Details

Autor(en) / Beteiligte

• Richardson, Laura P., M.D., M.P.H
• Russo, Joan E., Ph.D
• Katon, Wayne, M.D
• McCarty, Carolyn A., Ph.D
• DeVries, Andrea, Ph.D
• Edlund, Mark J., M.D., Ph.D
• Martin, Bradley C., Pharm.D., Ph.D
• Sullivan, Mark, M.D., Ph.D

Titel

Mental Health Disorders and Long-term Opioid Use Among Adolescents and Young Adults With Chronic Pain

Ist Teil von

• Journal of adolescent health, 2012-06, Vol.50 (6), p.553-558

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2012

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Abstract Purpose The purpose of this study was to examine the association between mental health disorders and subsequent risk for long-term opioid use among adolescents and young adults presenting with common chronic pain complaints (back pain, neck pain, headache, and arthritis/joint pain). Methods Using claims data from January 1, 2001 to June 30, 2008, we conducted a longitudinal analysis of opioid use patterns among 13–24-year-old subjects presenting with a new episode of chronic pain. Long-term opioid use was defined as receiving >90 days of opioids within a 6-month period with no gap of >30 days in use of opioids in the 18 months after the first qualifying pain diagnosis. Mental health disorders were identified from claims in the 6 months before the first qualifying pain diagnosis. Results Fifty-nine thousand seventy-seven youth met criteria for a new episode of chronic pain. Among these youth, 321 (.5%) met criteria for long-term opioid use, and 16,172 (27.4%) had some opioid use. After controlling for demographic and clinical factors, youth with preexisting mental health diagnoses had a 2.4-fold increased risk of subsequently receiving long-term opioids versus no opioids (odds ratio = 2.36, 95% confidence interval = 1.73–3.23) and a 1.8-fold increased likelihood of receiving long-term opioids versus some opioids (odds ratio = 1.83, 95% confidence interval = 1.34–2.50). Conclusions Mental health disorders are associated with increased risk for long-term opioid use among adolescents and emerging young adults. Further study is warranted to examine risks and benefits of long-term opioid use in this population.