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Methylphenidate Misuse in Substance Abusing Adolescents

NCJ Number
183663
Journal
Journal of Child and Adolescent Substance Abuse Volume: 9 Issue: 3 Dated: 2000 Pages: 1-14
Author(s)
Linda D. Marsh; Janice D. Key; Tricia P. Payne
Date Published
2000
Length
14 pages
Annotation
Data from 240 charts randomly selected from 1,183 records of assessments of adolescents at an outpatient drug treatment facility were used to study changes in the prevalence of the misuse of methylphenidate, the stimulant drug prescribed most often for attention deficit hyperactivity disorder.
Abstract
The data covered 1992-96. The analysis used chi-square and logistic regression techniques. The participants were 74 percent male, 63 percent white, 36 percent black, 11-20 years of age (average: 15.6 years). Five percent of the sample was assessed in 1992, 19 percent in 1993, 28 percent in 1994, 26 percent in 1995,and 22 percent in 1996. Results revealed a significant increase in methylphenidate misuse over the last 2.5 yeas, from 2 percent in 1992-93 to 12 percent in 1994-96. The increase was greatest in white adolescents, in whom the proportion of users increased from 3 percent in 1992-93 to 20 percent in 1994-96. Misuse of this substance did not differ significantly by gender and was not associated with a specific drug of choice. Misuse of other prescription or over-the-counter medications did not change during the study period either. Findings indicated a significant increase in methylphenidate misuse, especially in white adolescents and suggested the need for care in considering using methylphenidate to treat adolescents at risk of drug abuse. Tables and 40 references (Author abstract modified)