Substance Use and Mental Health in Emerging Adult Vs Older Adult Men and Women With Opioid Use Disorder.
Journal
The American journal on addictions
ISSN: 1521-0391
Titre abrégé: Am J Addict
Pays: England
ID NLM: 9208821
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
27
11
2019
revised:
20
03
2020
accepted:
02
05
2020
pubmed:
22
5
2020
medline:
30
4
2021
entrez:
22
5
2020
Statut:
ppublish
Résumé
We examined age differences across genders in clinical characteristics in emerging adult (≤25 years) vs older adult patients (26+ years) with opioid use disorder (OUD). Participants (N = 570; 30% female) entering a comparative effectiveness medication trial of buprenorphine vs extended-release naltrexone. Differences in clinical characteristics in emerging adult vs older participants were similar across genders. However, women 26+ years reported more mental health problems compared with women ≤25, while men ≤25 years reported more mental health problems compared with men 26+ years. Different strategies for emerging adult and older patients seeking OUD treatment may be necessary to address psychiatric comorbidities that differ across genders in this population. Comprehensive psychiatric assessment should be systematically included in OUD treatment for all genders. Treatment should focus on the emerging adult developmental phase when appropriate, with psychiatric treatment tailored for women and men, separately, across the lifespan. (Am J Addict 2020;29:536-542).
Sections du résumé
BACKGROUND AND OBJECTIVES
We examined age differences across genders in clinical characteristics in emerging adult (≤25 years) vs older adult patients (26+ years) with opioid use disorder (OUD).
METHODS
Participants (N = 570; 30% female) entering a comparative effectiveness medication trial of buprenorphine vs extended-release naltrexone.
RESULTS
Differences in clinical characteristics in emerging adult vs older participants were similar across genders. However, women 26+ years reported more mental health problems compared with women ≤25, while men ≤25 years reported more mental health problems compared with men 26+ years.
DISCUSSION AND CONCLUSION
Different strategies for emerging adult and older patients seeking OUD treatment may be necessary to address psychiatric comorbidities that differ across genders in this population.
SCIENTIFIC SIGNIFICANCE
Comprehensive psychiatric assessment should be systematically included in OUD treatment for all genders. Treatment should focus on the emerging adult developmental phase when appropriate, with psychiatric treatment tailored for women and men, separately, across the lifespan. (Am J Addict 2020;29:536-542).
Identifiants
pubmed: 32438502
doi: 10.1111/ajad.13059
pmc: PMC7657988
mid: NIHMS1601225
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
536-542Subventions
Organisme : NIDA NIH HHS
ID : UG1 DA013720
Pays : United States
Organisme : NIDA NIH HHS
ID : U10 DA013732
Pays : United States
Organisme : NIDA NIH HHS
ID : K24 DA022412
Pays : United States
Organisme : NIDA NIH HHS
ID : U10 DA013045
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1 DA013034
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1 DA013714
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1 DA015831
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1 DA013035
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1 DA013732
Pays : United States
Organisme : NIDA NIH HHS
ID : U10 DA015833
Pays : United States
Informations de copyright
© 2020 American Academy of Addiction Psychiatry.
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