Clinical course and treatment interventions for adolescents who vaped during the COVID-19 pandemic

BMJ Case Rep. 2023 Nov 6;16(11):e255844. doi: 10.1136/bcr-2023-255844.

Abstract

Vaping nicotine and marijuana have been increasing among adolescents in the past 5 years. Tetrahydrocannabinol is the psychoactive cannabinoid in marijuana. The COVID-19 pandemic created gaps in healthcare access and visits, making it difficult to collect accurate data on adolescent vaping, willingness to quit and methods used to quit. In addition, the literature lacks information regarding effective evidence-based treatment measures for adolescents who vape. In this report, we seek to address this using two patient cases and detailing the interventions a managed care organisation enacted during this timeframe. Our investigation revealed a relationship between social stressors and vaping among teens. Addressing these underlying stressors and eliciting and treating mental health symptoms and polysubstance use appears to be critical to curbing vaping.

Keywords: Child and adolescent psychiatry (paediatrics); Drugs misuse (including addiction); Medical management; Paediatric prescribing; Smoking and tobacco.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • COVID-19*
  • Cannabis*
  • Disease Progression
  • Electronic Nicotine Delivery Systems*
  • Humans
  • Nicotine
  • Pandemics
  • Vaping* / psychology

Substances

  • Nicotine