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A Longitudinal Behavioral Economic Analysis of Non-medical Prescription Opioid Use Among College Students

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Abstract

Despite the growing opioid epidemic in the US, few studies have identified theoretically based risk factors for non-medical prescription opioid (NMPO) use among young adults. The goal of the current study was to evaluate the behavioral economic hypotheses that NMPO use would be associated with lower levels of reinforcement from substance-free activities and future time orientation. Participants were 71 undergraduate students (62% women, 52.1% Caucasian, 35.2% African American) who either reported past-year NMPO use or demographically similar control participants with no past-year drug use. Participants provided information on alcohol and drug use, completed three measures of substance-free reinforcement (time allocation to exercise and academic activities, hedonic response to substance-free pleasant images, and self-report anhedonia), and a measure of future orientation, at baseline, 6-month, and 12-month follow-up. Consistent with nationwide trends, most NMPO users also reported use of marijuana (94%) and alcohol (80%). Compared to no drug use, NMPO use was associated with lower time allocation to academic activities, lower hedonic response to pleasant images, greater self-reported anhedonia, and lower future orientation across the 12-month study period. Among NMPO users, greater positive hedonic response to substance-free pleasant images predicted less alcohol use at 12-month follow-up, and greater baseline future orientation predicted less marijuana and NMPO use at 12-month follow-up. These findings provide partial support for behavioral economic models that link substance misuse to diminished levels of substance-free reinforcement and lower consideration of the future.

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  1. Department of Psychology, The University of Memphis, 202 Psychology Building, Memphis, TN, 38152, USA

    Lidia Z. Meshesha, Alison M. Pickover, Jenni B. Teeters & James G. Murphy

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  1. Lidia Z. Meshesha
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  2. Alison M. Pickover
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  3. Jenni B. Teeters
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Correspondence to Lidia Z. Meshesha.

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Funding

1. The University of Memphis Department of Psychology provided funding for this study.

2. The senior author (Murphy) received grant support from NIAAA for the duration this project: 3R01AA020829

3. The first author received NIAAA grant support while completing this manuscript: 1 F31 AA024381-01

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Meshesha, L.Z., Pickover, A.M., Teeters, J.B. et al. A Longitudinal Behavioral Economic Analysis of Non-medical Prescription Opioid Use Among College Students. Psychol Rec 67, 241–251 (2017). https://doi.org/10.1007/s40732-017-0235-2

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