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Hallucinogen Use Disorders Among Adult Users of MDMA and Other Hallucinogens

Li‐tzy Wu, Christopher L. Ringwalt, Paolo Mannelli, Ashwin A. Patkar

American Journal on Addictions September 3, 2008 DOI: 10.1080/10550490802269064 via OpenAlex

Summary

AI-generated from the abstract

Among American adults who used MDMA in the past year, one in five (20%) reported at least one clinical feature of hallucinogen use disorder, compared with about one in six (16%) of users of other hallucinogens. The prevalence of hallucinogen abuse was 4.9%, subthreshold dependence 11.9%, and dependence 3.6% among MDMA users. Most individuals with hallucinogen abuse also showed subthreshold dependence, and most with dependence exhibited abuse. Subthreshold hallucinogen dependence is relatively common and represents a clinically important group that warrants further research and consideration in diagnostic classification systems.

Study at a glance

Characteristics Observational cohort Peer reviewed
Sample size 37,227
Population American adults aged 18 or older who used MDMA or other hallucinogens in the past year
Topics Cannabis MDMA
Keywords Hallucinogen Psychology Psychiatry
Citations 30
Key finding One in five past-year MDMA users and one in six other hallucinogen users reported at least one clinical feature of hallucinogen use disorders, with subthreshold dependence being relatively prevalent.

Abstract

We investigated the prevalence, patterns, and correlates of past‐year DSM‐IV hallucinogen use disorders (HUDs) among past‐year users of MDMA and other hallucinogens from a sample of Americans 18 or older (n = 37,227). Users were categorized as MDMA users and other hallucinogen users. Overall, one in five (20%) MDMA users and about one in six (16%) other hallucinogen users reported at least one clinical feature of HUDs. Among MDMA users, prevalence of hallucinogen abuse, subthreshold dependence, and dependence was 4.9%, 11.9%, and 3.6%, respectively. The majority with hallucinogen abuse displayed subthreshold dependence. Most with hallucinogen dependence exhibited abuse. Subthreshold hallucinogen dependence is relatively prevalent and represents a clinically important subgroup that warrants future research and consideration in a major diagnostic classification system.

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