students

Author(s):  
Charlotte Probst ◽  
Tara Elton-Marshall ◽  
Sameer Imtiaz ◽  
Karen A. Patte ◽  
Jürgen Rehm ◽  
...  
Addiction ◽  
2020 ◽  
Vol 115 (12) ◽  
pp. 2317-2326 ◽  
Author(s):  
Brea L. Perry ◽  
Bernice A. Pescosolido ◽  
Anne C. Krendl

2020 ◽  
Vol 46 (4) ◽  
pp. 498-505
Author(s):  
R. Andrew Yockey ◽  
Keith A. King ◽  
Rebecca A. Vidourek

2017 ◽  
Vol 67 (2) ◽  
pp. 241-251 ◽  
Author(s):  
Lidia Z. Meshesha ◽  
Alison M. Pickover ◽  
Jenni B. Teeters ◽  
James G. Murphy

2020 ◽  
Vol 3 ◽  
Author(s):  
Alexandra Hochstetler ◽  
Ashley Vetor ◽  
Jodi Raymond ◽  
Hannah Bozell ◽  
Teresa Bell

Background: Nearly 150,000 children were hospitalized due to an injury in 2018. Hospitalized patients are often prescribed opioids and as a result, one in eight adolescents will continue using opioids twelve months after hospitalization. Predictors of sustained opioid use and future misuse posthospitalization have yet to be studied in adolescents. One of these predictors may be mental health disorders following hospitalization. It is known mental health disorders can lead to substance use disorders if not addressed properly. In this study we examined the associations between injury severity, mental health, and substance use among adolescents.     Methods: Patients between 12 to 18 years old admitted for trauma were surveyed upon enrollment, and subsequently at 1, 3, 6, and 12 months posthospitalization. These surveys measured anxiety, depression, posttraumatic stress, prescription and non-prescription drug use, pain severity and pain interference.   Results: At enrollment and one-month posthospitalization, higher pain interference was associated with anxiety (p=.003), depression (p<.001), and PTSD (p=.004). Increased pain severity was also associated with higher PTSD (p=.003) However, at three months, pain severity and interference were only associated with PTSD (p=.005, p=.009). Frequent alcohol use and higher PTSD were found to be statistically significant at six and twelve months (p=.02). Regular prescription opioid use was related to higher anxiety (p=.048) and depression (p=.048) only at enrollment and higher PTSD only at one month (p=.034). Prescription opioid use was not associated with pain severity and interference at enrollment but was found significant at one month (p=.016, p=.36).    Conclusion: Adolescents who reported higher pain severity and interference also more commonly had mental health disorders such as PTSD, anxiety, and depression. Higher PTSD scores and frequent alcohol use were also related post-injury. Screening for mental health after hospitalization should be further investigated in identifying adolescents who may be at risk for future opioid use disorders. 


2011 ◽  
Vol 56 (8) ◽  
pp. 495-502 ◽  
Author(s):  
Erica Amari ◽  
Jürgen Rehm ◽  
Elliot Goldner ◽  
Benedikt Fischer

2011 ◽  
Vol 42 (6) ◽  
pp. 1261-1272 ◽  
Author(s):  
S. S. Martins ◽  
M. C. Fenton ◽  
K. M. Keyes ◽  
C. Blanco ◽  
H. Zhu ◽  
...  

BackgroundNon-medical use of prescription opioids represents a national public health concern of growing importance. Mood and anxiety disorders are highly associated with non-medical prescription opioid use. The authors examined longitudinal associations between non-medical prescription opioid use and opioid disorder due to non-medical opioid use and mood/anxiety disorders in a national sample, examining evidence for precipitation, self-medication and general shared vulnerability as pathways between disorders.MethodData were drawn from face-to-face surveys of 34 653 adult participants in waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic regression models explored the temporal sequence and evidence for the hypothesized pathways.ResultsBaseline lifetime non-medical prescription opioid use was associated with incidence of any mood disorder, major depressive disorder (MDD), bipolar disorder, any anxiety disorder and generalized anxiety disorder (GAD in wave 2, adjusted for baseline demographics, other substance use, and co-morbid mood/anxiety disorders). Lifetime opioid disorder was not associated with any incident mood/anxiety disorders. All baseline lifetime mood disorders and GAD were associated with incident non-medical prescription opioid use at follow-up, adjusted for demographics, co-morbid mood/anxiety disorders, and other substance use. Baseline lifetime mood disorders, MDD, dysthymia and panic disorder were associated with incident opioid disorder due to non-medical prescription opioid use at follow-up, adjusted for the same covariates.ConclusionsThese results suggest that precipitation, self-medication as well as shared vulnerability are all viable pathways between non-medical prescription opioid use and opioid disorder due to non-medical opioid use and mood/anxiety disorders.


2016 ◽  
Vol 34 ◽  
pp. 96-100 ◽  
Author(s):  
Kora DeBeck ◽  
Evan Wood ◽  
Huiru Dong ◽  
Sabina Dobrer ◽  
Kanna Hayashi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document