title: Influences of motivational contexts on prescription drug misuse and related drug problems.
abstract: Prescription drug misuse has emerged as a significant problem among young adults. While the effects of motivational contexts have been demonstrated for illicit drugs, the role of motivational contexts in prescription drug misuse remains understudied. Using data from 400 young adults recruited via time-space sampling, we examined the role of motivational contexts in the frequency of misuse of three prescription drug types as well as drug-related problems and symptoms of dependency. Both negative and positive motivations to use drugs are associated with increases in prescription drug misuse frequency. Only negative motivations are associated directly with drug problems and drug dependence, as well as indirectly via prescription pain killer misuse. Addressing positive and negative motivational contexts of prescription drug misuse may not only provide a means to reduce misuse and implement harm reduction measures, but may also inform the content of treatment plans for young adults with prescription drug misuse problems.
authors.affiliation: Department of Sociology, Purdue University, 700 W State Street, West Lafayette, IN 47907, USA; Center for HIV Educational Studies & Training, 142 West 36th Street, 9th Floor, New York, NY 10018, USA. Electronic address: bckelly@purdue.edu.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Kelly
authors.affiliation: Center for HIV Educational Studies & Training, 142 West 36th Street, 9th Floor, New York, NY 10018, USA; The Graduate Center of the City University of New York, 365 Fifth Avenue, New York, NY 10016, USA.
authors.forename: H Jonathon
authors.initials: HJ
authors.lastname: Rendina
authors.affiliation: Department of Sociology, Purdue University, 700 W State Street, West Lafayette, IN 47907, USA.
authors.forename: Mike
authors.initials: M
authors.lastname: Vuolo
authors.affiliation: Center for HIV Educational Studies & Training, 142 West 36th Street, 9th Floor, New York, NY 10018, USA; Department of Psychology, Hunter College of the City University of New York, 695 Park Avenue, New York, NY 10065, USA; The Graduate Center of the City University of New York, 365 Fifth Avenue, New York, NY 10016, USA.
authors.forename: Brooke E
authors.initials: BE
authors.lastname: Wells
authors.affiliation: Center for HIV Educational Studies & Training, 142 West 36th Street, 9th Floor, New York, NY 10018, USA; Department of Psychology, Hunter College of the City University of New York, 695 Park Avenue, New York, NY 10065, USA; The Graduate Center of the City University of New York, 365 Fifth Avenue, New York, NY 10016, USA.
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000293:Adolescent; D000328:Adult; D000701:Analgesics, Opioid; D000697:Central Nervous System Stimulants; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D009042:Motivation / Q000502:physiology*; D063487:Prescription Drug Misuse / Q000523:psychology*; D011897:Random Allocation; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D000697:Central Nervous System Stimulants; D006993:Hypnotics and Sedatives
keywords: Dependence; Drug problems; Motivational contexts; Prescription drug misuse; Young adults