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Abstract

Physicians who treat adolescents invariably face cases of substance use and abuse. In the past 20 years the use of psychoactive chemicals has become an accepted and, in a statistical sense, even a “normal” part of adolescence and young adulthood. Regardless of the physician’s attitude about drug use and despite shifting legislative responses, the majority of youth today by the time they become adults will have had experience with alcohol, tobacco, caffeine, and marijuana.1 A significant proportion of adolescents regularly use drugs such as hallucinogens, amphetamines, cocaine, sedative-hypnotics, opiates, and inhalants.

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References

  1. Johnson LD, Bachman JG, O’Malley PM: Student drug use in America 1975-1981. Rockville, MD, National Institute on Drug Abuse, 1982. (U.S. Dept. of Health and Human Services Publ. No. (ADM) 82-1208.)

    Google Scholar 

  2. Kandel DB: Epidemiological and psychosocial perspectives on adolescent drug use. J Am Acad Child Psychol 21 (4): 328–47, 1982.

    Article  CAS  Google Scholar 

  3. Rachal JV, Guess LL, Hubbard RL, et al: Adolescent drinking behavior—the extent and nature of adolescent alcohol and drug use: 1974 and 1978 national sample studies. Final Report to the National Institute on Alcohol Abuse and Alcoholism, Vol 1, Contract No. ADM 281-76-0019. Research Triangle Park, NC, Research Triangle Institute, 1980.

    Google Scholar 

  4. Wechsler H, McFadden M: Sex differences in adolescent alcohol and drug use: a disappearing phenomenon. J Stud Alcohol 37 (9): 1291–1301, 1976.

    PubMed  CAS  Google Scholar 

  5. Fisburne P, Abelson H, Cisin I: The national survey on drug abuse, main findings, 1979. Washington, DC, U.S. Government Printing Office, 1980.

    Google Scholar 

  6. American Psychiatric Association: Substance use disorders. In: Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. ( DSM- III). Washington, DC, American Psychiatric Association, 1980, pp 163–179.

    Google Scholar 

  7. Offer D, Ostrov E, Howard K: The Adolescent: A Psychological Self-Portrait. New York, Basic Books, 1981.

    Google Scholar 

  8. Pollock VE, Volavka J, Goodwin DW, et al: The EEG after alcohol: administration in men at risk for alcoholism. Arch Gen Psychiatry 40: 857–61, 1983.

    PubMed  CAS  Google Scholar 

  9. Cruz-Coke R: Genetic aspects of alcoholism. In Israel Y (ed): Biological Basis of Alcoholism. New York, Wiley, 1971, pp 335–63.

    Google Scholar 

  10. Rutstein DD, Nickerson RJ, Vernon AA, et al: 2,3-Butanediol: an unusual metabolite in the serum of severely alcoholic men during acute intoxication. Lancet 11: 534–7, 1983.

    Article  Google Scholar 

  11. Erikson EH: Identity and the Life Cycle. New York, International Universities Press, 1959.

    Google Scholar 

  12. Hartocollis P-C: Personality characteristics in adolescent problem drinkers—a comparative study. J Am Acad Child Psychol 21 (4): 348–53, 1982.

    Article  CAS  Google Scholar 

  13. Carlson GA, Cantwell DP: Unmasking masked depression in children and adolescents. Am J Psychiatry 137 (4): 445–9, 1980.

    PubMed  CAS  Google Scholar 

  14. Kandel DB: Some comments on the relationship of selected criteria variables to adolescent illicit drug use. In Lettieri D (ed): Predicting Adolescent Drug Abuse: A Review of Issues, Methods, and Correlates. Rockville, MD, National Institute on Drug Abuse, 1975, pp 345–61.

    Google Scholar 

  15. Westwood M, Cohen MI, McNamara H: Serum gamma glutamyl transpeptidase activity: a chemical determinant of alcohol use during adolescence. Presented to the Society for Adolescent Medicine, Chicago, I I, October 1976.

    Google Scholar 

  16. Namerow DM, Roeder LM, Plaut SM, et al: Effect of ethanol during pubertal growth spurt on growth of rats. Presented to the American Pediatric Society and the Society for Pediatric Research, Adolescent Medicine Section, San Francisco, CA, April 1977.

    Google Scholar 

  17. Clarren SK: Recognition of fetal alcohol syndrome. JAMA 245 (23): 2436–9, 1981.

    Article  PubMed  CAS  Google Scholar 

  18. Findle BS, McCloskey KL, Goodman LS: Diazepam and drug-associated deaths. JAMA 242 (5): 429–34, 1979.

    Article  Google Scholar 

  19. Nahas GG: Current status of marijuana research. JAMA 242: 2775–8, 1979.

    Article  PubMed  CAS  Google Scholar 

  20. Babor TF, Mendelson JH, Greenberg I, et al: Marijuana consumption and tolerance to physiologic and subjective effects. Arch Gen Psychiatry 32: 1548–52, 1975.

    PubMed  CAS  Google Scholar 

  21. Tashkin DP, Shapiro BJ, Lee YE, et al: Effects of smoked marijuana in experimentally induced asthma. Am Rev Respir Dis 112: 377–86, 1975.

    PubMed  CAS  Google Scholar 

  22. Consroe PF, Wood GC, Buchsbaum H: Anti-convulsant nature of marijuana smoking. JAMA 243 (3): 306–7, 1975.

    Article  Google Scholar 

  23. Belmore SM, Miler LL: Levels of processing and acute effects of marijuana on memory. Pharmacol Biochem Behav 13: 199–203, 1980.

    Article  PubMed  CAS  Google Scholar 

  24. McGlothlin WH, West LJ: The marijuana problem: an overview. Am J Psychiatry 125: 370, 1968.

    Google Scholar 

  25. Relman AS: Marijuana and health. N Engl J Med 306: 603–4, 1982.

    Article  PubMed  CAS  Google Scholar 

  26. Linn S, Schoenbaum SC, Monson RR, et al: The association of marijuana use with outcome of pregnancy. Am J Public Health 73: 1161–4, 1983.

    Article  PubMed  CAS  Google Scholar 

  27. Joneja MG: Study of teratological effects of intravenous, subcutaneous, and intragastric administration of delta-9 THC in mice. Toxicol Appl Pharmacol 36: 151–62, 1976.

    Article  PubMed  CAS  Google Scholar 

  28. Vardy MM, Kay SR: LSD psychosis or LSD- induced schizophrenia? Arch Gen Psychiatry 40: 877–84, 1983.

    PubMed  CAS  Google Scholar 

  29. Shick JF, Smith DE: An analysis of the LSD flashback. J Psychedelic Drugs 3: 13–19, 1970.

    Google Scholar 

  30. Ungerleider JT, DeAngelis GC: Hallucinogens. In Lowinson JH, Ruiz P (eds): Substance Abuse: Clinical Problems and Perspectives. Baltimore, Williams & Wilkins, 1981, pp 148–57.

    Google Scholar 

  31. Stillman R, Peterson RC: The paradox of phencyclidine (PCP) abuse. Ann Intern Med 90 (3): 428–30, 1979.

    PubMed  CAS  Google Scholar 

  32. McCarron MM, Schulze BW, Thompson GA, et al: Acute phencyclidine intoxication: incidence of clinical findings in 1000 cases. Ann Emerg Med 10 (5): 237–42, 1981.

    Article  PubMed  CAS  Google Scholar 

  33. Allen RM, Young SJ: Phencyclidine-induced psychosis. Am J Psychiatry 135 (9): 1081–3, 1978.

    PubMed  CAS  Google Scholar 

  34. Kaufman K, Petrucha R, Pitts F, et al: Phencyclidine in umbilical cord blood: preliminary data. Am J Psychiatry 140 (4): 450–2, 1983.

    PubMed  CAS  Google Scholar 

  35. Wetli CV, Wright RK: Death caused by recreational cocaine use. JAMA 241 (23): 2519–22, 1979.

    Article  PubMed  CAS  Google Scholar 

  36. Goldfrank L, Lewin N, Weisman RS: Cocaine. Hosp Physician 5: 26–44, 1981.

    Google Scholar 

  37. Siegel RK: Cocaine hallucinations. Am J Psychiatry 135 (3): 309–14, 1978.

    PubMed  CAS  Google Scholar 

  38. Jaffe JH: Drug addiction and drug abuse. In Gilman AG, Goodman LS, Gilman A (eds): The Pharmacological Basis of Therapeutics. New York, Macmillan, 1980.

    Google Scholar 

  39. American Medical Association: AMA Drug Evaluations, 4th ed. Chicago, AMA, 1980.

    Google Scholar 

  40. Koff RS, Widrich WC, Robbins AH: Necrotizing angiitis in a methamphetamine user with hepatitis B. N Engl J Med 188: 946–7, 1973.

    Article  Google Scholar 

  41. Litt IF, Colli AS, Cohen MI: Diazepam in the management of heroin withdrawal in adolescents: preliminary report. J Pediatr 78 (4): 692–6, 1971.

    Article  PubMed  CAS  Google Scholar 

  42. Gold MS, Pottash AC, Sweeney DR, et al: Opiate withdrawal using Clonidine. JAMA 243 (4): 343–6, 1980.

    Article  PubMed  CAS  Google Scholar 

  43. Schiff BL, Kern AB: Unusual cutaneous manifestations of pentazocine addiction. JAMA 238 (14): 1542–3, 1977.

    Article  PubMed  CAS  Google Scholar 

  44. Johnson RB, Lukash WM: Medical complications of drug abuse. Committee on Alcoholism and Drug Dependence, AMA and Special Action Office for Drug Abuse Prevention. Washington, DC, 1974.

    Google Scholar 

  45. Litt IF, Schonberg SK: Medical complications of drug abuse in adolescents. Med Clin North Am 59 (6): 1445–51, 1975.

    PubMed  CAS  Google Scholar 

  46. Richter RW, Challenor YB, Pearson J: Acute myoglobinuria associated with heroin addiction. JAMA 216: 1172–6, 1971.

    Article  PubMed  CAS  Google Scholar 

  47. Scholes J, Derosena R, Appel GB, et al: Amyloidosis in chronic heroin addicts with the nephrotic syndrome. Ann Intern Med 91: 2629, 1979.

    Google Scholar 

  48. Mendelson JH, Meyer RE, Ellingbor J: Effects of heroin and methadone on plasma Cortisol and testosterone. J Pharmacol Exp Ther 195 (2): 296–302, 1975.

    PubMed  CAS  Google Scholar 

  49. Fricker HS, Segal S: Narcotic addiction, pregnancy and the newborn. Am J Dis Child 132: 360–6, 1978.

    PubMed  CAS  Google Scholar 

  50. Finnegan L : Management of drug dependent women. Problems of Drug Dependence, 1978, Proceedings of the 40th Annual Scientific Meeting. Baltimore, MD, Committee on Problems of Drug Dependence, 1978.

    Google Scholar 

  51. National Institute on Drug Abuse: Inhalants: The Deliberate Inhalation of Volatile Substances. Report Series 30, No. 2. Rockville, MD, NIDA, 1978.

    Google Scholar 

  52. Cohen S: The volatile nitrates. JAMA 241 (19): 2077–8, 1979.

    Article  PubMed  CAS  Google Scholar 

  53. Sigell LT, Kapp FT, Fusaro GA, et al: Popping and snorting volatile nitrates: a current fad for getting high. Am J Psychiatry 135 (10): 1216–18, 1978.

    PubMed  CAS  Google Scholar 

  54. Nicholi AM: The inhalants: an overview. Psychosomatics 24 (10): 914–21, 1983.

    PubMed  Google Scholar 

  55. Bruckner JV, Peterson RG: Toxicology of aliphatic and aromatic hydrocarbons. In Sharp CM, Brehm ML (eds): Review of Inhalants: Euphoria to Dysfunction. Rockville, MD, NIDA, 1977.

    Google Scholar 

  56. Schikler KN, Seitz K, Rice JF, et al: Solvent abuse-associated cortical atrophy. J Adolesc Health Care 3: 37–9, 1982.

    Article  PubMed  CAS  Google Scholar 

  57. Lewis JD, Moritz D, Mellis LP: Long-term toluene abuse. Am J Psychiatry 138 (3): 368–70, 1981.

    PubMed  CAS  Google Scholar 

  58. Towfighi J, Gonatas NK, Pleasure D, et al: Glue sniffer’s neuropathy. Neurology 26 (3): 238–43, 1976.

    PubMed  CAS  Google Scholar 

  59. Ehrenreich T: Renal disease from exposure to solvents. Ann Clin Lab Sci 7 (1): 6–15, 1977.

    PubMed  CAS  Google Scholar 

  60. Schikler KN, Seitz K, Lane EE, et al: Solvent abuse-associated pulmonary abnormalities. Adv Alcohol Substance Abuse 3 (3): 75–81, 1984.

    CAS  Google Scholar 

  61. Holmberg PC: Central nervous system defects in children born to mothers exposed to organic solvents during pregnancy. Lancet 1: 177–9, 1979.

    Article  Google Scholar 

  62. Grant I, Adams KM, Carlin AS: Organic impairment in polydrug users: risk factors. Am J Psychiatry 135 (2): 178–84, 1978.

    PubMed  CAS  Google Scholar 

  63. Amini F, Salasnek S, Burke EL: Adolescent drug abuse: etiological and treatment considerations. Adolescence 11 (42): 281–99, 1976.

    PubMed  CAS  Google Scholar 

  64. Amini F, Zilberg NJ, Burke E, et al: A controlled study of inpatient vs. outpatient treatment of delinquent drug abusing adolescents: one-year results. Compr Psychiatry 23 (5): 436–44, 1982.

    Article  PubMed  CAS  Google Scholar 

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Schrodt, G.R., Schikler, K.N. (1985). Drug and Alcohol Abuse. In: Lavery, J.P., Sanfilippo, J.S. (eds) Pediatric and Adolescent Obstetrics and Gynecology. Clinical Perspective in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5064-7_20

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  • DOI: https://doi.org/10.1007/978-1-4612-5064-7_20

  • Publisher Name: Springer, New York, NY

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