How do prescription opioid users differ from users of heroin or other drugs in psychopathology: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
| dc.contributor.author | Wu, Li-Tzy | |
| dc.contributor.author | Woody, George E | |
| dc.contributor.author | Yang, Chongming | |
| dc.contributor.author | Blazer, Dan G | |
| dc.date.accessioned | 2020-02-03T05:44:49Z | |
| dc.date.available | 2020-02-03T05:44:49Z | |
| dc.date.issued | 2011-03 | |
| dc.date.updated | 2020-02-03T05:44:49Z | |
| dc.description.abstract | To study substance use and psychiatric disorders among prescription opioid users, heroin users, and non-opioid drug users in a national sample of adults.Analyses of data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (N=43,093).Four groups were identified among 9140 illicit or non-prescribed drug users: heroin-other opioid users (1.0%; used heroin and other opioids), other opioid-only users (19.8%; used other opioids but never heroin), heroin-only users (0.5%; used heroin but never other opioids), and non-opioid drug users (78.7%; used drugs but never heroin or other opioids). After adjusting for variations in socioeconomic characteristics, history of substance abuse treatment, and familial substance abuse, heroin-other opioid users had greater odds of several substance use disorders (cocaine, hallucinogen, sedative, amphetamine, and tranquilizer) as compared with the other groups; heroin-only users had reduced odds of sedative and tranquilizer use disorders as compared with other opioid-only users. Non-opioid drug users had reduced odds of all substance use disorders and other mental disorders (mood, anxiety, pathological gambling, and personality) as compared with other opioid-only users. Past-year other opioid-only users also reported slightly lower scores on quality of life than past-year non-opioid drug users.All opioid use groups had higher rates of substance use disorders than non-opioid drug users, and these rates were particularly elevated among heroin-other opioid users. Findings suggest the need to distinguish between these four groups in research and treatment as they may have different natural histories and treatment needs. | |
| dc.identifier.issn | 1932-0620 | |
| dc.identifier.issn | 1935-3227 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
| dc.relation.ispartof | Journal of addiction medicine | |
| dc.relation.isversionof | 10.1097/ADM.0b013e3181e0364e | |
| dc.subject | Humans | |
| dc.subject | Substance-Related Disorders | |
| dc.subject | Opioid-Related Disorders | |
| dc.subject | Heroin Dependence | |
| dc.subject | Narcotics | |
| dc.subject | Street Drugs | |
| dc.subject | Health Surveys | |
| dc.subject | Cross-Sectional Studies | |
| dc.subject | Mental Disorders | |
| dc.subject | Anxiety Disorders | |
| dc.subject | Mood Disorders | |
| dc.subject | Personality Disorders | |
| dc.subject | Psychopathology | |
| dc.subject | Interview, Psychological | |
| dc.subject | Comorbidity | |
| dc.subject | Quality of Life | |
| dc.subject | Adolescent | |
| dc.subject | Adult | |
| dc.subject | Middle Aged | |
| dc.subject | United States | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Young Adult | |
| dc.title | How do prescription opioid users differ from users of heroin or other drugs in psychopathology: results from the National Epidemiologic Survey on Alcohol and Related Conditions. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Wu, Li-Tzy|0000-0002-5909-2259 | |
| pubs.begin-page | 28 | |
| pubs.end-page | 35 | |
| pubs.issue | 1 | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Center for Child and Family Policy | |
| pubs.organisational-group | Sanford School of Public Policy | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Duke Institute for Brain Sciences | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Social and Community Psychiatry | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Family Medicine and Community Health | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Geriatric Behavioral Health | |
| pubs.publication-status | Published | |
| pubs.volume | 5 |
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