Titre : | Use, abuse and dependence of ecstasy and related drugs in adolescents and young adults - a transient phenomenon ? Results from a longitudinal community study |
Titre traduit : | (Usage, abus et dépendance d'ecstasy et de drogues similaires chez les adolescents et les jeunes adultes - un phénomène passager ? Résultats d'une étude longitudinale) |
Auteurs : | K. VON SYDOW ; R. LIEB ; H. PFISTER ; M. HÖFLER ; H. U. WITTCHEN |
Type de document : | Périodique |
Année de publication : | 2002 |
Format : | 147-159 / graph. ; tabl. |
Note générale : |
Drug and Alcohol Dependence, 2002, 66, (2), 147-159 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés MDMA-ECSTASY ; DROGUES DE SYNTHESE ; USAGE OCCASIONNEL ; ABUS ; DEPENDANCE ; INITIATION ; PREVALENCE ; ADOLESCENT ; JEUNE ADULTE ; ETUDE LONGITUDINALEThésaurus géographique ALLEMAGNE |
Résumé : |
ENGLISH : 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. (Author's abstract.) |
Note de contenu : | graph. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 55 |
Affiliation : |
Technic. Univ. Dresden, Clinic. Psychol. Psychoth., Chemnitzerster 46, 01187 Dresden Allemagne. Germany. |
Numéro Toxibase : | 803959 |
Centre Emetteur : | 08 CAS Strasbourg |
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