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  4. Psychoactive Substance Use Among Individuals With Chronic Spinal Cord Injury: Patterns and Characteristics

Psychoactive Substance Use Among Individuals With Chronic Spinal Cord Injury: Patterns and Characteristics

Arch Phys Med Rehabil, 2022 · DOI: 10.1016/j.apmr.2021.08.005 · Published: March 1, 2022

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

Psychoactive substances (PASs) are drugs that affect brain function and alter mood, awareness, thoughts, feelings, or behavior. Studies on PAS use among individuals with spinal cord injury (SCI) are limited, with a need for recent data, especially for those with chronic SCI. This study aimed to identify patterns of PAS use, including cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives/sleeping pills, hallucinogens, and opioids, among SCI patients and their relationships with demographic and injury characteristics. The study found that nearly 25% of participants reported nonprescription use of a PAS in the past 3 months, with cannabis being the most frequently reported substance. There were significant differences in PAS use among different groups based on personal characteristics.

Study Duration
2012-2016
Participants
4670 adults with SCI
Evidence Level
Cross-sectional, self-report assessment

Key Findings

  • 1
    24.1% of participants reported using at least one PAS without a prescription in the past 3 months.
  • 2
    Cannabis was the most frequently reported substance (16.4%), followed by sedatives or sleeping pills (8.0%).
  • 3
    Women, those with higher levels of education and income, and nonambulatory individuals with C1–C4 injuries were less likely to report PAS use.

Research Summary

This study examined the prevalence and patterns of nonprescription psychoactive substance (PAS) use among adults with chronic spinal cord injury (SCI). The findings revealed that nearly 25% of participants reported using at least one PAS without a prescription, with cannabis being the most common. The study identified significant differences in PAS use based on demographic and injury characteristics, highlighting the need for targeted screening and interventions.

Practical Implications

Improved Screening

Findings can be used to improve screening processes to identify individuals at higher risk of PAS use and misuse among those with chronic SCI.

Targeted Interventions

The identified patterns and characteristics can aid in developing and tailoring interventions for different subgroups of individuals with SCI to address PAS use effectively.

Further Research

The study highlights the necessity for continued research to understand the causes and consequences of PAS use, including behavioral, psychological, environmental, and healthcare factors.

Study Limitations

  • 1
    Self-report bias
  • 2
    Generalizability limited to chronic SCI population in the United States
  • 3
    Cross-sectional design limits causal inferences

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