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Are Teens, Young Adults In Treatment Truthful About Drug Use?

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Are Teens, Young Adults In Treatment Truthful About Drug Use?

Are Teens, Young Adults In Treatment Truthful About Drug Use?

Teens, Young Adults In Treatment Truthful In Self-Reporting Drug Use

Self-reporting of drug use is an approach that uses interviews, questionnaires or surveys to determine whether a person uses drugs, has previously used drugs or currently has drugs in his or her system. This method differs from objective urine testing, a universally accepted approach that relies on chemical measurements to detect the presence of drugs. In a study published in October 2013 in the journal Addictive Behaviors, a team of researchers from several U.S. institutions compared the accuracy of self-reported drug use by teenagers and young adults in drug treatment to the accuracy of urine testing. The researchers found that individuals in these age groups tend to self-report their level of drug use with relatively consistent truthfulness.

Self-Reporting Drug Use

Drug treatment professionals and researchers use self-reporting to gather a range of statistics from small and large populations of drug users. Examples of the information commonly acquired include the absence or presence of drug use, frequency of drug use, larger patterns of drug use and the presence of underlying factors that may contribute to drug use frequency or drug use patterns in some way. Depending on the scope of an interview, survey or questionnaire, self-reporting may provide data on short-term drug usage, annual drug usage or lifetime drug usage. Some professionals and researchers use self-reporting to answer relatively simple questions about drug usage, while others use the technique in connection with complex formulas designed to gather very specific, detailed information from participants.

Urine Drug Testing

Urine drug testing is a specific form of urinalysis designed to detect the presence of commonly abused substances such as opioid narcotics, marijuana and other forms of cannabis, cocaine, amphetamine, methamphetamine and phencyclidine (PCP). In some cases, urine testing directly detects the presence of these substances; in other cases, it detects the breakdown products that these substances form after entering the bloodstream. A urine drug test only tells the person conducting the test whether an individual has used a particular substance within a narrow time span of roughly one to three days. It does not provide information about such factors as the method of drug use, the specific moment of drug use or the amount of drugs taken at a given time. Testers typically confirm the results of a urine drug test with a follow-up testing procedure designed to guarantee the final accuracy of the rendered results.

Accuracy Of Self-Reporting On Drug Use

Because urine drug testing provides an objective measurement of drug use, experts in the field commonly view this form of testing as the standard tool for detecting the presence of drugs in a person’s system. However, in certain situations, it is not necessarily convenient or practical to perform urine testing. In addition, the proper interpretation of testing results is sometimes relatively complex and time-consuming. For these reasons, doctors and other professionals sometimes have a real need for other ways of obtaining the information they require.

In the study published in Addictive Behaviors, researchers from three U.S. universities sought to determine if self-reporting of drug use can act as a reliable substitute for urine drug testing. They explored this question with the help of 152 teenagers and young adults enrolled in programs primarily geared toward the treatment of addictions to opioid narcotic drugs. Some of the participants received short-term (two-week) treatment with group/individual counseling and a standard combination of two opioid addiction medications called buprenorphine and naloxone. Others received longer-term (12-week) treatment with counseling and the combination of buprenorphine and naloxone. Self-reports and urine testing results were obtained from each group at regular intervals. Each participant received a small financial reward as an incentive to keep participating in the study.

After completing the study’s main phase, the researchers concluded that the teens and young adult participants provided self-reported information on drug use that generally matched up well with the objective measurements provided by urine drug testing. Generally speaking, these findings were unaffected by factors such as the amount of money received for participation and the specific nature of each individual’s drug addiction. However, the study’s authors also concluded that teens and young adults who received longer-term counseling and medication treatment had a greater tendency to under-report their drug use than teens and young adults who received shorter forms of treatment. Specifically, these individuals downplayed their involvement in both opioid and cocaine use.

So Is Self-Reporting Accurate Enough For Solo Drug Testing Use?

The authors of the study published in Addictive Behaviors believe that their findings demonstrate that teens and young adults in treatment commonly self-report their drug use accurately enough to give doctors a potential secondary alternative to urine drug testing. However, they also believe that the level of accuracy is not high enough to do away with the need for urine testing, especially in teens and young adults participating in relatively long-term treatment programs. And Save Your Life Or The Life Of A Loved One

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