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. 2019;24(4):455-460.
doi: 10.1080/14659891.2019.1604838. Epub 2019 Apr 25.

Motives for prescription stimulant use by patterns of non-medical use

Yiyang Liu  1 , Amy L Elliott  1 , Catherine W Striley  1 , Kelly K Gurka  1 , Linda B Cottler  1
Affiliations

Motives for prescription stimulant use by patterns of non-medical use

Yiyang Liu et al. J Subst Use. 2019.

Abstract

Background: Understanding motivations behind non-medical use of prescription stimulants (NMUPS) is important to prevent such use.

Methods: Adult participants from St. Louis, MO, who endorsed NMUPS on 5 or more days in the past 12 months (n=60) were asked about their motivations for use. Associations between motives for use and patterns of non-medical use in the past 12 months were assessed using multivariable logistic regression, controlling for demographic factors and non-medical use of other prescription drugs.

Results: On average, 5.5 different motives for stimulant use were endorsed. Compared to those who only used someone else's stimulants, adults who only used stimulants other than prescribed were less likely to endorse use "to get high" (aOR=0.48, 95%CI 0.26-0.90) and more likely to endorse use "to function" (aOR=1.97, 95%CI 1.04-3.75); adults who were engaged in both patterns of NMUPS were more likely to endorse use "to function" (aOR=4.12, 95%CI 1.56-10.88) and "to modify the effects of other drugs" (aOR=2.29, 95%CI 1.13-4.61).

Conclusion: Although using stimulants for performance enhancement is common, most people who used diverted stimulants reported using stimulants to get high. Prevention and harm reduction strategies should consider these differences.

Keywords: motives; non-medical use; prescription medications; prescription stimulants.

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Conflict of interest statement

Conflict of interest There are no conflicts of interest.

References

    1. Antshel KM, Biederman J, Spencer TJ, & Faraone SV (2016). The Neuropsychological Profile of Comorbid Post-Traumatic Stress Disorder in Adult ADHD. J Atten Disord, 20(12), 1047–1055. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24567364. doi:10.1177/1087054714522512 - DOI - PubMed
    1. Bennett T, & Holloway K (2017). Motives for illicit prescription drug use among university students: A systematic review and meta-analysis. Int J Drug Policy, 44, 12–22. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28343063. doi:10.1016/j.drugpo.2017.02.012 - DOI - PubMed
    1. Benson K, Flory K, Humphreys KL, & Lee SS (2015). Misuse of stimulant medication among college students: a comprehensive review and meta-analysis. Clin Child Fam Psychol Rev, 18(1), 50–76. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25575768. doi:10.1007/s10567-014-0177-z - DOI - PubMed
    1. Bose J, Hedden S, Lipari R, & Park-Lee E (September 2018). Key Substance Use and Mental Health Indicators in the United States: Results from the 2017 National Survey on Drug Use and Health In. Substance Abuse and Mental Health Services Administration.
    1. Chen LY, Crum RM, Strain EC, Alexander GC, Kaufmann C, & Mojtabai R (2016). Prescriptions, nonmedical use, and emergency department visits involving prescription stimulants. J Clin Psychiatry, 77(3), e297–304. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26890573. doi:10.4088/JCP.14m09291 - DOI - PMC - PubMed

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