Rationale
Advancing marijuana prevention and intervention efforts is important
given decreasing perception of harm among adolescents and increasing
marijuana legalization.
Objectives
This study evaluates how a monitored abstinence protocol may
contribute to emotional functioning and changes in marijuana problems that
can enhance successful outcomes for non-treatment seeking adolescent
marijuana users.
Methods
Adolescent marijuana users (n=26) and
demographically matched controls (n=30) completed
28-days of monitored abstinence confirmed by bi-weekly urine toxicology.
Participants were given measures of emotional functioning, marijuana use
symptoms, and reward sensitivity during monitored abstinence.
Results
All participants (N=56) completed the protocol, and
69% of marijuana users (n=18 of 26) were
confirmed abstinent for 28-days, with all users showing decreasing marijuana
use. Reductions in subsyndromal depression, positive marijuana use
expectancies, and poor sleep quality were observed by the end of the
monitored abstinence period (n=26,
ps<.05). Marijuana users also reported more
attentional impulsivity and less responsiveness to reward stimuli during the
second week of abstinence compared to controls. Later age of onset of
regular marijuana use and more cumulative lifetime use was associated with a
greater degree of emotional change and increased recognition of the negative
effects of marijuana use.
Conclusions
Monitored abstinence programs may be beneficial in reducing marijuana
use, subsyndromal emotional distress symptoms, and changing beliefs about
marijuana use. Future prevention and intervention efforts may consider
targeting reward sensitivity and impulsivity, in addition to marijuana use,
expectancies, and emotional functioning.