262222 Individual differences in coping and emotion regulation tendencies as predictors of nonmedical prescription drug and illicit drug misuse: A latent profile analysis

Tuesday, October 30, 2012

Carolyn F. Wong, PhD , Department of Pediatrics, Keck School of Medicine, Unversity of Southern California, Los angeles, CA
Karol Silva, MPH , School of Public Health Department of Community Health and Prevention, Drexel University, Philadelphia, PA
Sheree M. Schrager, MS, PhD , Division of Adolescent Medicine, Children's Hospital Los Angeles, Los Angeles, CA
Stephen E. Lankenau, PhD , Community Health and Prevention, Drexel University, School of Public Health, Philadelphia, PA
Background: Nonmedical prescription drug misuse among young adults is a significant public health concern. Research has shown great heterogeneity in the types of motivations/factors behind different patterns of prescription drug misuse among young adults and adolescents. Understanding individual-level risk factors (e.g., personalities and predispositions) can help inform the type of prevention or intervention efforts to be targeted for different groups. Moreover, they can assist in delineating appropriate prevention or intervention approaches to be used (e.g., building on specific strengths/characteristics of the individual).

Method: Young adults (aged 16 to 25 years) who had misused prescription drugs within the past 90 days were interviewed in Los Angeles and New York. The current study utilized latent profile analysis to empirically derive groups of nonmedical prescription drug users based on participants' coping and emotion regulation tendencies (N=560). After controlling for effects associated with significant covariates (e.g., gender, homelessness, interview site), prescription drug and illicit drug misuse patterns were then compared between these classes.

Results: Four latent classes/groups were identified: 1) suppressors; 2) others-reliant copers; 3) active copers; and 4) self-reliant copers. We found striking patterns of prescription and illicit drug misuse among individuals from different classes, including differences in age of initiation of opiates, tranquilizers, and illicit drugs, history of injection drug use, and recent use (last 90 days) of tranquilizers, heroin, and cocaine. Suppressors and others-reliant copers were at greatest risk for these outcomes.

Conclusions: Findings illustrate how individual differences in coping and emotion regulation can significantly predict prescription and illicit drug misuse.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe how coping and emotion regulation tendencies are associated and used to form latent classes in the current study. 2. Compare and contrast the different prescription and illicit drug misuse patterns based on coping and emotion regulation latent class membership. 3. Discuss how these individual-level characteristics can be used to inform programs and interventions for users of non-medical prescription drugs.

Keywords: Prescription Drug Use Patterns, Psychological Indicators

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in HIV and drug prevention research for the past five years, working on various federally-funded projects. Data from the current study came from a dual-site study of prescription drug misuse patterns among at risk young adults. I had been involved in this study at different points as both a Co-Investigator and as a consultant.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.