Contextual risk among adolescents receiving opioid prescriptions for acute pain in pediatric ambulatory care settings.

Contextual risk among adolescents receiving opioid prescriptions for acute pain in pediatric ambulatory care settings. Addict Behav. 2020 Jan 11;104:106314 Authors: Dash GF, Feldstein Ewing SW, Murphy C, Hudson KA, Wilson AC Abstract Many adults with opioid use disorder (OUD) report that their first exposure to opioids was in the course of routine pain treatment in medical care settings. Adolescents receive opioid prescriptions with frequency, but are susceptible to a constellation of unique risks in the context of pain management. This empirical study presents the first cohort of adolescents recruited from ambulatory medical care within 72 h of their receipt of opioids to treat acute pain. The primary aim was to capture a time-sensitive report of the intersection of prescription opioid receipt and contextual risks for opioid misuse related to pain experience, mental health symptoms, and substance use at the adolescent and parental levels. Data were collected from 70 14-19-year-old adolescents and their accompanying parent. Results reflected that 90% of this sample of adolescents reported 2 or more risks and 35% reported 5 or more risks for future opioid misuse. Pain catastrophizing (46%) and alcohol use (40%) and were the most common adolescent-level risk factors; mother history of chronic pain (32%) and parent anxiety (21%) were the most common parent-level risk factors. Past-week parent pain intensity showed the strongest associa...
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research