Course of comorbidity of tobacco and marijuana use: Psychosocial risk factors

Brook, Judith S.; Lee, Jung Yeon; Finch, Stephen J.; Brown, Elaine N.

doi:10.1093/ntr/ntq027

Cited by 30 publications

(36 citation statements)

References 33 publications

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“…For example, similar individual-level characteristics (i.e., externalizing and internalizing) were found to be predictive of joint trajectories of chronic tobacco and marijuana use. 63 These findings are consistent with other reports documenting high levels of comorbidity among different substance use disorders (SUDs). In addition, it is well known that SUDs are frequently comorbid with other psychiatric conditions such as bipolar disorder, 64 schizophrenia, and eating disorders.…”

Section: Resultssupporting

confidence: 91%

Addiction as a Systems Failure: Focus on Adolescence and Smoking

Baler¹,

Volkow²

2011

Journal of the American Academy of Child & Adolescent Psych

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Objective Scientific advances in the field of addiction have forever debunked the notion that addiction reflects a character flaw under voluntary control, demonstrating instead that it is a bona fide disease of the brain. The aim of this review is to go beyond this consensus understanding and explore the most current evidence regarding the vast number of genetic, developmental, and environmental factors whose complex interactions modulate addiction risk and trajectory. Method Focusing on childhood and adolescent smoking as a paradigm, we review the important risk factors for the development of addictions, starting at the level of genetics and closing with a focus on sociocultural and policy factors. Results A critical review of the pertinent literature provides a detailed view of the cumulative power of risk and protection factors across different phenomenological levels to modulate the risk of undesirable outcomes, particularly for young people. The result represents a compelling argument for the need to engage in comprehensive, multilevel approaches to promoting health. Conclusions Today, the field of medicine understands more about disease than about health; however it need not be that way. The view of drug addiction as a systems failure should help refocus our general approach to developing dynamic models and early comprehensive interventions that optimize the ways in which we prevent and treat a complex, developmental disorder such as drug addiction.

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Section: Resultssupporting

confidence: 91%

Addiction as a Systems Failure: Focus on Adolescence and Smoking

Baler¹,

Volkow²

2011

Journal of the American Academy of Child & Adolescent Psych

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“…Jackson, Sher, & Schulenberg (2008) discerned seven comorbid trajectory groups of tobacco and marijuana use (including abstainers) from late adolescence to young adulthood, and identified psychosocial factors, such as delinquency, which were related to trajectory group membership. Brook, Lee, Finch, & Brown (2010) found that greater emotional and behavioral problems, as well as deviant peer affiliations, were each associated with the heaviest comorbid cigarette and marijuana use group, among African Americans and Puerto Ricans.…”

Section: Introductionmentioning

confidence: 91%

Maternal predictors of comorbid trajectories of cigarette smoking and marijuana use from early adolescence to adulthood

Brook

Rubenstone

Zhang

et al. 2012

Addictive Behaviors

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This is the first study to examine maternal predictors of comorbid trajectories of cigarette smoking and marijuana use from adolescence to adulthood. Participants (N=806) are part of an on-going longitudinal psychosocial study of mothers and their children. Mothers were administered structured interviews when participants were adolescents, and participants were interviewed at six time waves, from adolescence to adulthood. Mothers and participants independently reported on their relationship when participants were X̄ age 14.1 years. At each time wave, participants answered questions about their cigarette and marijuana use since the previous wave to the present. Latent growth mixture modeling determined the participants’ membership in trajectory groups of comorbid smoking and marijuana use, from X̄ ages 14.1 to 36.6 years. Multivariate logistic regression was used to assess the association of maternal factors (when participants were adolescents) with participants’ comorbid trajectory group membership. Findings showed that most maternal risk (e.g., mother-child conflict, maternal smoking) and protective (e.g., maternal affection) factors predicted participants’ membership in trajectory groups of greater and lesser comorbid substance use, respectively. Clinical implications include the importance of addressing the mother-child relationship in prevention and treatment programs for comorbid cigarette smoking and marijuana use.

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“…Studies that have addressed these relationships between the trajectories use of one substance to trajectories of use of another have primarily focused on comorbidity with alcohol use (30, 36). Jackson, Sher, and Schulenberg (37) and Brook, Lee, Finch and Brown (38) are among the few research groups to have examined comorbid trajectories of tobacco and marijuana use. Jackson and colleagues identified seven comorbid trajectory pairs, while Brook and colleagues identified four.…”

Section: Introductionmentioning

confidence: 99%

Comorbid Trajectories of Tobacco and Marijuana Use as Related to Psychological Outcomes

et al. 2012

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Heterogeneous classes of comorbid trajectories of tobacco and marijuana use were examined in order to determine how they are related to subsequent antisocial behavior, poor self control and internalizing behavior. Data are from a four-wave longitudinal study of African American (n=243) and Puerto Rican (n=232) adolescents and adults in the community. Logistic regression analyses were employed to measure the association between the comorbid trajectories of tobacco and marijuana use and the psychological difficulty variables. We found six joint trajectory groups. We compared the non-or-experimental tobacco/marijuana use group with the other user groups in each of the psychological difficulty domains. The infrequent tobacco/late onset marijuana use and chronic tobacco/marijuana use groups differed most strongly from the non-or-experimental tobacco/marijuana use group across the antisocial behavior, poor self control, and internalizing problems domains. The chronic tobacco/maturing out marijuana use group also had significant associations in each of these domains. The infrequent tobacco/marijuana use and late onset tobacco/infrequent marijuana use groups had no or weak associations with the psychological outcomes. Tobacco and marijuana cessation programs should identify and address comorbid use of tobacco and marijuana, and antisocial behavior, poor self control, and internalizing problems, which are associated with histories of comorbid use of the two substances.

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Course of comorbidity of tobacco and marijuana use: Psychosocial risk factors

Cited by 30 publications

References 33 publications

Addiction as a Systems Failure: Focus on Adolescence and Smoking

Addiction as a Systems Failure: Focus on Adolescence and Smoking

Maternal predictors of comorbid trajectories of cigarette smoking and marijuana use from early adolescence to adulthood

Comorbid Trajectories of Tobacco and Marijuana Use as Related to Psychological Outcomes

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