{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T09:07:41Z","timestamp":1788944861806,"version":"build-2803163510"},"reference-count":53,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,2]],"date-time":"2023-04-02T00:00:00Z","timestamp":1680393600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nordic Studies on Alcohol and Drugs"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Aim: Non-medical use of tramadol and other prescription opioid use has become a great concern in many countries, including Sweden. This study examines key components in young people's accounts of attempting to quit drugs, focusing on non-medical use of tramadol. Methods: Repeated qualitative interviews were conducted with 12 individuals aged 19\u201324 years with experiences of problems related to non-medical tramadol use. The analysis used the concepts of autonomy, competence, and relatedness from self-determination theory. Results: Three themes emerged from the young people's accounts: (1) quitting initiated by parents and professionals; (2) being willing, but unable; and (3) between ambivalence and determination. These themes demonstrate conflicting emotions towards drug use along with a significant external pressure to quit, but also difficulties in quitting due to experiences of dependence, withdrawal symptoms, and mental health issues. For most participants, however, an increasing autonomous will and ability to abstain from drugs gradually developed, with the support from trusted relationships with professionals, family, and friends playing a crucial role. Conclusion: The process of trying to quit non-medical tramadol use can be challenging and involve a complex interaction between willingness and capability, where external influence can be either facilitating or hindering. This study highlights the importance of taking into account young people's own perspectives in treatment efforts, where trust is a key component.<\/jats:p>","DOI":"10.1177\/14550725231160330","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T03:03:01Z","timestamp":1680490981000},"page":"355-370","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["\u201cYou get stuck in it\u201d: Young people's accounts of attempting to quit non-medical tramadol use"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8975-2249","authenticated-orcid":false,"given":"Kristin","family":"Arve","sequence":"first","affiliation":[{"name":"Lund University School of Social Work, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,2]]},"reference":[{"key":"bibr1-14550725231160330","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2013.825920"},{"key":"bibr2-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/1609406919874596"},{"key":"bibr3-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/002204260503500202"},{"key":"bibr4-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1159\/000019026"},{"key":"bibr5-14550725231160330","doi-asserted-by":"publisher","DOI":"10.17795\/ajnpp-20314"},{"key":"bibr6-14550725231160330","doi-asserted-by":"publisher","DOI":"10.3109\/00952990.2015.1014959"},{"key":"bibr7-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(03)00022-9"},{"key":"bibr8-14550725231160330","unstructured":"Blomqvist J. (2002).\n                      Att sluta med narkotika\u2013med och utan behandling\n                      . [Quitting drugs \u2013 with and without treatment]. (FoU-rapport 2002: 2).\n                      Socialtj\u00e4nsten i Stockholm: FoU-enheten\n                      ."},{"issue":"3","key":"bibr9-14550725231160330","first-page":"484","volume":"3","author":"Boostani R.","year":"2012","journal-title":"Caspian Journal of Internal Medicine"},{"key":"bibr10-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1081\/ADA-200037556"},{"key":"bibr11-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1508490"},{"key":"bibr12-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.04001.x"},{"key":"bibr13-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1037\/0708-5591.49.1.14"},{"key":"bibr14-14550725231160330","volume-title":"European drug report 2021: Trends and developments","author":"European Monitoring Centre for Drugs and Drug Addiction","year":"2021"},{"key":"bibr15-14550725231160330","unstructured":"Finsam (2019).\n                      Tramadol Maria Malm\u00f6: St\u00f6rsta problemdrogen efter cannabis \u00e4r tramadol \u2013 \u00f6kad f\u00f6rst\u00e5else av ett nytt drogm\u00f6nster p\u00e5 Maria Malm\u00f6. [Tramadol Maria Malm\u00f6: The biggest problem drug after cannabis is tramadol \u2013 increased understanding of a new drug pattern at Maria Malmoe]\n                      . https:\/\/www.finsamimalmo.se\/portals\/finsam\/FinsamDokument\/Slutrapport%20Tramadol%20Maria%20Malm\u00f6%20projektetet.pdf"},{"key":"bibr16-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2012.12.005"},{"key":"bibr17-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.353"},{"key":"bibr18-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2014.12.004"},{"key":"bibr19-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/0891241613520455"},{"key":"bibr20-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2019.07.019"},{"key":"bibr21-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.04.017"},{"key":"bibr22-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2014.10.028"},{"key":"bibr23-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2018.1493462"},{"key":"bibr24-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2022.100446"},{"key":"bibr25-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2020.100272"},{"key":"bibr26-14550725231160330","author":"Hugo M.","year":"2021","journal-title":"Youth Voice Journal"},{"issue":"1","key":"bibr27-14550725231160330","first-page":"137","volume":"7","author":"Hyd\u00e9n M.","year":"2000","journal-title":"Socialvetenskaplig Tidskrift"},{"issue":"1","key":"bibr28-14550725231160330","first-page":"31","volume":"2","author":"Ibrahim A. W.","year":"2017","journal-title":"Advances in Psychology and Neuroscience"},{"key":"bibr29-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/107780040000600306"},{"key":"bibr30-14550725231160330","volume-title":"Alkohol- och narkotikaproblem. [Alcohol and drug problems].","author":"Johnson B.","year":"2017"},{"key":"bibr31-14550725231160330","unstructured":"Kristiansen A. (1999).\n                      Fri fr\u00e5n narkotika: om kvinnor och m\u00e4n som har varit narkotikamissbrukare\n                      . [Free from drugs] [Doctoral dissertation, Ume\u00e5 University]."},{"key":"bibr32-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2016.08.033"},{"key":"bibr33-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1080\/16066350802068847"},{"key":"bibr34-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1080\/1556035X.2015.1089805"},{"key":"bibr35-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2020.1755478"},{"key":"bibr36-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6716929"},{"key":"bibr37-14550725231160330","volume-title":"Handbok i kvalitativa metoder","author":"Rennstam J.","year":"2011"},{"key":"bibr38-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-020-00282-6"},{"key":"bibr39-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7517-10-27"},{"key":"bibr40-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-014-9479-0"},{"key":"bibr41-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1521\/978.14625\/28806"},{"key":"bibr42-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(94)00072-7"},{"key":"bibr43-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/0960327108090270"},{"key":"bibr44-14550725231160330","unstructured":"Sk\u00e5rner A. (2001).\n                      Skilda v\u00e4rldar? En studie av narkotikamissbrukares sociala relationer och sociala n\u00e4tverk\n                      . [Worlds apart? A study of social relationships and social networks among drug addicts]. [Doctoral dissertation, Gothenburg University]."},{"key":"bibr45-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/1748895815599582"},{"key":"bibr46-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.10.015"},{"key":"bibr47-14550725231160330","volume-title":"Missbruk av heroin och andra opioider. [Abuse of heroin and other opioids]","author":"Svensson B.","year":"2018"},{"key":"bibr48-14550725231160330","volume-title":"Handbok i missbrukspsykologi-teori och till\u00e4mpning","author":"Tengstr\u00f6m A.","year":"2012"},{"key":"bibr49-14550725231160330","doi-asserted-by":"publisher","DOI":"10.4135\/9781526405555.n2"},{"key":"bibr50-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2007.02.007"},{"key":"bibr51-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1177\/1468794112439005"},{"key":"bibr52-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2006.01.002"},{"key":"bibr53-14550725231160330","doi-asserted-by":"publisher","DOI":"10.1108\/14439881311314694"}],"container-title":["Nordic Studies on Alcohol and Drugs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14550725231160330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14550725231160330","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14550725231160330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:37:33Z","timestamp":1777696653000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14550725231160330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,2]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/14550725231160330"],"URL":"https:\/\/doi.org\/10.1177\/14550725231160330","relation":{},"ISSN":["1455-0725","1458-6126"],"issn-type":[{"value":"1455-0725","type":"print"},{"value":"1458-6126","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,2]]}}}