Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
J Subst Abuse Treat. 2011 Sep;41(2):208-14. doi: 10.1016/j.jsat.2011.02.003. Epub 2011 Apr 13.
Population-based data indicate that rates of nonmedical use of prescription opioids (POs) have increased dramatically over the past decade. However, data are lacking on nonmedical use of POs in individuals seeking treatment for substance use disorders. Patients (N = 351) seeking treatment from a residential drug and alcohol treatment program were assessed for nonmedical use of POs prior to treatment entry. Approximately 68% (65% men and 78% women) of patients reported at least some nonmedical PO use in the 30 days prior to treatment. Our results indicate that nonmedical PO use was more common in those with higher levels of depressive symptoms and pain intensity and in those with lower physical functioning. Treatment programs should consider actively screening participants for nonmedical PO use and consider how nonmedical use of pain medications might influence their treatment planning for patients.
基于人群的数据表明，在过去十年中，非医疗用途的处方类阿片（POs）的使用率大幅上升。然而，在寻求药物滥用治疗的个体中，关于 PO 非医疗用途的数据尚缺乏。在接受治疗前，从一个住院药物和酒精治疗项目中寻求治疗的患者（N=351）被评估了非医疗用途的 PO 情况。在接受治疗前的 30 天内，约 68%（65%为男性，78%为女性）的患者报告至少有过一些 PO 的非医疗用途。我们的结果表明，抑郁症状和疼痛强度较高以及身体功能较低的患者，PO 的非医疗用途更为常见。治疗项目应考虑积极主动地对参与者进行 PO 非医疗用途筛查，并考虑疼痛药物的非医疗使用如何影响他们对患者的治疗计划。
