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Substance Use as a Risk Factor for Sleep Problems Among Adolescents Presenting to the Emergency Department
- Source :
- Journal of addiction medicine. 10(5)
- Publication Year :
- 2016
-
Abstract
- Objectives: To determine correlates of sleep problems among adolescents. Specifically, to assess the relative strength of associations between sleep problems and dating victimization, reasons for emergency department (ED) visit, depression, unhealthy alcohol use, and other drug use (marijuana, nonmedical use of prescription opioids, stimulants, and tranquilizers). Methods: A total of 1852 adolescents aged 14 to 20 years presenting for care to the University of Michigan Emergency Department, Ann Arbor, Michigan, during 2011–2012, self-administered a computerized health survey. Sleep problems were identified if any of the 4 items on the Sleep Problems Questionnaire were rated by a patient as greater than 3 on a 0 to 5 scale. Adolescents who were too sick to be screened in the ED were eligible to participate in the study during their inpatient stay. Exclusion criteria for baseline included insufficient cognitive orientation precluding informed consent, not having parent/guardian present if younger than 18 years, medical severity precluding participation, active suicidal/homicidal ideation, non-English-speaking, deaf/visually impaired, or already participated in this study on a prior visit. Results: 23.5% of adolescents reported clinically significant sleep problems. Female gender, depression, dating victimization, tobacco use, nonmedical use of prescription medication, and an ED visit for medical reasons were each associated with sleep problems among adolescents, even while controlling for age, other types of drug use, receiving public assistance, and dropping out of school. Conclusions: These exploratory findings indicate that ED-based screening and brief intervention approaches addressing substance use and/or dating victimization may need to account for previously undiagnosed sleep problems.
- Subjects :
- Adult
Male
Sleep Wake Disorders
medicine.medical_specialty
Adolescent
Substance-Related Disorders
Article
03 medical and health sciences
Young Adult
0302 clinical medicine
Informed consent
Risk Factors
medicine
Humans
Pharmacology (medical)
030212 general & internal medicine
Young adult
Risk factor
Medical prescription
Psychiatry
Depression (differential diagnoses)
business.industry
Emergency department
Psychiatry and Mental health
Adolescent Behavior
Homicidal ideation
Female
medicine.symptom
Brief intervention
business
Emergency Service, Hospital
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 19353227
- Volume :
- 10
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of addiction medicine
- Accession number :
- edsair.doi.dedup.....9fee932d1f7960455691c54f5b875cac