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Unga och tramadol : Berättelser om droganvändningens förlopp och om att försöka sluta

Arve, Kristin LU (2023) In Research Reports in Social Work 2023(5).
Abstract
Non-medical use of prescription opioids, such as tramadol, is a major global health concern. In Sweden, tramadol use among young people is widely recognized and highlighted as a novel drug use pattern. The overall aim of this licentiate thesis is to explore drug use trajectories and the process of attempting to quit drugs among young people with experiences of problematic tramadol use. 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use.

Paper 1 explores the drug use trajectories of the young people, including changes in drug use patterns and motivations for their use of tramadol and other drugs. The results indicate that most of the young people... (More)
Non-medical use of prescription opioids, such as tramadol, is a major global health concern. In Sweden, tramadol use among young people is widely recognized and highlighted as a novel drug use pattern. The overall aim of this licentiate thesis is to explore drug use trajectories and the process of attempting to quit drugs among young people with experiences of problematic tramadol use. 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use.

Paper 1 explores the drug use trajectories of the young people, including changes in drug use patterns and motivations for their use of tramadol and other drugs. The results indicate that most of the young people quickly started to use tramadol regularly and eventually expanded their drug use repertoire to include more substances. Overall, there was a progression to more severe drug use over time, where self-medication and experiences of dependence, as well as peer influence and other environmental factors playing significant roles.

Paper 2 addresses the young people’s accounts of attempting to quit tramadol and other drugs. The results demonstrate conflicting emotions towards drug use along with a significant external pressure to quit, but also difficulties in quitting due to experiences of dependence and mental health issues. For most participants, however, an increasing autonomous will and ability to abstain from drugs gradually developed, with the support from trusted relationships playing a crucial role.
The study demonstrates how aspects related to the drugs’ effects, personal circumstances, and the social environment interact in young people’s drug use trajectories, as well as in their process of attempting to quit drugs. By highlighting the young people’s perspective, the study can contribute to a deeper understanding of problematic tramadol use that may be helpful in improving both preventive and therapeutic measures for this target group. (Less)
Abstract (Swedish)
Icke-förskriven användning av opioidläkemedel, såsom tramadol, är ett stort globalt hälsoproblem. I Sverige har användningen av tramadol bland unga uppmärksammats stort och lyfts fram som ett nytt droganvändningsmönster. Det övergripande syftet med denna licentiatuppsats är att utforska droganvändningsförlopp och processen att försöka sluta med droger bland unga med erfarenhet av problematiskt tramadolbruk. 24 kvalitativa intervjuer har genomförts med 13 unga (19–24 år) som själva anger att de har eller har haft ett problematiskt bruk av tramadol.

Artikel 1 utforskar de ungas droganvändningsförlopp, inkluderat förändringar i droganvändningsmönster och motiv till användningen av tramadol och andra droger. Resultaten visar att... (More)
Icke-förskriven användning av opioidläkemedel, såsom tramadol, är ett stort globalt hälsoproblem. I Sverige har användningen av tramadol bland unga uppmärksammats stort och lyfts fram som ett nytt droganvändningsmönster. Det övergripande syftet med denna licentiatuppsats är att utforska droganvändningsförlopp och processen att försöka sluta med droger bland unga med erfarenhet av problematiskt tramadolbruk. 24 kvalitativa intervjuer har genomförts med 13 unga (19–24 år) som själva anger att de har eller har haft ett problematiskt bruk av tramadol.

Artikel 1 utforskar de ungas droganvändningsförlopp, inkluderat förändringar i droganvändningsmönster och motiv till användningen av tramadol och andra droger. Resultaten visar att de flesta av de unga snabbt började att använda tramadol regelbundet och successivt utvidgade deras drogrepertoar till att innefatta allt fler substanser. Överlag framkom en utveckling mot en allvarligare drogproblematik över tid, där självmedicinering och upplevelsen av beroende, samt inflytande från den sociala miljön hade en betydande roll.

Artikel 2 berör de ungas erfarenheter av att försöka sluta med tramadol och andra droger.
Resultaten visar på konfliktfyllda känslor kring droganvändningen parallellt med en stark extern press att sluta, men också svårigheter att klara av att sluta kopplat till psykiska besvär och upplevelsen av beroende. För de flesta av intervjupersonerna växte dock gradvis en ökad vilja och förmåga att sluta med droger fram, där förtroendefulla relationer hade en viktig stöttande och motiverande roll. Studien visar hur aspekter relaterade till drogernas effekter, personliga omständigheter och den sociala miljön interagerar, både i de ungas droganvändningsförlopp och i processen att försöka sluta med droger. Genom att lyfta fram de ungas egna perspektiv kan studien bidra till en ökad förståelse kring problematiskt tramadolbruk bland unga, vilket kan bidra till att förbättra både preventiva och behandlande åtgärder för denna målgrupp.
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Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Docent Samuelsson, Eva, Stockholms universitet
organization
alternative title
Young people and tramadol : Stories of drug use trajectories and attempts to quit the drug
publishing date
type
Thesis
publication status
published
subject
keywords
Tramadol, Unga vuxna, droganvändning
in
Research Reports in Social Work
volume
2023
issue
5
pages
94 pages
publisher
Lunds universitet, Socialhögskolan
defense location
G:a köket 128, Allhelgona kyrkogata 8, Lund
defense date
2023-10-20 10:15:00
ISBN
978-91-8039-622-6
978-91-8039-621-9
project
Young people and tramadol – stories of drug use trajectories and attempts to quit the drug
language
Swedish
LU publication?
yes
id
1734a6ca-f301-4dfc-9bc3-5947af75978c
date added to LUP
2023-09-26 11:14:25
date last changed
2023-10-13 10:07:29
@misc{1734a6ca-f301-4dfc-9bc3-5947af75978c,
  abstract     = {{Non-medical use of prescription opioids, such as tramadol, is a major global health concern. In Sweden, tramadol use among young people is widely recognized and highlighted as a novel drug use pattern. The overall aim of this licentiate thesis is to explore drug use trajectories and the process of attempting to quit drugs among young people with experiences of problematic tramadol use. 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use.<br/><br/>Paper 1 explores the drug use trajectories of the young people, including changes in drug use patterns and motivations for their use of tramadol and other drugs. The results indicate that most of the young people quickly started to use tramadol regularly and eventually expanded their drug use repertoire to include more substances. Overall, there was a progression to more severe drug use over time, where self-medication and experiences of dependence, as well as peer influence and other environmental factors playing significant roles.<br/><br/>Paper 2 addresses the young people’s accounts of attempting to quit tramadol and other drugs. The results demonstrate conflicting emotions towards drug use along with a significant external pressure to quit, but also difficulties in quitting due to experiences of dependence and mental health issues. For most participants, however, an increasing autonomous will and ability to abstain from drugs gradually developed, with the support from trusted relationships playing a crucial role.<br/>The study demonstrates how aspects related to the drugs’ effects, personal circumstances, and the social environment interact in young people’s drug use trajectories, as well as in their process of attempting to quit drugs. By highlighting the young people’s perspective, the study can contribute to a deeper understanding of problematic tramadol use that may be helpful in improving both preventive and therapeutic measures for this target group.}},
  author       = {{Arve, Kristin}},
  isbn         = {{978-91-8039-622-6}},
  keywords     = {{Tramadol; Unga vuxna; droganvändning}},
  language     = {{swe}},
  note         = {{Licentiate Thesis}},
  number       = {{5}},
  publisher    = {{Lunds universitet, Socialhögskolan}},
  series       = {{Research Reports in Social Work}},
  title        = {{Unga och tramadol : Berättelser om droganvändningens förlopp och om att försöka sluta}},
  url          = {{https://lup.lub.lu.se/search/files/159547089/Kappa_Licentiatuppsats_Kristin_Arve.pdf}},
  volume       = {{2023}},
  year         = {{2023}},
}