Adolescent predictors of substance use in young adulthood among individuals with childhood-onset chronic pain: A follow-up study

被引:0
|
作者
Rogers, Andrew H. [1 ]
Palermo, Tonya M. [2 ,3 ]
Groenewald, Cornelius B. [4 ]
Murray, Caitlin B. [2 ,3 ]
机构
[1] Univ Buffalo, State Univ New York, Jacobs Sch Med & Biomed Sci, Dept Med, 462 Grider St, Buffalo, NY 14215 USA
[2] Univ Washington, Sch Med, Dept Anesthesiol & Pain Med, Seattle, WA USA
[3] Seattle Childrens Res Inst, Ctr Child Hlth Behav & Dev, Seattle, WA USA
[4] Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pain Med, Palo Alto, CA USA
基金
美国国家卫生研究院;
关键词
PRESCRIPTION OPIOID MISUSE; EMOTIONAL DISTRESS; MENTAL-HEALTH; DRUG-USE; LINEAR-MODEL; ALCOHOL; SLEEP; CHILDREN; IMPACT; ASSOCIATIONS;
D O I
10.1002/ejp.4724
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
BackgroundAdolescent chronic pain is a substantial public health problem, and pain symptoms often persist into adulthood. Young adults with chronic pain are at elevated risk for more frequent tobacco, alcohol and cannabis use, and cross-sectional research highlights the importance of psychosocial vulnerability factors. Limited research has examined how adolescent predictors, including mental health symptoms, pain, sleep and family functioning, impact later, young adult substance use.MethodsA prospective cohort of 229 young adults (77.3% female; Mage = 21.0, SD = 1.6) with childhood-onset chronic pain completed measurements in adolescence and a follow-up assessment in young adulthood of past 3-month substance use frequency.ResultsAdolescent sleep quality and male sex were associated with more frequent tobacco use; adolescent depression was associated with more frequent alcohol use, and adolescent pain severity was associated with less frequent, and male sex was associated with more frequent cannabis use.ConclusionsAdolescent predictors of young adult substance use among youth with childhood-onset chronic pain represent important factors that may inform assessment, prevention and treatment of substance use in this population. Identifying and testing psychological interventions that target these vulnerability factors may reduce overall substance use risk in young adulthood.SignificanceThis prospective observational study of young adults with childhood-onset chronic pain identified adolescent depression and sleep quality as vulnerability factors associated with substance use. Given the increasing risk for substance use during adolescence and young adulthood, these findings highlight the potential importance of early intervention to reduce substance use among young adults with childhood-onset chronic pain.
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页数:13
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