PMID- 23651221 OWN - NLM STAT- MEDLINE DCOM- 20140325 LR - 20151119 IS - 1360-0443 (Electronic) IS - 0965-2140 (Linking) VI - 108 IP - 9 DP - 2013 Sep TI - 'Ecstasy' and the use of sleep medications in a general community sample: a 4-year follow-up. PG - 1640-8 LID - 10.1111/add.12200 [doi] AB - AIMS: Animal models show that a single dose of 3,4-methylenedioxymethamhetamine (MDMA; 'ecstasy') can result in long-term disruption of sleep. We evaluated the relationship between ecstasy consumption and the use of sleep medications in humans after controlling for key factors. DESIGN: The Personality and Total Health Through Life project uses a longitudinal cohort with follow-up every 4 years. This study reports data from waves 2 and 3. SETTING: Participants were recruited from the electoral roll in the Australian Capital Territory and Queanbeyan, New South Wales, Australia. PARTICIPANTS: Participants were aged 20-24 years at wave 1 (1999-2000). MEASURES: The study collected self-reported data on ecstasy, meth/amphetamine, cannabis, alcohol, tobacco and use of sleeping medications (pharmaceutical or other substances). Depression was categorized using the Brief Patient Health Questionnaire (BPHQ). Other psychosocial measures included life-time traumas. We used generalized estimating equations to model outcomes. FINDINGS: Ecstasy data were available from 2128 people at wave 2 and 1977 at wave 3: sleeping medication use was reported by 227 (10.7%) respondents at wave 2 and 239 (12.1%) at wave 3. Increased odds ratios (OR) for sleeping medication use was found for those with depression [OR = 1.88, 95% confidence interval (CI): 1.39, 2.53], women (OR = 1.44, 95% CI: 1.13, 1.84), and increased by 19% for each life-time trauma. Ecstasy use was not a significant predictor, but >/=monthly versus never meth/amphetamine use increased the odds (OR = 3.03, 95% CI 1.30, 7.03). CONCLUSION: The use of ecstasy appears to be associated with the use of sleeping medications but this association can be accounted for by other factors. CI - (c) 2013 Society for the Study of Addiction. FAU - Tait, Robert J AU - Tait RJ AD - Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia. robert.tait@curtin.edu.au FAU - George, Amanda AU - George A FAU - Olesen, Sarah AU - Olesen S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130507 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Hallucinogens) RN - 0 (Hypnotics and Sedatives) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Amphetamine-Related Disorders/*complications MH - Australian Capital Territory MH - Female MH - Follow-Up Studies MH - Hallucinogens/*adverse effects MH - Humans MH - Hypnotics and Sedatives/*therapeutic use MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - New South Wales MH - Sleep Wake Disorders/*chemically induced/drug therapy MH - Young Adult OTO - NOTNLM OT - 3,4-Methylenedioxymethamphetamine (MDMA) OT - cohort OT - ecstasy OT - general community sample OT - longitudinal OT - meth/amphetamine EDAT- 2013/05/09 06:00 MHDA- 2014/03/26 06:00 CRDT- 2013/05/09 06:00 PHST- 2012/10/09 00:00 [received] PHST- 2012/12/17 00:00 [revised] PHST- 2013/03/21 00:00 [accepted] PHST- 2013/05/09 06:00 [entrez] PHST- 2013/05/09 06:00 [pubmed] PHST- 2014/03/26 06:00 [medline] AID - 10.1111/add.12200 [doi] PST - ppublish SO - Addiction. 2013 Sep;108(9):1640-8. doi: 10.1111/add.12200. Epub 2013 May 7.