High‐frequency use of over‐the‐counter analgesics among adolescents: reflections of an emerging difficult life, a cross‐sectional study

Skarstein, Siv; Rosvold, Elin Olaug; Helseth, Sølvi; Kvarme, Lisbeth Gravdal; Holager, Tanja; Småstuen, Milada Cvancarova; Lagerløv, Per

doi:10.1111/scs.12039

Cited by 40 publications

(41 citation statements)

References 36 publications

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“…The CASP score for these ten studies ranges from five to nine for the six quantitative studies and from seven to nine for the four qualitative studies. Two articles Holager, Lagerløv, Helseth, and Rosvold () and Skarstein et al () are from the same data collection.…”

Section: Resultsmentioning

confidence: 99%

“…Holmström et al () also concluded that both parents and peers strongly influence adolescents’ use of OTCAs. Frequent pain from several part of the body, reduced self‐esteem, lack of sleep, school free time, frequent use of caffeine and alcohol were associated with use of OTCAs (Skarstein et al, ). Adolescents’ pain experiences and approaches towards handling pain were predictors for their use of OTCAS (Lagerlöv, Rosvold, Holager, & Helseth, ).…”

Section: Resultsmentioning

confidence: 99%

“…Holmström et al (2014) also concluded that both parents and peers strongly influence adolescents' use of OTCAs. Frequent pain from several part of the body, reduced selfesteem, lack of sleep, school free time, frequent use of caffeine and alcohol were associated with use of OTCAs (Skarstein et al, 2014).…”

Section: Predictors For Use Of Otcasmentioning

confidence: 99%

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How do parents influence their adolescents’ use of over‐the‐counter analgesics: A review of the current literature

Skarstein

Lagerløv

Helseth

et al. 2019

Journal of Clinical Nursing

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Aim and objectives Continuous use of over‐the‐counter analgesics (OTCAs) may prevent adolescents from learning healthier options and might lead to lifelong use of such medicines. It is possible that parents’ own use of OTCAs might influence adolescents, but little is known about this issue. Our research questions were; “What are the main factors leading to a high use of OTCAs among adolescents and how can health professionals support these adolescents in their pain management?” Background Frequent consumption of OTCAs may cause health problems such as drug‐induced headache and liver failure. Some adolescents frequently use non‐prescribed pain medication and their attitudes towards the use of OTCAs vary from responsible to careless. Design A “systematic search and review” was conducted between March 2017 and May 2018. Quantitative and qualitative studies were included. Methods We used the PRISMA Statement checklist, the PRISMA flow diagram and The Critical Appraisal Skills Programme for quality appraisal. Our search identified 3,386 possible sources, 2,043 articles were selected for title examination, and 70 articles underwent abstract review. Fourteen articles were reviewed entirety. Ten articles were of acceptable quality. Results The importance of parental influence on adolescent use of OTCAs is significant. These findings seem to be independent of country and culture. Conclusion Parents are the most important source of information regarding the use of OTCAs; further, they are the main supplier of the medicine. A broad understanding of human development, health, pain and use of pain medication is needed to develop targeted information and support adolescents with high consumption of non‐prescription pain medication. Relevance to clinical practice Information from professionals such as school nurses is important. Professionals must consider the physical, social and psychological aspects influencing the use of OTCAs. Information should be made available to adolescents, parents and society in general.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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How do parents influence their adolescents’ use of over‐the‐counter analgesics: A review of the current literature

Skarstein

Lagerløv

Helseth

et al. 2019

Journal of Clinical Nursing

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“…It has been stated in the literature that adolescents with authoritarian parents have decreased academic self‐esteem and family self‐esteem compared with adolescents with indulgent parents (Martinez & Garcia, ). In an earlier study, we found that adolescents with high use of OTCAs had lower self‐esteem and lower ambition for future education than did adolescents who seldom or never use OTCAs (Skarstein et al., ).…”

Section: Discussionmentioning

confidence: 82%

“…OTCA drug misuse is a global health challenge (Conca & Worthen, 2012;Groenewald, Essner, Wright, Fesinmeyer, & Palermo, 2014;Lessenger & Feinberg, 2008). High use of OTCAs among youth is associated with frequent pain from various parts of the body, reduced sleep, more part-time work and lower selfesteem (Skarstein et al, 2014). Continuous use of OTCAs to combat pain and to avoid stress can keep adolescents from learning healthier coping strategies.…”

Section: Introductionmentioning

confidence: 99%

Pain and development of identity in adolescents who frequently use over‐the‐counter analgesics: A qualitative study

Skarstein

Lagerløv

Kvarme

et al. 2018

Journal of Clinical Nursing

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Pain among adolescents may be amplified by a difficult family situation and insecure relationships with peers. Strategies within the family may sustain pain as a shared project keeping the adolescent and main caregiver close together, and this might be hampering identity development. To help adolescents with pain and high consumption of over-the-counter analgesics, the adolescents' relationship with parents must be considered in designing an intervention. Guidance on pain assessment, pain management, including appropriate use of over-the-counter analgesics, should be included.

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Temporomandibular pain and quality of life assessment in adolescents in a Norwegian cohort

Dahl

Bergem

Bjørnland

et al. 2023

Clinical & Exp Dental Res

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Objective: The objective was to examine the prevalence of pain from the face and temporomandibular joint (TMJ) and oral function in adolescents and contribute to more focus on this patient group.Methods: A total of 957 adolescents were included in this study, in age cohorts 18, 16, and 14, scheduled for a dental recall examination. Clinical data were collected as a part of the routine clinical examination. All participants also answered a survey.Results: Almost half of the participants had experienced facial pain in the last 3 months, headache being the most prevalent site reported. A significantly higher prevalence was found for females for all pain sites, and facial pain was significantly higher among the oldest. A reduced maximal incisal opening was significantly associated with higher reported facial/jaw pain, with increased mouth opening pain and chewing pain. Fifty-seven percent of the participants reported the use of nonprescription painkillers, highest among females, and in the oldest age cohort, mainly caused by nonfeverish headaches. General health was found to be negatively correlated to facial pain, headache, pain intensity, and duration, pain upon oral function, and oral movement, as well as the use of nonprescriptive drugs. Females in the older age group, experience less quality of life in general, as they felt more worried, anxious, lonely, and sad, compared to males. Conclusion:Facial-and TMJ pain was higher in females, and higher with increasing age. Almost half of the participants had experienced facial pain in the last 3 months, headache being the most prevalent site reported. General health was found to be negatively correlated to facial pain.

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High‐frequency use of over‐the‐counter analgesics among adolescents: reflections of an emerging difficult life, a cross‐sectional study

Cited by 40 publications

References 36 publications

How do parents influence their adolescents’ use of over‐the‐counter analgesics: A review of the current literature

How do parents influence their adolescents’ use of over‐the‐counter analgesics: A review of the current literature

Pain and development of identity in adolescents who frequently use over‐the‐counter analgesics: A qualitative study

Temporomandibular pain and quality of life assessment in adolescents in a Norwegian cohort

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