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Literature DB >> 25964404

Recreational drug use among primary care patients: implications of a positive self-report.

Judith Bernstein¹, Debbie M Cheng², Na Wang³, Caitlin Trilla⁴, Jeffrey Samet⁴, Richard Saitz⁵.

Abstract

Should recreational drug use raise clinical concern? We examined the association between weekend-only recreational drug use at baseline (yes vs no) and any increase in recreational drug use frequency or severity over 6 months among primary care patients who screen positive for drug use. In the weekend-only recreational drug use group (52/483 [10.8%]), 54% (28/52) started using drugs on weekdays. Compared with use not limited to weekends, weekend-only use was associated with lower odds of increasing drug use frequency (AOR 0.48, P = 0.03) and lower odds (non-significant) of increasing severity (AOR 0.56, P = 0.07). Although weekend-only recreational drug use appears prognostically less severe, the findings nonetheless suggest that continued episodic monitoring may be clinically wise.

Entities: Disease Species

Keywords: consequences of drug use; days of drug use; drug severity; primary care; recreational drug use

Mesh：

Substances：
Illicit Drugs

Year: 2015 PMID： 25964404 PMCID： PMC4427421 DOI： 10.1370/afm.1750

Source DB: PubMed Journal: Ann Fam Med ISSN： 1544-1709 Impact factor: 5.166

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Recreational drug use among primary care patients: implications of a positive self-report.

1. Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists.

2. EuroQol--a new facility for the measurement of health-related quality of life.

3. Reliability of Form 90D: An Instrument for Quantifying Drug Use.

4. Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS).

5. The ability of single screening questions for unhealthy alcohol and other drug use to identify substance dependence in primary care.

6. The PHQ-9: validity of a brief depression severity measure.

7. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test.

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