Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Prescription Stimulant Use, Misuse, and Motivations

Am J Psychiatry; ePub 2018 Apr 16; Compton, et al

Approximately 16 million US adults used prescription stimulants in the preceding year (annual average), 5 million misused prescription stimulants without use disorders, and 0.4 million had use disorders, according to a recent study. Researchers conducted a nationally representative household population study of adults aged ≥18 years from the 2015 and 2016 National Surveys on Drug Use and Health (n=102,000). They found:

  • Among US adults, 6.6% used prescription stimulants overall; 4.5% used without misuse, 1.9% misused without use disorders, and 0.2% had use disorders.
  • The most commonly reported motivations for misuse were to help be alert or concentrate (56.3%).
  • The most likely source of misused prescription stimulants was by obtaining them free from friends or relatives (56.9%).
  • More frequent prescription stimulant misuse and use disorder were associated with an increased likelihood of obtaining medications from physicians or from drug dealers or strangers and less likelihood of obtaining them from friends or relatives.

Citation:

Compton WM, Han B, Blanco C, Johnson K, Jones, CM. Prevalence and correlates of prescription stimulant use, misuse, use disorders, and motivations for misuse among adults in the United States. [Published online ahead of print April 16, 2018]. Am J Psychiatry. doi:10.1176/appi.ajp.2018.17091048.

This Week's Must Reads

Women’s Sexual Initiation in Relationships Explored, J Sex Res; ePub 2018 Jul 24; Gonzalez-Rivas, et al

Profiles of Recovery from Alcohol Use Disorder, Addiction; ePub 2018 Jul 31; Witkiewitz, et al

Sleep Disorders, Mental Health in Healthcare Workers, J Sleep Res; ePub 2018 Aug 1; Weaver, Vetter, et al

FDA Approves Perseris for Schizophrenia, FDA news release; 2018 Jul 27

Childhood Burden of Sudden Parental Death, Am J Psych; ePub 2018 Jun 20; Pham, Porta, et al

Must Reads in Addiction Medicine

Profiles of Recovery from Alcohol Use Disorder, Addiction; ePub 2018 Jul 31; Witkiewitz, et al

Factors Linked with AMA Discharge for Alcohol Use , J Addiction Med; ePub 2018 Jun 22; Pytell, et al

At-Risk Vets Transitioning from Prison to Community, Am J Geriatr Psychiatry; ePub 2018 Jul 21; Barry, et al

Examining Impact of Alcohol’s Harms from Others, Addiction; ePub 2018 Jun 12; Karriker-Jaffe, et al

Medical/Non-Medical Marijuana Use and Depression, J Affect Disord; ePub 2018 Jul 16; Bahorik, et al