Use, abuse and dependence of ecstasy and related drugs in adolescents and young adults-a transient phenomenon? Results from a longitudinal community study
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
Abstract
OBJECTIVE: To determine incidence and patterns of natural course of ecstasy/stimulant/hallucinogen (ESH) use and disorders as well as cohort effects in a community sample of adolescents and young adults.
METHOD: Cumulative incidence and patterns of ecstasy use and disorders were examined in a prospective longitudinal design (mean follow-up period=42 months) in a representative sample (N=2446) aged 14-24 years at the outset of the study. Patterns of DSM-IV defined ESH use, abuse and dependence were assessed with the Munich Composite International Diagnostic Interview (M-CIDI).
RESULTS: (1) Cumulative lifetime incidence for use of ESH at second follow-up: 9.1%, 1.0% for abuse, 0.6% for dependence; (2) men used and abused ESH more often than women; (3) the younger birth cohort (1977-81) tended to start earlier with substance (ab)use compared to the older birth cohort (1970-77); (4) use of ESH was associated with increasing rates of concomitant use of other licit and illicit drugs; (5) the majority of the lifetime ESH users without disorder had stopped to use these substances and not consumed them during the 12 months preceding the second follow-up; (6) those who had stopped to take ecstasy and related drugs at follow-up also took other illicit drugs less often than those who continued to consume ESH.
CONCLUSIONS: Use of designer drugs is widespread in our sample, but the probability of developing use disorders is fairly low (1.6%). The majority of the ESH users stopped their use spontaneously in their twenties (80% of the prior users without disorder, 67% of the prior abusers), but 50% of those that once had fulfilled DSM-IV criteria of dependence continued to use these substances.
Details
Originalsprache | Englisch |
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Seiten (von - bis) | 147-59 |
Seitenumfang | 13 |
Fachzeitschrift | Drug and alcohol dependence |
Jahrgang | 66 |
Ausgabenummer | 2 |
Publikationsstatus | Veröffentlicht - 13 März 2002 |
Peer-Review-Status | Ja |
Externe IDs
Scopus | 0036532407 |
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ORCID | /0000-0001-7646-8265/work/142232616 |
Schlagworte
Schlagwörter
- Adolescent, Adult, Confidence Intervals, Data Collection/statistics & numerical data, Female, Germany/epidemiology, Hallucinogens, Humans, Longitudinal Studies, Male, N-Methyl-3,4-methylenedioxyamphetamine, Proportional Hazards Models, Substance-Related Disorders/epidemiology, Ecstasy, Stimulants, Use, Abuse, Dependence, Gender, Cohort