Motivations for Prescription Drug Misuse Related to Mental Health Problems in Adults

2021 ◽  
pp. 1-12
Author(s):  
Tess K. Drazdowski ◽  
Marya Schulte ◽  
Kate B. Wolitzky-Taylor ◽  
Holle Schaper ◽  
Jason E. Chapman
Keyword(s):  
Mental Health ◽  
Prescription Drug ◽  
Mental Health Problems ◽  
Health Problems ◽  
Drug Misuse ◽  
Prescription Drug Misuse

Substance misuse, mental health problems and recurrent child maltreatment

2014 ◽  
Vol 7 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Anne-Marie Laslett ◽  
Robin Room ◽  
Paul Dietze
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
Child Maltreatment ◽  
Child Protection ◽  
Substance Misuse ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Drug Misuse ◽  
Content Type

Purpose – The purpose of this paper is to determine whether the diagnosis of both carers’ mental health problems and substance misuse increase the likelihood of recurrent child maltreatment over and above the individual effects of these factors. Design/methodology/approach – Retrospective secondary data analysis of 29,455 children where child maltreatment was confirmed in the Victorian child protection system between 2001 and 2005. Recorded mental health, alcohol misuse and other drug misuse variables were entered into multivariate logistic regression models predicting repeated child maltreatment. Interactions and a range of other child, carer and socio-economic factors were included in these models. Findings – Carer alcohol misuse, other drug misuse and mental ill health all independently predicted recurrent child maltreatment. The presence of both other drug misuse and mental ill health increased the likelihood that recurrent child abuse was recorded over the likelihood that mental health alone predicted recurrent child maltreatment, and while alcohol misuse had an effect when there was no mental health condition recorded it did not have an additional effect when there was evidence of mental health problems. Research limitations/implications – Children in families where there is both mental health problems and other drug use problems are at greater risk of repeated maltreatment than where there is evidence of mental health problems or other drug use alone. Where there was evidence of carer mental health problems, alcohol misuse did not add to this likelihood. However, the effect of mental health and other drug use was similar in size to the effect of alcohol misuse alone. Originality/value – These findings add to understandings of the effects of co-occurring mental health problems and substance misuse on recurrent child maltreatment and differentiate between cases that involve alcohol and other drug misuse.

scholarly journals Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: a rapid review

2020 ◽  
Author(s):  
Suzannah Stuijfzand ◽  
Camille Deforges ◽  
Vania Sandoz ◽  
Consuela-Thais Consuela-Thais Sajin ◽  
Cécile Jaques ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Psychological Impact ◽  
Health Problems ◽  
Drug Misuse ◽  
Mental Wellbeing ◽  
Rapid Review ◽  
Evidence Based

Abstract Background: Epidemics or pandemics, such as the current Coronavirus Disease 2019 (COVID-19) crisis, pose unique challenges to healthcare professionals (HCPs). Caring for patients during an epidemic/pandemic may impact negatively on the mental health of HCPs. There is a lack of evidence-based advice on what would be effective in mitigating this impact. Objectives: This rapid review synthesizes the evidence on the psychological impact of pandemics/epidemics on the mental health of HCPs, what factors predict this impact, and the evidence of prevention/intervention strategies to reduce this impact. Method: According to rapid review guidelines, systematic searches were carried out in Embase.com, PubMed, APA PsycINFO-Ovid SP, and Web of Science (core collection). Searches were restricted to the years 2003 or later to ensure inclusion of the most recent epidemic/pandemics, such as Severe Acute Respiratory Syndrome (SARS). Papers written in French or English, published in peer-reviewed journals, and of quantitative design using validated measures of mental health outcomes were included. Of 1308 papers found, 50 were included. The full protocol for this rapid review was registered with Prospero ( reg.no. CRD42020175985). Results: Results show that exposed HCPs working with patients during an epidemic/pandemic are at heightened risk of mental health problems in the short and longer term, particularly: psychological distress, insomnia, alcohol/drug misuse, and symptoms of posttraumatic stress disorder (PTSD), depression, anxiety, burnout, anger, and higher perceived stress. These mental health problems are predicted by organizational, social, personal, and psychological factors and may interfere with the quality of patient care. Few evidence-based early interventions exist so far. Discussion: HCPs need to be provided with psychosocial support to protect their mental wellbeing if they are to continue to provide high quality patient care. Several recommendations relevant during and after an epidemic/pandemic, such as COVID-19, and in preparation for a future outbreak, are proposed.

scholarly journals Personality to Prescription Drug Misuse in Adolescents: Testing Affect Regulation, Psychological Dysregulation, and Deviance Proneness Pathways

2021 ◽  
Vol 12 ◽  
Author(s):  
Sherry H. Stewart ◽  
Annie Chinneck ◽  
Kara Thompson ◽  
Mohammad H. Afzali ◽  
Raquel Nogueira-Arjona ◽  
...  
Keyword(s):  
Mental Health ◽  
Conduct Disorder ◽  
Prescription Drug ◽  
Anxiety Sensitivity ◽  
Affect Regulation ◽  
Sensation Seeking ◽  
Drug Misuse ◽  
Mental Health Symptoms ◽  
Prescription Drug Misuse ◽  
Health Symptoms

Background: Fifteen to 25-year-olds are the age group most likely to misuse prescription drugs. Few studies have tested theory-driven models of adolescent risk for prescription drug misuse. Moreover, rarely are distinct pathways to different forms of prescription drug misuse considered.Methods: We tested mediational paths from personality to mental health symptoms to prescription drug misuse, informed by etiological models of addiction. We specified pathways from particular personality traits to unique forms of prescription drug misuse via specific mental health symptoms. We used semi-longitudinal data collected across two waves of the Co-Venture Trial. Our sample included students from 31 Canadian high schools tested in Grade 9 (n = 3,024) and again in Grade 10 (n = 2,869; 95% retention). Personality (hopelessness, anxiety sensitivity, impulsivity, sensation seeking) was assessed in Grade 9. Mental health symptoms (depression, anxiety, ADHD, conduct disorder) and prescription drug misuse (opioids, sedatives/tranquilizers, stimulants) were assessed at both time points.Results: Consistent with the negative affect regulation model, hopelessness was specifically associated with opioid misuse via depressive symptoms, and anxiety sensitivity was specifically associated with sedative/tranquilizer misuse via anxiety symptoms. Consistent with positive affect regulation, sensation seeking was directly associated with stimulant misuse. Consistent with the psychological dysregulation model, impulsivity was associated with stimulant misuse via ADHD symptoms. And consistent with the deviance proneness model, impulsivity was also associated with unconstrained (i.e., all three forms of) prescription drug misuse via conduct disorder symptoms.Conclusions: Screening for adolescents high in hopelessness, anxiety sensitivity, sensation seeking, or impulsivity and providing them with personality-matched cognitive-behavioral interventions may be helpful in preventing or mitigating prescription drug misuse. Our results point to the specific mental health symptoms that are important to target in each of these personality-matched interventions.

scholarly journals Real-time Momentary Mood as a Predictor of College Students’ Prescription Drug Misuse in Daily Life: Direct Links and the Moderating Role of Background Mental Health

2021 ◽  
Author(s):  
Lauren Papp ◽  
Chrystyna D Kouros ◽  
John Joseph Curtin ◽  
Shari M. Blumenstock
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Social Anxiety ◽  
Prescription Drug ◽  
Real Time ◽  
Daily Life ◽  
Negative Mood ◽  
Positive Mood ◽  
Drug Misuse ◽  
Prescription Drug Misuse

The present study addressed calls for research to identify real-time predictors of prescription drug misuse (Schepis et al., 2020) by testing young adults’ momentary reports of their negative mood and positive mood as predictors of event-level misuse in daily life. We implemented a 28-day ecological momentary assessment (EMA) procedure that collected individuals’ mood and other contextual experiences in moments preceding prescription drug misuse. Consistent with models of problematic substance use as a means to reduce negativity (Khantzian, 1997), results from hierarchical generalized linear modeling indicated within-person links between higher than usual negative mood and greater likelihood of prescription misuse in daily life. Contrary to the hypothesis, misuse was also more likely when preceded by elevated positive mood. We found consistent support for the hypothesized between-person effects, with prescription misuse in daily life associated with higher average levels of negative mood, and lower average levels of positive mood, across the reporting period. We further predicted that individuals reporting greater levels of social anxiety, depression, and externalizing symptoms would evidence stronger links between their momentary negative mood and prescription misuse. Partial support for this moderation hypothesis was found, with the positive within-person link between negative mood and prescription misuse significantly stronger among individuals higher (vs. lower) on social anxiety and depression. Results provide support for intricate connections between young adults’ momentary mood, mental health symptoms, and prescription drug misuse.

scholarly journals Prevalence and Correlates of Prescription Drug Misuse in a Nationwide Population Survey in Taiwan

2021 ◽  
Vol 18 (24) ◽  
pp. 12961
Author(s):  
Shu-Wei Liu ◽  
Chia-Yi Wu ◽  
Ming-Been Lee ◽  
Ming-Chi Huang ◽  
Chia-Ta Chan ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Self Efficacy ◽  
Suicide Ideation ◽  
Psychiatric Morbidity ◽  
Drug Misuse ◽  
Prescription Drug Misuse ◽  
Self Rated Health

Background: Prescription drug misuse (PDM) is a critical mental health issue relating to psychiatric morbidity. This study investigated the prevalence of PDM and its associated psychopathology and psychosocial factors in the general population in Taiwan. Methods: The survey randomly selected a representative sample >15 year-olds using the stratified proportional randomization method. The measurements included demographic variables, previous experience with PDM, self-rated physical and mental health, health self-efficacy, risk factors for suicidality, and psychological distress. Results: The weighted one-year prevalence of PDM was 8.5% (n = 180) among 2126 participants. Those with psychological distress and lifetime suicide ideation (23.3%) or suicide attempts (5.0%) were significantly associated with PDM. PDM was also prevalent among those with poorer self-rated health and lower self-efficacy. Insomnia (OR = 1.52), depression (OR = 1.77), and low self-efficacy (OR = 2.29) had higher odds of PDM after adjustment in the logistic regression model. Conclusions: Individuals who misused prescription drugs had a higher prevalence of psychological distress and suicidality and lower levels of self-rated health. Prescription drug misuse problems should be screened for early prevention when prescribing medications for people with insomnia, depression, or lower perceived health beliefs or conditions.

scholarly journals Psychological Impact of an Epidemic/Pandemic on the Mental Health of Healthcare Professionals: A Rapid Review

2020 ◽  
Author(s):  
Suzannah Stuijfzand ◽  
Camille Deforges ◽  
Vania Sandoz ◽  
Consuela-Thais Consuela-Thais Sajin ◽  
Cécile Jaques ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Psychological Impact ◽  
Health Problems ◽  
Drug Misuse ◽  
Rapid Review ◽  
Evidence Based ◽  
Quality Of Patient Care ◽  
Full Protocol

Abstract Background: Epidemics or pandemics, such as the current Coronavirus Disease 2019 (COVID-19) crisis, pose unique challenges to healthcare professionals (HCPs). Caring for patients during an epidemic/pandemic may impact negatively on the mental health of HCPs. There is a lack of evidence-based advice on what would be effective in mitigating this impact. Objectives: This rapid review synthesizes the evidence on the psychological impact of pandemics/epidemics on the mental health of HCPs, what factors predict this impact, and the evidence of prevention/intervention strategies to reduce this impact. Method: According to rapid review guidelines, systematic searches were carried out in Embase.com, PubMed, APA PsycINFO-Ovid SP, and Web of Science (core collection). Searches were restricted to the years 2003 or later to ensure inclusion of the most recent epidemic/pandemics, such as Severe Acute Respiratory Syndrome (SARS). Papers written in French or English, published in peer-reviewed journals, and of quantitative design using validated measures of mental health outcomes were included. Of 1308 papers found, 48 were included. The full protocol for this rapid review was registered with Prospero (reg.no.CRD42020175985). Results: Results show that exposed HCPs working with patients during an epidemic/pandemic are at heightened risk of mental health problems in the short and longer term, particularly: psychological distress, insomnia, alcohol/drug misuse, and symptoms of posttraumatic stress disorder (PTSD), depression, anxiety, burnout, anger, and higher perceived stress. These mental health problems are predicted by organizational, social, personal, and psychological factors and may interfere with the quality of patient care. Few evidence-based early interventions exist so far. Discussion: Several recommendations relevant during and after an epidemic/pandemic, such as COVID-19, and in preparation for a future outbreak, are proposed.

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