Sleep, psychological symptoms, and cannabis use before, during, and after COVID-19 “stay-at-home” orders: a structural equation modeling approach

Journal of Cannabis Research, Journal Year: 2025, Volume and Issue: 7(1)

Published: March 24, 2025

Abstract Background Given the frequent use of cannabis for sleep and mental health symptoms, we aimed to prospectively examine reciprocal relationship between sleep, health, from before, during, 1 year after implementation COVID-19 stay-at-home orders. Methods Five hundred thirty-four young adults (21–34 years old) Oregon Washington States who previously completed a survey on their prior orders (T0), were followed up initial in place approximately two months (T1), one later (T2), reassess use. Sleep measures included presence trouble [yes/no], weekday weekend duration. The Cannabis Use Disorders Identification Test Revised (CUDIT-R) was used assess past-six-month follow surveys additionally measured symptoms other behaviors. We applied cross-lagged panel models association at all three time points. Multivariate parallel latent change score associations changes use, behavioral factors T1 T2. Results For models, reporting T0 associated (β = 0.18, p < 0.05) with higher CUDIT-R scores T1, however this did not hold had positive 0.35, two-wave model, indicated that T2 positively depression ( r 0.37, anxiety 0.40, across period. No significant correlation found trouble. Conclusions Our findings suggest an inconsistent bidirectional link Only trouble, predicted measures. These lend support holistic approach designing implementing public during global pandemic.

Language: Английский

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Daily associations between sleep quality, stress, and cannabis or alcohol use among veterans

Drug and Alcohol Dependence, Journal Year: 2025, Volume and Issue: unknown, P. 112661 - 112661

Published: March 1, 2025

Language: Английский

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Marijuana as a Substitute for Prescription Medications: A Qualitative Study

Substance Use & Misuse, Journal Year: 2019, Volume and Issue: 54(11), P. 1894 - 1902

Published: June 10, 2019

Background: Over the past few decades in United States, marijuana for medical purposes has become increasingly prevalent. Initial qualitative and epidemiological research suggests that may be a promising substitute traditional pharmacotherapies. Objectives: This study examined perceptions relating to (1) using comparison other prescription medications (2) user perception of policy issues limit adoption use. Methods: Qualitative interviews were conducted with Rhode Island card holders (N = 25). The followed semi-structured agenda designed collect information from participants about their reasons for, of, All audio recorded, transcribed verbatim, de-identified. codes developed emergent topics raised by participants. Results: Three themes emerged related use, including (i.e., better and/or fewer side effects than medications, improves quality life), substitution addition or instead of), (3) how impacts use stigma, travel, cost, lack instruction regarding use). Conclusions: Several factors prevent pervasive inability healthcare providers relay instructions dosing, strain, method Findings suggest patients consider viable alternative opioids though certain barriers inhibit widespread implementation as treatment option.

Language: Английский

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Cannabis use and posttraumatic stress disorder: prospective evidence from a longitudinal study of veterans

Psychological Medicine, Journal Year: 2020, Volume and Issue: 52(3), P. 446 - 456

Published: June 17, 2020

Abstract Background Posttraumatic stress disorder (PTSD) is the most highly co-occurring psychiatric among veterans with cannabis use (CUD). Despite some evidence that prospectively exacerbates course of PTSD, which in turn increases risk for CUD, causal nature relationship between and comorbidity debated. The longitudinal PTSD diagnosis traumatic intrusion symptoms CUD was examined using cross-lagged panel model (CLPM) analysis. Methods Prospective data from a observational study 361 deployed post-9/11/2001 included diagnoses, use, PTSD-related Inventory Depression Anxiety Symptoms. Results A random intercept CLPM analysis leveraged three waves (baseline, 6 months 12 months) to account between-person differences found baseline significantly positively associated 6-month symptoms; converse association significant but reduced magnitude (baseline intrusions: β = 0.46, 95% CI 0.155–0.765; intrusions use: 0.22, −0.003 0.444). two-wave reveal effect 12-month ( 0.15, 0.028–0.272) not 0.12, −0.022 0.262). Conclusions Strong prospective associations capturing within-person changes suggest linked greater severity trauma-related over time. strong person-level directional evident. Findings have clinical implications long-term effects individuals PTSD.

Language: Английский

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Prevalence and Correlates of Medicinal Cannabis Use Among Adolescents

Journal of Adolescent Health, Journal Year: 2020, Volume and Issue: 68(1), P. 103 - 109

Published: Aug. 20, 2020

Language: Английский

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Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)

American Journal of Psychiatry, Journal Year: 2021, Volume and Issue: 179(1), P. 26 - 35

Published: Aug. 19, 2021

The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use disorder among U.S. veterans; describe demographic, substance disorder, psychiatric correlates nonmedical disorder; explore differences in veterans states with without medical marijuana laws.Participants were 3,119 respondents 2012-2013 National Epidemiologic Survey on Alcohol Related Conditions-III (NESARC-III) who identified as veterans. Weighted prevalences calculated. Logistic regression analyses tested associations demographic clinical examined whether differed by state legalization status.The any 7.3% 1.8%, respectively. Lifetime 32.5% 5.7%, Past-12-month estimates users 24.4% 17.4%, Sociodemographic included younger age, male gender, being unmarried, lower income, residing a laws. Nonmedical associated most disorders examined.Among veterans, odds elevated vulnerable subgroups, including those income or survey participants study findings highlight need for attention (e.g., screening, assessment) ongoing monitoring context increasing cannabis.

Language: Английский

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Refining the marijuana purchase task: Using qualitative methods to inform measure development.

Experimental and Clinical Psychopharmacology, Journal Year: 2020, Volume and Issue: 29(1), P. 23 - 35

Published: Feb. 27, 2020

Behavioral economic demand for cannabis (i.e., relative reinforcing value) can be measured via marijuana purchase tasks (MPTs). However, commodity ambiguities pose challenges and design concerns exist regarding current MPTs. The aim of this 2-phase study was to modify improve a MPT using qualitative methods. Phase I: Focus groups were conducted with regular average use ≥ once/week) users (n = 31; 6-7 per group M[SD] age 26 [7]; 28% female). followed semistructured agenda, executive summaries made concerning key themes. Feedback used refine the MPT. II: Cognitive interviews refined 20; 28 [8]; 50% analyses highlighted 4 critical areas improvement: (a) unit purchase, (b) quality, (c) time duration specified episode, (d) price. Participants suggested grams as tailoring quality individual, clarifying intended episode length. interviewing indicated additional task refinement, resulting in second iteration based on 2 phases. Qualitative research both phases number substantive modifications format. are expected comprehension, ecological validity, general construct validity. Findings highlight importance careful instructional set development drug heterogeneous products that do not have standard units consumption. (PsycInfo Database Record 2021 APA, all rights reserved).

Language: Английский

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Longitudinal associations between negative urgency, symptoms of depression, cannabis and alcohol use in veterans.

Experimental and Clinical Psychopharmacology, Journal Year: 2020, Volume and Issue: 28(4), P. 426 - 437

Published: March 5, 2020

There is a high comorbidity between symptoms of depression and cannabis alcohol use in civilian veteran populations. Prospective studies attempting to clarify the directionality these comorbidities have yielded mixed results. Further, relations constructs impulsive personality, particularly negative urgency (NU, tendency act rashly when experiencing emotional distress) warrants further attention, as NU relates use. Importantly, partially accounts for association problems cross-sectional studies. This study examined alternative theories order better understand longitudinal associations depression, NU, or Three semiannual waves data (baseline, 6-month, 12-month) were collected parallel assessments from sample Operation Enduring Freedom, Iraqi New Dawn veterans (N = 361). Autoregressive cross-lagged panel models used test four theory-driven about interaction Models revealed unique direction effects specific each substance, such that at 6 months postbaseline predicted more 12 postbaseline, whereas severe postbaseline. Results suggests alternate directions effect Future research should examine patterns over wider assessment periods see variability change time. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Language: Английский

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The Role of the Cannabinoid System in Pain Control: Basic and Clinical Implications

Current Pain and Headache Reports, Journal Year: 2020, Volume and Issue: 24(7)

Published: June 6, 2020

Language: Английский

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Cannabidiol (CBD) and other drug use among young adults who use cannabis in Los Angeles

Drug and Alcohol Dependence, Journal Year: 2021, Volume and Issue: 221, P. 108648 - 108648

Published: Feb. 22, 2021

Language: Английский

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