Patterns of prescription opioid abuse and comorbidity in an aging treatment population

Theodore J. Cicero; Hilary L. Surratt; Steven Kurtz; M. S. Ellis; James A. Inciardi

doi:10.1016/j.jsat.2011.07.003

Patterns of prescription opioid abuse and comorbidity in an aging treatment population

Theodore J. Cicero
, Hilary L. Surratt
, Steven Kurtz
, M. S. Ellis
, James A. Inciardi

Behavioral Science

Producción científica: Article › revisión exhaustiva

55 Citas (Scopus)

Resumen

Very little is known about the impact of age and gender on drug abuse treatment needs. To examine this, we recruited 2,573 opioid-dependent patients, aged from 18 to 75 years, entering treatment across the country from 2008 to 2010 to complete a self-administered survey examining drug use histories and the extent of comorbid psychiatric and physical disorders. Moderate to very severe pain and psychiatric disorders, including polysubstance abuse, were present in a significant fraction of 18- to 24-year-olds, but their severity grew exponentially as a function of age: 75% of those older than 45 years had debilitating pain and psychiatric problems. Women had more pain than men and much worse psychiatric issues in all age groups. Our results indicate that a "one-size-fits-all" approach to prevention, intervention, and treatment of opioid abuse that ignores the shifting needs of opioid-abusing men and women as they age is destined to fail.

Idioma original	English
Páginas (desde-hasta)	87-94
Número de páginas	8
Publicación	Journal of Substance Abuse Treatment
Volumen	42
N.º	1
DOI	https://doi.org/10.1016/j.jsat.2011.07.003
Estado	Published - ene 2012

Nota bibliográfica

Funding Information:
Sources of funding: Supported in part by National Institute on Drug Abuse Grants DA020791 , DA 21330 (TJC) , and DA21330 (SK) and an unrestricted research grant from Denver Health and Hospital Authority .

Financiación

Sources of funding: Supported in part by National Institute on Drug Abuse Grants DA020791 , DA 21330 (TJC) , and DA21330 (SK) and an unrestricted research grant from Denver Health and Hospital Authority .

Financiadores	Número del financiador
Department of Emergency Medicine Denver Health and Hospital Authority Denver CO.
National Institute on Drug Abuse	R01DA021330, DA020791

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

Good health and well being

ASJC Scopus subject areas

Psychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1016/j.jsat.2011.07.003

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abstract = "Very little is known about the impact of age and gender on drug abuse treatment needs. To examine this, we recruited 2,573 opioid-dependent patients, aged from 18 to 75 years, entering treatment across the country from 2008 to 2010 to complete a self-administered survey examining drug use histories and the extent of comorbid psychiatric and physical disorders. Moderate to very severe pain and psychiatric disorders, including polysubstance abuse, were present in a significant fraction of 18- to 24-year-olds, but their severity grew exponentially as a function of age: 75\% of those older than 45 years had debilitating pain and psychiatric problems. Women had more pain than men and much worse psychiatric issues in all age groups. Our results indicate that a {"}one-size-fits-all{"} approach to prevention, intervention, and treatment of opioid abuse that ignores the shifting needs of opioid-abusing men and women as they age is destined to fail.",

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AU - Kurtz, Steven

AU - Ellis, M. S.

AU - Inciardi, James A.

N1 - Funding Information: Sources of funding: Supported in part by National Institute on Drug Abuse Grants DA020791 , DA 21330 (TJC) , and DA21330 (SK) and an unrestricted research grant from Denver Health and Hospital Authority .

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Patterns of prescription opioid abuse and comorbidity in an aging treatment population

Resumen

Nota bibliográfica

Financiación

ODS de las Naciones Unidas

ASJC Scopus subject areas

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