3 years ago

Predicting Persistent, Limited, and Delayed Problematic Cannabis Use in Early Adulthood: Findings From a Longitudinal Study

To identify risk profiles associated with patterns of problematic cannabis use in early adulthood. Method Data came from 1,229 participants in the Great Smoky Mountains Study, a prospective 20-year cohort study from 1993-2015 that is representative of western North Carolina with yearly assessments conducted from ages 9 to 16, and assessments at ages 19, 21, 26, and 30. Patterns of problematic cannabis use (i.e., DSM-5 cannabis use disorder or daily use) in early adulthood included 1) non-problematic use in late-adolescence (ages 19-21) and early adulthood (ages 26-30); 2) limited problematic use in late adolescence only; 3) persistent problematic use in late adolescence and early adulthood; and 4) delayed problematic use in early adulthood only. Multi-nominal logistic regression models examined pairwise associations between these patterns and risk factors in childhood (ages 9-16) and late adolescence (ages 19-21). Risk factors included psychiatric disorders (e.g., anxiety, depressive), other substance use (smoking, alcohol, illicit drugs), and challenging social factors (e.g., low socioeconomic status, family functioning, peers). Sex and race/ethnicity (white, black, American Indian) interactions were tested. Results The persistent pattern (6.7% of sample) was characterized by more anxiety disorders across development and more DSM-5 CUD symptoms during late adolescence compared to the limited pattern (13.3%), which, in turn, had more childhood family instability and dysfunction. The delayed pattern (3.7%) was characterized by more externalizing disorders, maltreatment, and peer bullying in childhood compared to non-problematic users. There were no significant sex/race interactions. Conclusion Problematic cannabis use patterns during early adulthood have distinctive risk profiles, which may be useful in tailoring targeted interventions.

Publisher URL: www.sciencedirect.com/science

DOI: S0890856717312261

You might also like
Never Miss Important Research

Researcher is an app designed by academics, for academics. Create a personalised feed in two minutes.
Choose from over 15,000 academics journals covering ten research areas then let Researcher deliver you papers tailored to your interests each day.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.