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The Role of MDMA (Ecstasy) in Coping with Negative Life Situations Among Urban Young Adults

Lwendo S. Moonzwe, Jean J. Schensul, Kristin M. Kostick

Journal of Psychoactive Drugs July 1, 2011 DOI: 10.1080/02791072.2011.605671 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Population Urban youth
Topics MDMA
Citations 21
Key findings Urban youth without a diagnosed mental illness are more likely than diagnosed and treated youth to use Ecstasy to cope with situational stress and lifetime trauma; diagnosed and treated youth do not choose Ecstasy for psychological stress mediation.

Abstract

This article examines the role of Ecstasy (MDMA or 3, 4-methylenedioxymethamphetamine) as a drug used for self-medication and coping with both short- and long-term negative life situations. We show that urban youth who do not have a specific diagnosed mental illness are more likely than those who have been diagnosed and have received treatment to use Ecstasy to cope with both situational stress and lifetime trauma. Diagnosed and treated youth sometimes self-medicate with other drugs, but do not choose Ecstasy for mediation of their psychological stress. We discuss the implications of self-medication with Ecstasy for mental health services to urban youth experiencing mental health disparities, and for the continued testing and prescription of MDMA for therapeutic use in controlled clinical settings.

Comparable studies

Other qualitative studies on MDMA, most cited first.

Study Year Design Participants
Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use Psychiatrists who had taken MDMA 1992 Qualitative study n = 20
MDMA and Sexual Behavior: Ecstasy Users' Perceptions About Sexuality and Sexual Risk Current and former users of MDMA 2005 Qualitative study n = 98
Perceived Benefits of MDMA-Assisted Psychotherapy beyond Symptom Reduction: Qualitative Follow-Up Study of a Clinical Trial for Individuals with Treatment-Resistant PTSD Veterans, firefighters, and police officers with chronic, treatment-resistant PTSD 2019 Qualitative study using interpretative phenomenological analysis n = 19
Negative Experiences on Ecstasy: The Role of Drug, Set, and Setting Current or former users of Ecstasy 2002 Qualitative study n = 98
A Qualitative Exploration of Relational Ethical Challenges and Practices in Psychedelic Healing Practitioners who have administered MDMA and psilocybin to clients in underground... 2021 Qualitative study n = 23

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