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. Author manuscript; available in PMC: 2024 Mar 11.
Published in final edited form as: Am J Drug Alcohol Abuse. 2022 Jun 29;48(6):684–694. doi: 10.1080/00952990.2022.2083967

Table 2.

Factors reported as motivating kratom use (N = 129).

N % M (SD)
Just to feel less crappy in general and improve quality of life. 86 66.7 74.2 (±21.9)
Self-treat anxiety symptoms. 69 53.5 69.4 (±22.9)
Address occasional feelings of sleepiness or low energy. 65 50.4 78.0 (±21.2)
Relieve short-term pain (acute pain management) 64 49.6 71.9 (±22.1)
For recreation, fun, or to relax. 63 48.8 72.4 (±24.6)
Boost energy, stamina and/or endurance (for work, exercise). 62 48.1 77.1 (±21.8)
Reduce social anxiety. 60 46.5 75.8 (±17.4)
Self-treat depression symptoms. 54 41.8 66.6 (±22.7)
Self-treat long-term pain issues and symptoms (chronic pain management) 46 35.7 72.1 (±21.6)
Kratom is safer than other substances. 43 33.3 90.4 (±11.2)
To achieve a euphoric high. 39 30.2 70.9 (±22.3)
As a short-term substitute/replacement for opioids (prescription opioids, heroin). 32 24.8 66.7 (±27.1)
Couldn’t get a hold of other, more preferred drugs. 31 24.0 75.4 (±24.4)
Self-treat headaches/migraines. 31 24.0 65.3 (±22.9)
Relieve withdrawal symptoms from nonprescribed opioids or heroin 25 19.4 72.2 (±25.1)
Self-treat chronic fatigue syndrome. 25 19.4 72.7 (±24.4)
As a short-term substitute/replacement for alcohol. 24 18.6 66.3 (±21.9)
Doctors won’t prescribe you the drugs you need. 24 18.6 82.3 (±19.8)
Self-treat attention deficit/hyperactivity disorder symptoms. 24 18.6 61.6 (±24.4)
Self-treat post-traumatic stress symptoms. 23 17.8 61.9 (±28.3)
As a long-term substitute/replacement for opioids (prescription opioids, heroin). 21 16.3 74.6 (±24.9)
Relieve withdrawal symptoms from medically prescribed opioids 20 15.5 74.2 (±22.8)
To take as part of a self-designed “stack” of other drugs that help you feel good. 18 14.0 69.4 (±21.6)
Because you prefer the kratom “high” to “highs” you get from other drugs. 16 12.4 78.0 (±21.7)
To believe withdrawal symptoms from a variety of different drugs. 14 10.9 71.9 (±25.7)
As a short-term substitute/replacement for stimulants (meth, cocaine) 13 10.1 72.4 (±28.9)
Self-treat irritable bowel syndrome. 13 10.1 77.1 (±18.6)
As a long-term substitute/replacement for alcohol. 10 7.8 75.8 (±24.7)
Self-treat bipolar symptoms. 10 7.8 66.6 (±26.1)
Relieve alcohol withdrawal symptoms 8 6.2 72.1 (±29.7)
Relieve withdrawal symptoms for nonprescribed buprenorphine (Suboxone, Subutex) 7 5.4 90.4 (±15.3)
Relieve withdrawal symptoms from nonprescribed or prescribed methadone 6 4.7 63.6 (±6.2)
As a long-term substitute/replacement for buprenorphine (Suboxone, Subutex) 5 3.9 70.9 (±16.0)
As a long-term substitute/replacement for stimulants (meth, cocaine) 4 3.1 66.7 (±6.9)
Relieve withdrawal symptoms from “nootropics” or cognitive-enhancing supplements. 4 3.1 75.4 (±13.7)
Relieve withdrawal symptoms from prescribed buprenorphine (Suboxone, Subutex) 4 3.1 72.2 (±3.1)
As a short-term substitute/replacement for buprenorphine (Suboxone, Subutex) 3 2.3 72.7 (±14.0)
As a short-term substitute/replacement for methadone. 3 2.3 66.3 (±13.1)
As a long-term substitute/replacement for methadone. 3 2.3 82.3 (±4.5)
Difficulties obtaining buprenorphine (Suboxone, Subutex) or methadone. 3 2.3 61.6 (±8.5)
1

Respondents were instructed to select all that applied; all but 1 respondent selected more than one use motivation.