The Effects of Mental Health Symptoms and Marijuana Expectancies on Marijuana Use and Consequences Among At-risk Adolescents

Overview

Journal J Drug Issues

Date 2015 May 16

PMID 25977590

Citations 14

Authors

Eric R Pedersen

Jeremy N V Miles

Karen Chan Osilla

Brett A Ewing

Sarah B Hunter

Elizabeth J DAmico

Affiliations

Soon will be listed here.

Abstract

Based on expectancy theory, adolescents at risk for mental health symptoms, such as those involved in the juvenile court system, may use marijuana due to the belief that use will attenuate anxiety and depressive symptoms. In a diverse sample of youth involved in the Santa Barbara Teen Court system (N = 193), we examined the association between mental health symptoms and marijuana expectancies on marijuana use and consequences. In general, stronger positive expectancies and weaker negative expectancies were both associated with increased marijuana use. Youth that reported more symptoms of both anxiety and depression and stronger positive expectancies for marijuana also reported more consequences. We found that youth experiencing the greatest level of consequences from marijuana were those that reported more depressive symptoms and stronger positive expectancies for marijuana. Findings suggest that these symptoms, combined with strong positive expectancies about marijuana's effects, have implications for consequences among at-risk youth.

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References

Metrik J, Kahler C, Reynolds B, McGeary J, Monti P, Haney M . Balanced placebo design with marijuana: pharmacological and expectancy effects on impulsivity and risk taking. Psychopharmacology (Berl). 2012; 223(4):489-99. PMC: 3829473. DOI: 10.1007/s00213-012-2740-y. View

Lee C, Neighbors C, Kilmer J, Larimer M . A brief, web-based personalized feedback selective intervention for college student marijuana use: a randomized clinical trial. Psychol Addict Behav. 2010; 24(2):265-73. PMC: 2891541. DOI: 10.1037/a0018859. View

Kristjansson S, Agrawal A, Lynskey M, Chassin L . Marijuana expectancies and relationships with adolescent and adult marijuana use. Drug Alcohol Depend. 2012; 126(1-2):102-10. PMC: 3798067. DOI: 10.1016/j.drugalcdep.2012.04.024. View

Martin G, Copeland J . The adolescent cannabis check-up: randomized trial of a brief intervention for young cannabis users. J Subst Abuse Treat. 2007; 34(4):407-14. DOI: 10.1016/j.jsat.2007.07.004. View

Tucker J, Orlando M, Ellickson P . Patterns and correlates of binge drinking trajectories from early adolescence to young adulthood. Health Psychol. 2003; 22(1):79-87. DOI: 10.1037//0278-6133.22.1.79. View

Torrealday O, Stein L, Barnett N, Golembeske C, Lebeau R, Colby S . Validation of the Marijuana Effect Expectancy Questionnaire-Brief. J Child Adolesc Subst Abuse. 2011; 17(4):1-17. PMC: 3207500. DOI: 10.1080/15470650802231861. View

Malone D, Hill M, Rubino T . Adolescent cannabis use and psychosis: epidemiology and neurodevelopmental models. Br J Pharmacol. 2010; 160(3):511-22. PMC: 2931552. DOI: 10.1111/j.1476-5381.2010.00721.x. View

Low N, Dugas E, OLoughlin E, Rodriguez D, Contreras G, Chaiton M . Common stressful life events and difficulties are associated with mental health symptoms and substance use in young adolescents. BMC Psychiatry. 2012; 12:116. PMC: 3466152. DOI: 10.1186/1471-244X-12-116. View

Plancherel B, Bolognini M, Stephan P, Laget J, Chinet L, Bernard M . Adolescents' beliefs about marijuana use: a comparison of regular users, past users and never/occasional users. J Drug Educ. 2005; 35(2):131-46. DOI: 10.2190/DMDW-X35X-P6AV-6F4L. View

10.

Skenderian J, Siegel J, Crano W, Alvaro E, Lac A . Expectancy change and adolescents' intentions to use marijuana. Psychol Addict Behav. 2008; 22(4):563-9. PMC: 2628596. DOI: 10.1037/a0013020. View

11.

Buckner J, Schmidt N . Marijuana effect expectancies: relations to social anxiety and marijuana use problems. Addict Behav. 2008; 33(11):1477-1483. PMC: 2556243. DOI: 10.1016/j.addbeh.2008.06.017. View

12.

Clark H, Ringwalt C, Shamblen S . Predicting adolescent substance use: the effects of depressed mood and positive expectancies. Addict Behav. 2011; 36(5):488-93. DOI: 10.1016/j.addbeh.2011.01.018. View

13.

Rumpf H, Meyer C, Hapke U, John U . Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res. 2002; 105(3):243-53. DOI: 10.1016/s0165-1781(01)00329-8. View

14.

Fulton H, Krank M, Stewart S . Outcome expectancy liking: a self-generated, self-coded measure predicts adolescent substance use trajectories. Psychol Addict Behav. 2012; 26(4):870-9. DOI: 10.1037/a0030354. View

15.

DAmico E, Hunter S, Miles J, Ewing B, Chan Osilla K . A randomized controlled trial of a group motivational interviewing intervention for adolescents with a first time alcohol or drug offense. J Subst Abuse Treat. 2013; 45(5):400-8. PMC: 3826597. DOI: 10.1016/j.jsat.2013.06.005. View

16.

Pedersen E, Miles J, Hunter S, Chan Osilla K, Ewing B, DAmico E . Perceived norms moderate the association between mental health symptoms and drinking outcomes among at-risk adolescents. J Stud Alcohol Drugs. 2013; 74(5):736-45. PMC: 3749317. DOI: 10.15288/jsad.2013.74.736. View

17.

Metrik J, Rohsenow D, Monti P, McGeary J, Cook T, de Wit H . Effectiveness of a marijuana expectancy manipulation: Piloting the balanced-placebo design for marijuana. Exp Clin Psychopharmacol. 2009; 17(4):217-25. PMC: 2810847. DOI: 10.1037/a0016502. View

18.

de Dios M, Hagerty C, Herman D, Hayaki J, Anderson B, Budney A . General anxiety disorder symptoms, tension reduction, and marijuana use among young adult females. J Womens Health (Larchmt). 2010; 19(9):1635-42. PMC: 2965700. DOI: 10.1089/jwh.2010.1973. View

19.

Berwick D, Murphy J, Goldman P, Ware Jr J, Barsky A, Weinstein M . Performance of a five-item mental health screening test. Med Care. 1991; 29(2):169-76. DOI: 10.1097/00005650-199102000-00008. View

20.

Bottorff J, Johnson J, Moffat B, Mulvogue T . Relief-oriented use of marijuana by teens. Subst Abuse Treat Prev Policy. 2009; 4:7. PMC: 2683812. DOI: 10.1186/1747-597X-4-7. View