Antecedents and consequences of cannabis use among racially diverse cannabis users: an analysis from Ecological Momentary Assessment.

Abstract:

BACKGROUND:Cannabis remains the most commonly used illicit substance and use rates are rising. Notably, the prevalence of cannabis use disorders (CUD) nearly equals that of other illicit substance use disorders combined. Thus, the present study aimed to identify cognitive, affective, and situational predictors and consequences of ad-lib cannabis use in a racially diverse sample. METHODS:The sample consisted of 93 current cannabis users (34.4% female; 57.1% non-Hispanic Caucasian), 87.1% of whom evinced a current CUD. Ecological Momentary Assessment was used to collect frequent ratings of cannabis withdrawal, craving, affect, cannabis use motives, and peer cannabis use over two weeks. Mixed effects linear models examined within- and between-day correlates and consequences of cannabis use. RESULTS:Withdrawal and craving were higher on cannabis use days than non-use days. Withdrawal, craving, and positive and negative affect were higher immediately prior to cannabis use compared to non-use episodes. Withdrawal and craving were higher among those who subsequently used cannabis than those who did not. Cannabis use resulted in less subsequent withdrawal, craving, and negative affect. Enhancement and coping motives were the most common reasons cited for use. Withdrawal and negative affect were related to using cannabis for coping motives and social motives. Participants were most likely to use cannabis if others were using, and withdrawal and craving were greater in social situations when others were using. CONCLUSIONS:Data support the contention that cannabis withdrawal and craving and affect and peer use play important roles in the maintenance of cannabis use.

journal_name

Drug Alcohol Depend

authors

Buckner JD,Zvolensky MJ,Crosby RD,Wonderlich SA,Ecker AH,Richter A

doi

10.1016/j.drugalcdep.2014.12.022

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

20-5

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(14)02002-X

journal_volume

147

pub_type

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