Baseline and Outcome Comparison of Adolescents in Treatment for Opioid and Non-opioid Use Disorder

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2023-05-12 DOI:10.2174/2210676613666230503094501
M. LaCasse, Ryan M. Loh, C. Thurstone
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引用次数: 0

Abstract

In the current opioid epidemic, little is known about differences in treatment structure for youth with opioid use disorder (OUD) and youth with other substance use disorders. This study analyzed baseline characteristics and outcome data comparing youth who suffer from OUD vs. those with other substance use disorders in an urban Denver, Colorado clinic. A retrospective cohort review was conducted, analyzing clinical data between February 2017 and March 2021. Two groups were created and compared: those with OUD (n = 59) and those with other substance use disorders (n = 417). The primary outcome variable was achieving a negative urine drug screen within 16 weeks of baseline assessment. We hypothesized that there would be no difference between the groups in the primary outcome variable. Youth with OUD were slightly older and had more co-morbid stimulant use disorder. No difference between the groups was observed in achieving a negative urine drug screen within 16 weeks. A multimodal, generalized treatment approach yielded similar outcomes for those suffering from OUD compared to those with other substance use disorders. There might not need to be significant variances in treatment approach depending on the specific substance use disorder.
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青少年阿片类和非阿片类药物使用障碍治疗的基线和结果比较
在当前的阿片类药物流行中,人们对患有阿片类物质使用障碍(OUD)的年轻人与患有其他物质使用障碍的年轻人在治疗结构上的差异知之甚少。这项研究分析了科罗拉多州丹佛市一家城市诊所的基线特征和结果数据,比较了患有OUD的年轻人与其他药物使用障碍的年轻人。进行了一项回顾性队列综述,分析了2017年2月至2021年3月的临床数据。创建并比较了两组:OUD组(n=59)和其他物质使用障碍组(n=417)。主要结果变量是在基线评估的16周内实现阴性尿液药物筛查。我们假设两组之间在主要结果变量方面没有差异。患有OUD的年轻人年龄稍大,有更多的共病刺激障碍。在16周内实现尿液药物阴性筛查方面,两组之间没有观察到差异。与其他物质使用障碍患者相比,多模式、广泛的治疗方法对OUD患者产生了相似的结果。根据具体的物质使用障碍,治疗方法可能不需要有显著差异。
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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