Seguimento por cinco anos de uma amostra de usuários de ecstasy (MDMA)

Ecstasy (MDMA) is an important neurotoxic agent. Its use is described as a youth-limited phenomenon. The aims were to determine the natural course of ecstasy use within a five year timeframe in a sample of Brazilian young adults and to assess changes in ecstasy use patterns. Interviews took place in...

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Bibliographic Details
Author: Battisti, Murilo Campos [UNIFESP]
Format: doctoral thesis
Status:Published version
Publication Date:2009
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:Portuguese
OAI Identifier:oai:repositorio.unifesp.br:11600/10070
Online Access:http://repositorio.unifesp.br/handle/11600/10070
Access Level:Open access
Keyword:Longitudinal studies
Hallucinogens
Substance-related disorders
N-Methyl-3,4-methylenedioxyamphetamine
N-Metil-3,4-metilenodioxianfetamina
Alucinógenos
Estudos longitudinais
Transtornos relacionados ao uso de substâncias
Description
Summary:Ecstasy (MDMA) is an important neurotoxic agent. Its use is described as a youth-limited phenomenon. The aims were to determine the natural course of ecstasy use within a five year timeframe in a sample of Brazilian young adults and to assess changes in ecstasy use patterns. Interviews took place in two waves: 2001 in São Paulo and in 2005/06. Data collection occurred through semi-structured interviews. The DSM-IV was used to assess ecstasy dependence. Qualitative method was utilized during the baseline sample (n=32) and the follow-up sample (n=21). All interviews were fully recorded, transcribed and interpreted though content analysis. Subjects’ average age was 24.8 years in the baseline group and 28.7 years in the follow-up. Three scenarios emerged: (A) the transient use group (n=14) either quit using ecstasy or cut down use significantly; (B) the long term habitual use (n=06) group maintained or cut down slightly on MDMA use; (C) the compulsive use group (n=01) increased ecstasy use by more than 50% over the course of the study. As ecstasy use shifts occurred, alcohol and marijuana consumption remained unaltered. Four respondents reported increases in cocaine use, and six subjects mentioned initiation in crystal methamphetamine use. For a group of respondents ecstasy use was a transient phenomenon. For another group of subjects MDMA use manifested as a lasting experience.