The impact of posttraumatic stress disorder on cannabis quit success

Bonn‐Miller, Marcel O.; Moos, Rudolf H.; Boden, Matthew Tyler; Wang, Long; Kimerling, Rachel; Trafton, Jodie A.

doi:10.3109/00952990.2015.1043209

Cited by 28 publications

(20 citation statements)

References 45 publications

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“…While the risk of Type I error was likely mitigated to a large degree by our theory-based approach and a priori hypotheses, replication is needed to further substantiate these findings. Next, similar to other recent studies (e.g., Bonn-Miller et al, 2015) we employed DSM-IV criteria for PTSD diagnosis due to the timing of the study relative to the transition to DSM-5 version. Replication studies using DSM-5 criteria for PTSD may be needed.…”

Section: Discussionmentioning

confidence: 99%

The mediating roles of coping, sleep, and anxiety motives in cannabis use and problems among returning veterans with PTSD and MDD.

Metrik

Jackson

Bassett

et al. 2016

Psychology of Addictive Behaviors

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Veterans with posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), the two most prevalent mental health disorders in the Iraq and Afghanistan veterans, are at increased risk for cannabis use and problems including cannabis use disorder (CUD). The present study examined the relationship of PTSD and MDD with cannabis use frequency, cannabis problems, and CUD as well as the role of three coping-oriented cannabis use motives (coping with negative affect, situational anxiety, and sleep) that might underlie this relationship. Participants were veterans (N = 301) deployed post 9/11/2001 recruited from Veterans Health Administration facility in the Northeast US based on self-reported lifetime cannabis use. There were strong unique associations between PTSD and MDD and cannabis use frequency, cannabis problems, and CUD. Mediation analyses revealed the three motives accounted, in part, for the relationship between PTSD and MDD with three outcomes in all cases but for PTSD with cannabis problems. When modeled concurrently, sleep motives, but not situational anxiety or coping with negative affect motives, significantly mediated the association between PTSD and MDD with use. Together with coping motives, sleep motives also fully mediated the effects of PTSD and MDD on CUD and in part the effect of MDD on cannabis problems. Findings indicate the important role of certain motives for better understanding the relation between PTSD and MDD with cannabis use and misuse. Future work is needed to explore the clinical utility in targeting specific cannabis use motives in the context of clinical care for mental health and CUD.

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Section: Discussionmentioning

confidence: 99%

The mediating roles of coping, sleep, and anxiety motives in cannabis use and problems among returning veterans with PTSD and MDD.

Metrik

Jackson

Bassett

et al. 2016

Psychology of Addictive Behaviors

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“…Although such nonrandomized designs can have methodological problems, in fact, most studies of tobacco withdrawal have used pre versus post designs and have provided very replicable data. We did not include several measures of reward sensitivity such as neuroimaging 69 or response to hedonic stimuli 19,70 that tap other aspects of reward sensitivity; eg, reward anticipation or reward learning. Our participants were more educated and more nicotine dependent than the average US smokers and had no use of psychoactive drugs or current psychiatric disorder; this may decrease the external validity of our study.…”

Section: Discussionmentioning

confidence: 99%

Does Tobacco Abstinence Decrease Reward Sensitivity? A Human Laboratory Test

Hughes

Budney

Muellers

et al. 2017

Nicotine &Amp; Tobacco Research

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“…Empirical research on trauma/PTSD and cannabis has primarily either focused on the impact of each on treatment of the other (e.g., Bonn-Miller, Boden, Vujanovic, & Drescher, 2013; Bonn-Miller, Moos, Boden, Kimerling, & Trafton, 2014) or risk factors associated with the development/maintenance of their interrelations (e.g., Babson & Bonn-Miller, 2014; Irons, Babson, Bergeria, & Bonn-Miller, 2014). While these studies represent important strides in understanding exactly why these two disorders are related, what remains is a general scarcity of large, nationally representative data speaking to how trauma/PTSD and cannabis/CUD are related.…”

Section: Introductionmentioning

confidence: 99%

Associations among trauma, posttraumatic stress disorder, cannabis use, and cannabis use disorder in a nationally representative epidemiologic sample.

Kevorkian

Bonn‐Miller

Belendiuk³

et al. 2015

Psychology of Addictive Behaviors

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Introduction Research in community and clinical samples has documented elevated rates of cannabis use and cannabis use disorders (CUDs) among individuals with trauma exposure and posttraumatic stress disorder (PTSD). However, there is a lack of research investigating relations between, and correlates of, trauma and cannabis phenotypes in epidemiologic samples. The current study examined associations between trauma (i.e., lifetime trauma exposure and PTSD) and cannabis phenotypes (i.e., lifetime cannabis use and CUD) in a nationally representative sample. Methods Participants were individuals who participated in waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (n=34,396; 52.4% women; Mage=48.0 years, SD=16.9). Results Lifetime DSM-IV Criterion A trauma exposure was significantly associated with lifetime cannabis use (OR=1.215) but was only marginally associated with CUD (OR=0.997). Within the trauma-exposed sample, lifetime PTSD showed a significant association with CUD (OR=1.217) but was only marginally associated with lifetime cannabis use (OR=0.992). Conclusions Partially consistent with hypotheses, lifetime trauma was associated with greater odds of lifetime cannabis use while PTSD was associated with greater odds of CUD. Longitudinal research investigating patterns of onset of these events/disorders is needed.

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The impact of posttraumatic stress disorder on cannabis quit success

Abstract: Findings highlight the potential utility of interventions for individuals with cannabis use disorder and co-occurring PTSD, particularly early in a cessation attempt.

Cited by 28 publications

References 45 publications

The mediating roles of coping, sleep, and anxiety motives in cannabis use and problems among returning veterans with PTSD and MDD.

The mediating roles of coping, sleep, and anxiety motives in cannabis use and problems among returning veterans with PTSD and MDD.

Does Tobacco Abstinence Decrease Reward Sensitivity? A Human Laboratory Test

Associations among trauma, posttraumatic stress disorder, cannabis use, and cannabis use disorder in a nationally representative epidemiologic sample.

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