Most adolescents with severe substance use disorder do not recover from it.

PARIS, April 4 (Benin News) –

A new study finds that most 18-year-olds with severe symptoms of substance use disorders who were followed in a longitudinal study for 32 years went on to have multiple symptoms of substance use disorders. to substance use in adulthood, according to a new study from the University of Michigan School of Nursing (USA), published in the journal “JAMA Network Open”.

According to the study, an estimated 12% of 18-year-olds have severe symptoms of substance use disorder (CDU). Adolescents with severe symptoms of TUS were significantly more likely to report misuse of prescription drugs as adults.

The relationship between severe TUS symptoms and later TUS symptoms also held true for adolescents with severe symptoms of alcohol, cannabis, and other drug use disorders. Most of the adults in the study who were prescribed opioids, benzodiazepines, or other sedatives/tranquilizers had multiple symptoms of SAD during adolescence.

“This is an important red flag,” warns lead author Sean Esteban McCabe, a professor at the University of Montreal’s School of Nursing and director of the Center for the Study of Drugs, Alcohol, Tobacco and Health. Most middle-aged adults who were prescribed these drugs had multiple symptoms of substance use disorders by age 18, raising serious questions about the safety of the prescription. of controlled substances to these people.

“Some of the disorders and conditions that we treat with these same drugs are also associated with an increased risk of substance use disorder, such as anxiety disorders, sleep disorders and pain,” he adds.

For this reason, he believes there is a need to rethink “how we screen and prescribe people who have multiple symptoms of substance use disorders in their past, as they may need additional help. to take their medication safely. For example, some people in long-term recovery from substance use disorder use “gatekeepers” to help distribute and dispose of their medications, and locked boxes to limit their disposal. access to guards only,” he notes.

Most people in the study did not seek treatment, and the results suggest the need to find ways to offer treatment over long periods of time, even if the person is not ready to receive it. help,” says McCabe. Better detection, prevention and education in adulthood would also be useful.

“Screening that takes into account multiple substance use and the severity of symptoms of substance use disorder during adolescence can help identify people at higher risk for prescription drug abuse and substance use disorder. drug addiction in adulthood,” he adds.

McCabe and colleagues sought to understand the association between adolescent substance use disorder symptom severity and subsequent medical use of prescription drugs, prescription drug abuse, and substance use disorder symptoms. drug addiction at the age of 35-50 years.

Eleven cohorts of 12-year-old students, ages 18 to 50, were tracked as part of the Monitoring the Future study, one of the nation’s most trusted sources of information on emerging trends in illicit drug, alcohol, and tobacco use among American adolescents, college students, and young and middle-aged adults.

Further studies will examine the role of stimulant and non-stimulant medications in the treatment of ADHD and the subsequent abuse of stimulants and other drugs.

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