The Occurrence of Cannabis Use Disorders and Other Cannabis-related Problems Among First-year College Students

Overview

Journal Addict Behav

Specialties Psychiatry
Social Sciences

Date 2007 Nov 23

PMID 18031940

Citations 96

Authors

Kimberly M Caldeira

Amelia M Arria

Kevin E OGrady

Kathryn B Vincent

Eric D Wish

Affiliations

Soon will be listed here.

Abstract

This study reports the prevalence of cannabis use disorders (CUD) and other cannabis-related problems in a large cohort (n=1253) of first-year college students, 17 to 20 years old, at one large public university in the mid-Atlantic region of the U.S. Interviewers assessed past-year cannabis use, other drug use, and cannabis-related problems (including DSM-IV criteria for CUD). The prevalence of CUD was 9.4%(wt) among all first-year students and 24.6% among past-year cannabis users (n=739). Of those endorsing any CUD criteria, 33.8% could be classified as diagnostic orphans. Among 474 "at-risk" cannabis users (>or= 5 times in the past year), concentration problems (40.1%), driving while high (18.6%) and missing class (13.9%) were among the most prevalent cannabis-related problems, even among those who endorsed no CUD criteria. Placing oneself at risk for physical injury was also commonly reported (24.3%). A significant proportion of cannabis-using college students meet diagnostic criteria for disorder. Even in the absence of disorder, users appear to be at risk for potentially serious cannabis-related problems. Implications for prevention, service delivery, and future research are discussed.

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References

Johns A . Psychiatric effects of cannabis. Br J Psychiatry. 2001; 178:116-22. DOI: 10.1192/bjp.178.2.116. View

Arria A, Caldeira K, OGrady K, Vincent K, Fitzelle D, Johnson E . Drug exposure opportunities and use patterns among college students: results of a longitudinal prospective cohort study. Subst Abus. 2008; 29(4):19-38. PMC: 2614283. DOI: 10.1080/08897070802418451. View

Chen C, OBrien M, Anthony J . Who becomes cannabis dependent soon after onset of use? Epidemiological evidence from the United States: 2000-2001. Drug Alcohol Depend. 2005; 79(1):11-22. DOI: 10.1016/j.drugalcdep.2004.11.014. View

Woolard R, Nirenberg T, Becker B, Longabaugh R, Minugh P, Gogineni A . Marijuana use and prior injury among injured problem drinkers. Acad Emerg Med. 2003; 10(1):43-51. DOI: 10.1111/j.1553-2712.2003.tb01975.x. View

Simons J, Carey K . An affective and cognitive model of marijuana and alcohol problems. Addict Behav. 2006; 31(9):1578-92. DOI: 10.1016/j.addbeh.2005.12.004. View

Lynskey M, Hall W . The effects of adolescent cannabis use on educational attainment: a review. Addiction. 2001; 95(11):1621-30. DOI: 10.1046/j.1360-0443.2000.951116213.x. View

Brook J, ADAMS R, Balka E, Johnson E . Early adolescent marijuana use: risks for the transition to young adulthood. Psychol Med. 2002; 32(1):79-91. DOI: 10.1017/s0033291701004809. View

Fulkerson J, Harrison P, Beebe T . DSM-IV substance abuse and dependence: are there really two dimensions of substance use disorders in adolescents?. Addiction. 1999; 94(4):495-506. DOI: 10.1046/j.1360-0443.1999.9444955.x. View

Lee H, Strote J, Wechsler H . Increased use of marijuana and other illicit drugs at US colleges in the 1990s: results of three national surveys. Addiction. 2001; 95(11):1655-67. DOI: 10.1046/j.1360-0443.2000.951116556.x. View

10.

OKane C, Tutt D, Bauer L . Cannabis and driving: a new perspective. Emerg Med (Fremantle). 2002; 14(3):296-303. View

11.

Simons J, Carey K . Risk and vulnerability for marijuana use problems: the role of affect dysregulation. Psychol Addict Behav. 2002; 16(1):72-5. View

12.

Simons J, Carey K, Gaher R . Lability and impulsivity synergistically increase risk for alcohol-related problems. Am J Drug Alcohol Abuse. 2004; 30(3):685-94. DOI: 10.1081/ada-200032338. View

13.

Degenhardt L, Hall W, Lynskey M . Exploring the association between cannabis use and depression. Addiction. 2003; 98(11):1493-504. DOI: 10.1046/j.1360-0443.2003.00437.x. View

14.

Mohler-Kuo M, Lee J, Wechsler H . Trends in marijuana and other illicit drug use among college students: results from 4 Harvard School of Public Health College Alcohol Study surveys: 1993-2001. J Am Coll Health. 2004; 52(1):17-24. DOI: 10.1080/07448480309595719. View

15.

Chen C, Anthony J . Possible age-associated bias in reporting of clinical features of drug dependence: epidemiological evidence on adolescent-onset marijuana use. Addiction. 2002; 98(1):71-82. DOI: 10.1046/j.1360-0443.2003.00237.x. View

16.

Kalant H . Adverse effects of cannabis on health: an update of the literature since 1996. Prog Neuropsychopharmacol Biol Psychiatry. 2004; 28(5):849-63. DOI: 10.1016/j.pnpbp.2004.05.027. View

17.

Compton W, Grant B, Colliver J, Glantz M, Stinson F . Prevalence of marijuana use disorders in the United States: 1991-1992 and 2001-2002. JAMA. 2004; 291(17):2114-21. DOI: 10.1001/jama.291.17.2114. View

18.

Degenhardt L, Lynskey M, Coffey C, Patton G . 'Diagnostic orphans' among young adult cannabis users: persons who report dependence symptoms but do not meet diagnostic criteria. Drug Alcohol Depend. 2002; 67(2):205-12. DOI: 10.1016/s0376-8716(02)00064-9. View

19.

Schuster C, OMalley P, Bachman J, Johnston L, Schulenberg J . Adolescent marijuana use and adult occupational attainment: a longitudinal study from age 18 to 28. Subst Use Misuse. 2001; 36(8):997-1014. DOI: 10.1081/ja-100104486. View

20.

Fergusson D, Horwood L, Beautrais A . Cannabis and educational achievement. Addiction. 2003; 98(12):1681-92. DOI: 10.1111/j.1360-0443.2003.00573.x. View