Interventions for cannabis use disorder

Winters, Ken C.; Mader, Joel; Budney, Alan J.; Stanger, Catherine; Knapp, Ashley A.; Walker, Denise D.

doi:10.1016/j.copsyc.2020.11.002

Cited by 28 publications

(18 citation statements)

References 54 publications

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“…There are a number of extant clinical interventions that can address the major findings presented here. For instance, although results for CUD interventions using motivational interviewing (MI) alone or a combination of MI and cognitive behavioral therapy have been minimally effective at best (SAMHSA, 2019b), it may be worth trialing motivational enhancement therapy (MET) interventions, which has been identified as a “gold standard” for CUD treatment (Budney et al, 2007; Fadus et al, 2019; Hogue et al, 2018; Winters et al, 2021). MET interventions utilize MI in concert with personalized feedback incorporating norms-based data and individual risk factors to guide a person toward change consistent with their values and goals.…”

Section: Discussionmentioning

confidence: 99%

Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

Petros¹,

Walker²,

Davis³

et al. 2022

Psychiatric Rehabilitation Journal

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Objective: Young adults experiencing a first episode of psychosis (FEP) have high rates of cannabis use and cannabis use disorder (CUD). No evidence-based practice effectively treats CUD for people with FEP, and little is known about factors that influence intentions to reduce or stop using. A critical inquiry was conducted to identify salient factors contributing to intentions of young adults with FEP to reduce or discontinue cannabis use, guided by theory of planned behavior (TPB). Method: Online focus groups (n = 3) and individual interviews (n = 3) were conducted with 16 young adults with FEP (mean age of 23.7) and historical cannabis use (averaging 11.8 days of use in the previous 30). A content analysis was conducted to sort data into TPB constructs, and a thematic analysis was subsequently performed to identify the breadth of themes. Results: Participants identified benefits of cannabis reduction and cessation for pursuing life goals, but most maintained regular use. Participants perceived cannabis as a facilitator of social interactions, enjoyable activities, and improved mental health (and reduced dysthymia). Many were concerned about reducing or discontinuing cannabis without replacement strategies to compensate for its benefits. Conclusions and Implications for Practice: In spite of life goals incompatible with cannabis use, cessation was not favored given the perceived benefits of cannabis and participants’ lack of replacement strategies to facilitate social interactions, enjoyable activities, and euthymia. Interventions may be improved by addressing motivations for use and by teaching skills to build positive social support, schedule enjoyable activities, and ameliorate dysthymia.

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Section: Discussionmentioning

confidence: 99%

Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

Petros¹,

Walker²,

Davis³

et al. 2022

Psychiatric Rehabilitation Journal

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“…[4][5][6] Effective interventions addressing cannabis use disorders include contingency management, cognitive-behavior therapy, and motivational enhancement. [7][8][9][10] These interventions have consistently produced improvements in abstinence or reduction in use. [8][9][10] However, these interventions can be resource intensive, requiring monetary commodities for incentives, 11 or specialized therapists to implement.…”

Section: Introductionmentioning

confidence: 99%

“…Brief interventions to address cannabis use in nontreatment-seeking adolescents (e.g., brief in-person or phone sessions, ecological momentary assessment interviews) have resulted in reduced cannabis use, fewer cannabis problems, and fewer cannabis use disorder symptoms, maintained at one year. 7,[12][13][14][15] Although brief interventions have demonstrated initial positive results, effects have been small. 7,16 Moreover, cannabis abstinence may not be the primary goal for young adults, consistent with low desire to quit cannabis in this population.…”

Section: Introductionmentioning

confidence: 99%

“…7,[12][13][14][15] Although brief interventions have demonstrated initial positive results, effects have been small. 7,16 Moreover, cannabis abstinence may not be the primary goal for young adults, consistent with low desire to quit cannabis in this population. 17 Cannabis tolerance breaks, or T-breaks, have gained popularity online as a way to use cannabis responsibly, as suggested by posts within a sub-Reddit community with over 99,000 adult members.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Utility of a Structured Guide for Cannabis Tolerance Breaks in Young Adults

Fontana

Schulz

Budney

et al. 2022

Preprint

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Objective: To explore the feasibility and utility of a tolerance break (T-Break) guide on young adults' cannabis use. Participants: Young adults aged 18-29 (n=125) who were current cannabis users. Methods: Participants recruited through posters and listservs at various universities were offered the T-Break Guide (daily activities, advice, and encouragement) to help complete a 21-day cannabis break. Bivariate analyses examined associations between Guide use and follow-up measures. Results: Compared to non-Guide users, participants who used the Guide "a lot" were more likely to complete the 21-day abstinence break (84% vs. 57%), revise their personal definition of balance to mean less cannabis (84% vs. 62%), and plan a future break (32% vs. 11%). Conclusion: Use of this self-directed Guide may help young adults take a break from cannabis use and reduce future use. Further research using more rigorous designs to test the Guide's efficacy and assess longer-term maintenance of effects is needed.

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“…An estimated 9% of individuals that use cannabis will develop a cannabis use disorder (CUD) [ 2 ]. CUD ranges from mild to severe, with signs of continued and even compulsive use, despite negative consequences [ 3 ]. The European Monitoring Center for Drugs and Drug Addiction (EMCDDA) has expressed a growing concern about the availability of high-potency products: cannabis resin sold in Europe has an average tetrahydrocannabinol content of 20% to 28%, almost twice that of herbal cannabis [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Successful outcomes with low–threshold intervention for cannabis use disorders in Norway - an observational study

Vederhus

Rørendal²,

Skårdal³

et al. 2022

PLoS ONE

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Aims Cannabis is the most commonly used regulated drug by European youths. Yet, few cannabis-specific interventions have been examined in Europe. The Cannabis Cessation Program (CCP) was developed in Sweden in the 1990s and has been implemented in some Norwegian municipalities. The present study aimed to examine outcomes of this intervention in the Norwegian setting. Method The respondents (N = 102) were recruited in four community-based CCPs in Norway. We examined their changes in cannabis use, other substance use, mental distress, well-being, sense of coherence (SoC), and social networks, from baseline (T0) to post-treatment (T1) and up to a 3-month follow-up period (T2). Changes were evaluated with pair-wise t-tests. Result Seventy-six participants (75%) completed the 8-week program, according to plan. All participants reported a significant reduction in cannabis use at T1 (average reduction ~16 days per month) and at T2 (N = 59; ~13 days per month). Among those that completed the program, 67% was abstinent from cannabis at T1 and 37% was abstinent at T2. An intention-to-treat analysis showed that 50% (51/102) and 22% (22/102) were abstinent from cannabis use at T1 and T2, respectively. In parallel to abstinence, we observed a substantial reduction in mental distress and an increase in well-being and SoC. Respondents socialized with fewer friends with current substance use, but drug-free social networks were not expanded. Conclusion Our findings suggested that the CCP was a valuable, low-threshold manual-based intervention for cannabis use disorders. It showed considerable potential for reducing individuals’ cannabis use. Clinical trial registration Clinicaltrials.gov no. NCT04989205. Registered 12 July 2021, i.e., the study was retrospectively registered.

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Interventions for cannabis use disorder

Cited by 28 publications

References 54 publications

Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

Feasibility and Utility of a Structured Guide for Cannabis Tolerance Breaks in Young Adults

Successful outcomes with low–threshold intervention for cannabis use disorders in Norway - an observational study

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