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Prevalence, Characteristics, and Reasons for Kratom Use among Psychiatrically Ill Inpatients Who Use Substances
Cornel N Stanciu1, Saeed Ahmed2, Zouina Sarfraz3
1Director of Addiction Services, New Hampshire Hospital, Concord, New Hampshire, USA.
Journal of Dual Diagnosis
|December 28, 2023
Summary
Kratom use is prevalent in psychiatric patients, often for managing opioid cravings and mood. A study found a link between kratom use and higher education, but more research is needed.
Area of Science:
- Psychiatry
- Addiction Medicine
- Neuropharmacology
Background:
- Kratom (Mitragyna speciosa) impacts neurobiological systems relevant to psychiatric disorders.
- Limited data exists on kratom use prevalence in severe psychiatric populations.
Purpose of the Study:
- Investigate kratom use prevalence among inpatients with severe psychiatric disorders.
- Determine patient motivations for kratom use.
- Examine clinical associations with kratom consumption.
Main Methods:
- Evaluated 578 inpatients (aged 18-65) at New Hampshire Hospital.
- Collected demographic data and assessed kratom usage.
- Employed chi-square tests, multivariable logistic regression, and ROC analysis.
Main Results:
- 2.2% of patients reported kratom use.
- Motivations included managing withdrawal, maintaining sobriety, improving focus, alleviating low moods, and pain management.
- Postsecondary education showed a fair to good association with kratom use (AUC = 0.77).
Conclusions:
- Kratom use prevalence in this psychiatric cohort mirrors general population rates.
- Patients use kratom for self-managing cravings, sobriety, and mood.
- Potential associations with education and substance use require cautious interpretation pending further research.
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