Hallucinogen-related disorders in a national sample of adolescents: the influence of ecstasy/MDMA use.
dc.contributor.author | Wu, Li-Tzy | |
dc.contributor.author | Ringwalt, Christopher L | |
dc.contributor.author | Weiss, Roger D | |
dc.contributor.author | Blazer, Dan G | |
dc.date.accessioned | 2020-02-03T05:58:40Z | |
dc.date.available | 2020-02-03T05:58:40Z | |
dc.date.issued | 2009-09 | |
dc.date.updated | 2020-02-03T05:58:39Z | |
dc.description.abstract | To present the prevalence and correlates of hallucinogen use disorders (HUDs: abuse or dependence) and subthreshold dependence.The study sample included adolescents aged 12-17 years (N=55,286) who participated in the National Survey on Drug Use and Health (2004-2006). Data were collected with a combination of computer-assisted personal interviewing and audio computer-assisted self-interviewing.The overall prevalence of HUDs among adolescents was low (<1%). However, more than one in three (38.5%) MDMA users and nearly one in four (24.1%) users of other hallucinogens reported HUD symptoms. MDMA users were more likely than users of other hallucinogens to meet criteria for hallucinogen dependence: 11% (95% confidence interval [CI]: 8.24-14.81) vs. 3.5% (95% CI: 2.22-5.43). Compared with hallucinogen use only, subthreshold dependence was associated with being female (adjusted odds ratio [AOR]=1.8 [95% CI: 1.08-2.89]), ages 12-13 years (AOR=3.4 [1.64-7.09]), use of hallucinogens > or = 52 days (AOR=2.4 [1.66-6.92]), and alcohol use disorder (AOR=1.8 [1.21-2.77]). Compared with subthreshold dependence, abuse was associated with mental health service use (AOR=1.7 [1.00-3.00]) and opioid use disorder (AOR=4.9 [1.99-12.12]); dependence was associated with MDMA use (AOR=2.2 [1.05-4.77]), mental health service use (AOR=2.9 [1.34-6.06]), and opioid use disorder (AOR=2.6 [1.01-6.90]). MDMA users had a higher prevalence of most other substance use disorders than users of non-hallucinogen drugs.Adolescent MDMA users appear to be particularly at risk for exhibiting hallucinogen dependence and other substance use disorders. | |
dc.identifier | S0376-8716(09)00155-0 | |
dc.identifier.issn | 0376-8716 | |
dc.identifier.issn | 1879-0046 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Elsevier BV | |
dc.relation.ispartof | Drug and alcohol dependence | |
dc.relation.isversionof | 10.1016/j.drugalcdep.2009.04.014 | |
dc.subject | Humans | |
dc.subject | Substance-Related Disorders | |
dc.subject | N-Methyl-3,4-methylenedioxyamphetamine | |
dc.subject | Hallucinogens | |
dc.subject | Mental Health | |
dc.subject | Psychiatric Status Rating Scales | |
dc.subject | Crime | |
dc.subject | Socioeconomic Factors | |
dc.subject | Students | |
dc.subject | Adolescent | |
dc.subject | Child | |
dc.subject | Ethnic Groups | |
dc.subject | United States | |
dc.subject | Female | |
dc.subject | Male | |
dc.title | Hallucinogen-related disorders in a national sample of adolescents: the influence of ecstasy/MDMA use. | |
dc.type | Journal article | |
duke.contributor.orcid | Wu, Li-Tzy|0000-0002-5909-2259 | |
pubs.begin-page | 156 | |
pubs.end-page | 166 | |
pubs.issue | 1-2 | |
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 | 104 |
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