In the United States, adolescents are routinely prescribed opioids for management of pain. Data suggest that early opioid use, even via a legitimate prescription, can increase risk for opioid misuse. There are surprisingly little data on the nature of pain medication prescribing within pediatric medical settings and adolescent outcomes despite this being the place most youth are introduced to prescription opioids. To address this gap, the current study recruited n = 139 adolescents ages 14-18 years who were prescribed opioid medications for acute noncancer pain in pediatric outpatient medical settings. Data on opioid use and mood symptoms were obtained via daily diaries and self-report measures. The majority of youth (90.9%) filled the opioid prescription, and of those who used those opioids, the frequency of use varied widely (10-100% of days). There were no gender differences in the percent of opioid use days, despite females reporting higher pain and mood symptoms than males. Greater pain experiences and the number of pills prescribed were positively associated with opioid use as reported in daily diaries. As hypothesized, higher depressive symptoms were associated with greater opioid use. Higher daily reports of worried or scared affect were associated with lower opioid use. Findings contribute to our understanding of adolescent opioid use following prescription in a pediatric outpatient medical setting. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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接受处方的青少年使用阿片类药物的模式：心理和疼痛因素的作用。

在美国，青少年经常服用阿片类药物来控制疼痛。数据表明，早期使用阿片类药物，即使是通过合法处方，也会增加阿片类药物滥用的风险。尽管这是大多数年轻人接触处方阿片类药物的地方，但关于儿科医疗环境中止痛药处方的性质和青少年结果的数据令人惊讶地很少。为了弥补这一差距，目前的研究招募了 n = 139 名 14-18 岁的青少年，他们在儿科门诊医疗环境中接受了阿片类药物治疗急性非癌性疼痛。阿片类药物使用和情绪症状的数据是通过每日日记和自我报告措施获得的。大多数青年 (90.9%) 服用了阿片类药物处方，在使用这些阿片类药物的人中，使用频率差异很大（10-100% 的天数）。尽管女性报告的疼痛和情绪症状高于男性，但阿片类药物使用天数的百分比没有性别差异。正如每日日记中所报告的那样，更大的疼痛经历和处方药的数量与阿片类药物的使用呈正相关。正如假设的那样，更严重的抑郁症状与更多的阿片类药物使用有关。担心或害怕影响的每日报告较多与阿片类药物使用较少有关。调查结果有助于我们了解在儿科门诊医疗环境中处方后青少年阿片类药物的使用。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。正如每日日记中所报告的那样，更大的疼痛经历和处方药的数量与阿片类药物的使用呈正相关。正如假设的那样，更严重的抑郁症状与更多的阿片类药物使用有关。担心或害怕影响的每日报告较多与阿片类药物使用较少有关。调查结果有助于我们了解在儿科门诊医疗环境中处方后青少年阿片类药物的使用。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。正如每日日记中所报告的那样，更大的疼痛经历和处方药的数量与阿片类药物的使用呈正相关。正如假设的那样，更严重的抑郁症状与更多的阿片类药物使用有关。担心或害怕影响的每日报告较多与阿片类药物使用较少有关。调查结果有助于我们了解在儿科门诊医疗环境中处方后青少年阿片类药物的使用。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。