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- Title
Prescription Opioid Misuse After a Recent Sexual Assault: A Randomized Clinical Trial of a Video Intervention.
- Authors
Gilmore, Amanda K.; Walsh, Kate; Frazier, Patricia; Ledray, Linda; Acierno, Ron; Ruggiero, Kenneth J.; Kilpatrick, Dean G.; Resnick, Heidi S.
- Abstract
<bold>Background and Objectives: </bold>Prescription opioid (PO) misuse is increasing and is associated with overdose. Individuals who experienced a recent sexual assault are at risk for increased substance use, yet limited interventions target PO misuse after sexual assault. The current study examined the efficacy of video interventions on PO misuse after sexual assault.<bold>Methods: </bold>Adolescent girls and women (n = 154) were recruited in the context of a sexual assault medical forensic exam in the emergency department. Effects of a prevention of post-rape stress (PPRS) video and a pleasant imagery and relaxation instruction (PIRI) video were compared with treatment as usual (TAU) during a sexual assault medical forensic exam on PO misuse. Participants reported if they had used POs for non-medical purposes since the sexual assault at 1.5 month follow-up.<bold>Results: </bold>Results from a logistic regression analysis indicated that participants with a prior sexual assault were less likely to misuse prescription opioids 1.5 months after the assault in the PIRI condition compared with TAU. There were no main effects for video condition and no interactions for the PPRS condition on PO misuse.<bold>Discussion and Conclusions: </bold>Providing the PIRI video, or teaching other types of mindfulness or relaxation exercises, may be warranted as a secondary prevention for individuals during the sexual assault medical forensic exam for those with a prior sexual assault history.<bold>Scientific Significance: </bold>This research provides an initial examination of the impact of mindfulness skills recently after traumatic event exposure on PO misuse. (Am J Addict 2019;28:376-381).
- Subjects
SEXUAL assault; CLINICAL trials; LOGISTIC regression analysis; TEENAGE girls; MEDICAL prescriptions; PREVENTION of post-traumatic stress disorder; RAPE &; psychology; MINDFULNESS; NARCOTICS; RESEARCH; RAPE; DRUG overdose; ANALGESICS; RESEARCH methodology; POST-traumatic stress disorder; EVALUATION research; MEDICAL cooperation; CRIME victims; PSYCHOLOGY of crime victims; TREATMENT effectiveness; COMPARATIVE studies; RANDOMIZED controlled trials; DRUG therapy; RESEARCH funding; VIDEO recording; PHARMACODYNAMICS
- Publication
American Journal on Addictions, 2019, Vol 28, Issue 5, p376
- ISSN
1055-0496
- Publication type
journal article
- DOI
10.1111/ajad.12922