Flunitrazepam: More than a date rape drug

Vaughn I. Rickert, Constance M. Wiemann, Abbey B. Berenson

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Study Objective: To evaluate the independent relationship between depressive symptoms, self-esteem, and drug resistance self-efficacy, and future intentions to use flunitrazepam. Design: Cross-sectional survey. Setting: Community-based family planning clinics. Participants: 865 sexually active women who self-identified as Caucasian, African-American, or Mexican American, denied using flunitrazepam in the last 12 months and reported intentions to use or not use this substance in the next 12 months. Interventions: None. Main Outcome Measure: An anonymous self-report measure assessed the patient's intentions to use flunitrazepam in the next 12 months; other lifetime drug use; and standardized measures of depression, self-esteem, and drug resistance self-efficacy. We hypothesized that future potential users of flunitrazepam would exhibit an increased number of depressive symptoms, lowered self-esteem, and limited drug resistance self-efficacy. Results: Of the 865 subjects, 16 (1.8%) reported using flunitrazepam in their lifetime but not in the last 12 months, and 46 (5.3%) were identified as potential users. Logistic regression analyses controlling for confounding factors found that potential to use flunitrazepam was significantly associated with limited drug resistance self-efficacy (adjusted odds ratio [AOR] = 9.3) and the presence of both severe depressive symptoms and lowered self-esteem (AOR = 3.2). Conclusions: These data suggest that young women with severe depressive symptoms and diminished self-esteem are at high risk for future flunitrazepam use and may use this drug to self-medicate psychological distress.

Original languageEnglish (US)
Pages (from-to)37-42
Number of pages6
JournalJournal of Pediatric and Adolescent Gynecology
Volume13
Issue number1
DOIs
StatePublished - Feb 2000

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Keywords

  • Depressive symptoms
  • Drug resistance self-efficacy
  • Flunitrazepam
  • Self medication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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