Patterns of opioid use in adolescents receiving prescriptions: The role of psychological and pain factors.
Patterns of opioid use in adolescents receiving prescriptions: The role of psychological and pain factors.
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接受处方的青少年阿片类药物的使用模式：心理和疼痛因素的作用。
DOI：
10.1037/amp0000697
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
FeldsteinEwing,SarahW
中科院分区：
文献类型：
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作者：
Wilson,AnnaC;Morasco,BenjaminJ;Holley,AmyL;FeldsteinEwing,SarahW
在美国，青少年经常被处方阿片类药物用于疼痛管理。数据表明，早期使用阿片类药物，即使是通过合法处方，也会增加阿片类药物滥用的风险。令人惊讶的是，关于儿科医疗环境中止痛药处方的性质和青少年结局的数据很少，尽管这是大多数年轻人被介绍给处方阿片类药物的地方。为了解决这一差距，本研究招募了n= 139名14-18岁的青少年，他们在儿科门诊医疗环境中接受阿片类药物治疗急性非癌症疼痛。通过每日日记和自我报告措施获得阿片类药物使用和情绪症状的数据。大多数青年人（90.9%）使用阿片类药物处方，在使用这些阿片类药物的人中，使用频率差异很大（10-100%的天数）。阿片类药物使用天数的百分比没有性别差异，尽管女性报告的疼痛和情绪症状高于男性。每日日记中报告称，更严重的疼痛经历和处方药丸数量与阿片类药物的使用呈正相关。正如假设的那样，更高的抑郁症状与更多的阿片类药物使用相关。每日报告的担心或恐惧情绪较高与阿片类药物使用量较低相关。研究结果有助于我们了解青少年阿片类药物使用处方后，在儿科门诊医疗环境。（PsycInfo数据库记录（c）2020阿帕，保留所有权利）
In the United States, adolescents are routinely prescribed opioids for management of pain. Data suggest that early opioid use, even via a legitimate prescription, can increase risk for opioid misuse. There are surprisingly little data on the nature of pain medication prescribing within pediatric medical settings and adolescent outcomes despite this being the place most youth are introduced to prescription opioids. To address this gap, the current study recruited n= 139 adolescents ages 14–18 years who were prescribed opioid medications for acute noncancer pain in pediatric outpatient medical settings. Data on opioid use and mood symptoms were obtained via daily diaries and self-report measures. The majority of youth (90.9%) filled the opioid prescription, and of those who used those opioids, the frequency of use varied widely (10–100% of days). There were no gender differences in the percent of opioid use days, despite females reporting higher pain and mood symptoms than males. Greater pain experiences and the number of pills prescribed were positively associated with opioid use as reported in daily diaries. As hypothesized, higher depressive symptoms were associated with greater opioid use. Higher daily reports of worried or scared affect were associated with lower opioid use. Findings contribute to our understanding of adolescent opioid use following prescription in a pediatric outpatient medical setting.(PsycInfo Database Record (c) 2020 APA, all rights reserved)