Adolescent marijuana use: screening and ethics

Adolescent marijuana use is an issue of concern to the entire community. The emergence of technology that can identify marijuana use poses questions relating to public health issues such as justification and extension of screening. This article discusses the moral issues relating to surveillance of adolescent marijuana use and postulates a justification for clinical screening.     

Incremental Validity of Coping-oriented Marijuana Use Motives in the Prediction of Affect-based Psychological Vulnerability

The present investigation examined whether coping-oriented motives to use marijuana, as measured by the Marijuana Motives Measure (MMM; Simons et al. in J. Couns. Psychol. 45:265–273, 1998), were uniquely related to affect-based psychological vulnerability factors among marijuana users. Participants were 131 adult current marijuana users (72 women, M _age = 20.14, SD = 3.37 years). As hypothesized, after controlling for gender, cigarettes smoked per day, past 30-day marijuana use, total years of marijuana use, and alcohol consumption, coping motives were significantly and incrementally related to negative affect-based psychological vulnerability factors. No other marijuana use motives demonstrated a similar type of relationship to the dependent variables, providing a high degree of explanatory specificity. These data suggest that coping-oriented motives to use marijuana may be an important explanatory construct in better understanding marijuana and psychological vulnerability relations.     

Anxiety sensitivity interacts with marijuana use in the prediction of anxiety symptoms and panic-related catastrophic thinking among daily tobacco users

The present investigation evaluated whether anxiety sensitivity interacted with marijuana use in relation to the prediction of panic-relevant variables among young adult tobacco smokers (n=265). Approximately 73% of the sample was composed of current marijuana smokers, with 78.5% of this sub-sample using marijuana more than once per week. As expected, after covarying cigarettes per day, alcohol use, and negative affectivity, the interaction between marijuana use and anxiety sensitivity predicted anxiety symptoms and agoraphobic cognitions. Partially consistent with prediction, the interaction between frequency of marijuana use and anxiety sensitivity predicted only anxiety symptoms. These results are discussed in relation to better understanding the potential role of regular marijuana use and anxiety sensitivity for panic-relevant emotional vulnerability among regular tobacco smokers.     

A review of the literature on marijuana and interpersonal violence

Marijuana use and interpersonal violence are major public health problems. The present review examines the available empirical and theoretical literature on the relationship between marijuana and violence, including past theoretical models, the link between marijuana use and interpersonal violence (including intimate partner violence), and the relationship between marijuana withdrawal and violence. While results from laboratory-based studies are inconclusive, results of cross-sectional and longitudinal research provide support for an association between marijuana use/withdrawal and various types of violence. Given the lack of empirical support for existing models, a new biopsychosocial model of the marijuana–violence relationship is proposed. Examining methods to test this model and application of current findings to treatment are discussed.     

Pain-related anxiety and marijuana use motives: a pilot test among active marijuana-using young adults

The present investigation examined pain-related anxiety in regard to marijuana use motives among a sample of young adult marijuana users (N = 180; 45% women; M(age) = 21.11 years, SD = 6.41). Hierarchical multiple regression analyses were used to determine the relations between pain-related anxiety and marijuana use motives. After controlling for current marijuana use frequency (past 30 days), daily cigarette smoking rate, current rate of alcohol consumption, level of bodily pain (current), and other marijuana use motives, pain-related anxiety was significantly and uniquely associated with coping and conformity motives for marijuana use. Pain-related anxiety was not significantly related to other marijuana use motives. These results offer novel empirical insight pertaining to a relation between pain-related anxiety and coping as well as conformity motives for marijuana use among active users.     

Still Dazed and Confused: Midlife Marijuana Use by the Baby Boom Generation

National drug use surveys show the baby boom generation using marijuana in record numbers. We test hypotheses based on social learning, rational choice, and strain theories to explain marijuana use among adults aged 50–64 with an intersectional lens to consider racial and gender group differences. Social learning perspectives, pointing to pro-marijuana attitudes and norms acquired through culture, and rational choice approaches, in which marijuana use is perceived as a low-risk activity, are both strongly supported. Strain generated by mental and physical health problems emerges as a relevant factor for marijuana use among specific racial and gender minority groups of older adults.     

Adult social behavioral effects of heavy adolescent marijuana use among African Americans

The authors examined the effects of heavy adolescent marijuana use on employment, marriage, and family formation and tested both dropping out of high school and adult marijuana use as potential mediators of these associations among a community sample of African Americans followed longitudinally from age 6 to age 32-33. They used propensity score matching to reduce selection bias when estimating the effects of heavy adolescent marijuana use. Logistic regression results on the sample matched on sex, and early demographic and behavioral variables showed that adolescent marijuana use has adult social behavioral consequences: Use of marijuana 20 times or more during adolescence was associated with being unemployed and unmarried in young adulthood and having children outside of marriage for both males and females. Dropping out of high school and more frequent adult marijuana use seem to be important parts of the pathway from adolescent marijuana use to negative life outcomes.     

Pain-Related Anxiety and Marijuana Use Motives: A Pilot Test Among Active Marijuana-Using Young Adults

The present investigation examined pain-related anxiety in regard to marijuana use motives among a sample of young adult marijuana users (N = 180; 45% women; M _age = 21.11 years, SD = 6.41). Hierarchical multiple regression analyses were used to determine the relations between pain-related anxiety and marijuana use motives. After controlling for current marijuana use frequency (past 30 days), daily cigarette smoking rate, current rate of alcohol consumption, level of bodily pain (current), and other marijuana use motives, pain-related anxiety was significantly and uniquely associated with coping and conformity motives for marijuana use. Pain-related anxiety was not significantly related to other marijuana use motives. These results offer novel empirical insight pertaining to a relation between pain-related anxiety and coping as well as conformity motives for marijuana use among active users.     

Enhancing the Validity of Self-Reported Alcohol and Marijuana Consumption Using a Bogus Pipeline Procedure: A Meta-Analytic Review

Two separate meta-analyses were conducted to test whether the use of self-report measures within the bogus pipeline (BPL) paradigm yields more valid responses than the use of self-report measures alone for assessing alcohol and marijuana consumption. Weighted mean effect sizes (ds) of 0.01 and -0.12 were obtained for studies using alcohol and marijuana self-reports, respectively. Chi-square tests based on Ns of 1,892 for the alcohol sample and 1,425 for the marijuana sample indicated homogeneity of effect sizes for both databases. Explanations for why a BPL procedure does not improve the validity of self-reported alcohol and marijuana consumption are provided. In addition, alternative methods that may enhance the validity of alcohol and marijuana self-reports are discussed.     

about the authors

After tobacco and alcohol, marijuana is the most frequently used and abused substance. Its use is particularly prevalent among young adults, aged 18 to 25. This study examines the role strain plays in chronic (as opposed to recreational) marijuana use. Three theoretical perspectives are included in this analysis: General Strain Theory, Social Learning, and Self Control. Data from the 2001 National Household Survey of Drug Abuse are used to determine the relative effects of peers (social learning), strain (general strain theory), and favorable attitudes toward risk-taking (self control). Data is divided into subsamples on the basis of gender. Logistic Regression analysis suggests that males are more likely to be chronic users, and that psychological strain, social learning, and low self control are significant factors associated with chronic use. Furthermore, strain has a stronger effect on chronic use for minority group members, as does a propensity to risky behavior. Social learning has a stronger effect on nonminority group members. All factors have a stronger significant effect on female chronic marijuana use than on male marijuana use (except for the demographic variable education). Policy implications and suggestions for future research are also included.     

Examining the Role of Peer Influence and Self-Control on Downloading Behavior

In the Chilean school system, classrooms are stable settings and constitute a closed socialization context. Through multilevel analysis, this article examines the association between classroom composition and students' marijuana consumption. Under the theoretical assumption that social control mechanisms work into social learning peer processes, our results indicate that, as an imposed environment, the classroom may encourage or discourage marijuana use among students. The results suggest that individual marijuana use is strongly associated with school bonding and marijuana tolerance at the classroom level. The strength of these associations depends on the flexibility and stability of the classroom structure.     

Religiosity and adolescent marijuana use

Among adolescents, religiosity has been associated with lower rates of marijuana use, though few studies have examined its impact on the perceived risk of use. There is strong support that perceived risk of using marijuana is negatively correlated with the frequency of use. We examined the relationship among religiosity, perceived risk, and marijuana use from a national survey of adolescents that contained questions about lifetime, weekly, and past month substance use, social support, religious involvement and attitudes, and perceived riskiness of use. We tested a structural equation model of relationships among latent variables of religiosity and perceived risk, and an observed variable of total days of marijuana use in the past 12 months. Results indicated the model was a good fit to the data and described a mediating relationship of perceived risk of use between religiosity and marijuana use. Implications for leveraging religiosity in prevention of substance use are discussed.     

Risk and protective factors for marijuana use and problems with use in a national sample of female Ecuadorian secondary school students

This study investigated risk and protective factors for marijuana use and problems with use in Ecuadorian girls in an attempt to inform this growing problem. Female secondary school students (N = 16,310; M = 15.02, SD = 1.73 years) who completed the 2016 national survey of drug use participated. The likelihood of lifetime marijuana use, reported by 7.3% of the sample, was predicted by older age, greater perceived access to marijuana and affiliation with tobacco- and marijuana-using peers; aspects of parental monitoring and perceived physical safety in and around school were negatively related to the probability of use. Among girls reporting any marijuana use, age, frequency of past year use, ease of access and affiliation with marijuana-using peers was positively associated with marijuana use problems. These data support the roles of both parents and communities in reducing marijuana use among Ecuadorian girls and highlight the important role of peer influence.     

The Effectiveness of Teaching a Life Skills Program in a Sport Context

This research examined the role of attraction to one's team in predicting alcohol and marijuana use among intercollegiate athletes. Attraction to team and alcohol-related information were collected via an online survey and marijuana use-related information was gathered in a live setting. We investigated the influence of attraction to one's team above and beyond the influence of gender and perceived norms, and attraction to team as a moderator of these relationships. Attraction to one's team accounted for significant variance in marijuana use, and alcohol-related consequences after controlling for alcohol consumption. Regression analyses revealed significant interactions between gender, attraction to team, and norms in predicting alcohol and marijuana use. Stronger attraction to one's team may increase alcohol use but decrease marijuana use among male athletes, suggesting the importance of attraction to team when developing interventions for athletes.     

Marijuana Use Among Daily Tobacco Smokers: Relationship to Anxiety-Related Factors

The present investigation evaluated the incremental validity of regular marijuana use and frequency of such use in relation to anxiety and depressive symptoms and perceived health among young adult tobacco smokers (n = 202). Approximately 72% of the sample were current marijuana smokers, using this drug on an average of 7.6 (SD = 9.2) times per week. As expected, after controlling for theoretically-relevant smoking (cigarettes per day), alcohol use, and affect factors (i.e., negative affectivity and anxiety sensitivity), marijuana use predicted anxiety symptoms and perceived general health, whereas frequency of marijuana use predicted only anxiety symptoms. These results are discussed in relation to better understanding the role of regular marijuana use in terms of anxiety-relevant emotional vulnerability and beliefs about physical health among regular smokers.     

Posttraumatic stress, difficulties in emotion regulation, and coping-oriented marijuana use

In an effort to better understand factors that may explain prior findings of a positive relation between posttraumatic stress symptom severity and coping-oriented marijuana use motivation, the present study tested whether the association between posttraumatic stress symptom severity and marijuana use coping motives is mediated by difficulties in emotion regulation. Participants were 79 (39 women; M(age) = 22.29 years, SD = 6.99) community-recruited adults who reported (1) lifetime exposure to at least one posttraumatic stress disorder Criterion A traumatic event and (2) marijuana use in the past 30 days. Results indicated that difficulties in emotion regulation, as indexed by the Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2004), fully mediated the association between posttraumatic stress symptom severity and marijuana use coping motives. Implications for the treatment of co-occurring posttraumatic stress and marijuana use are discussed.     

Evaluations and expectancies of alcohol and marijuana problems among college students.

Two studies examined the associations between evaluations (good-bad) and expected likelihood (likely-unlikely) of alcohol- and marijuana-related problems and hazardous consumption and problems among college students. Participants provided data on alcohol use, alcohol-related problems, and expectancies and evaluations of alcohol problems; marijuana use indices, marijuana-related problems, marijuana effect expectancies, and likelihood and evaluations of marijuana problems. Evaluations of alcohol problems were positively related to the number of binge drinking occasions and alcohol-related problems. The interaction between evaluations and expectancies was significant in predicting the number of binge drinking occasions. Expectancies demonstrated a curvilinear relationship with binge drinking and alcohol-related problems. Marijuana users evaluated marijuana-related problems as less negative and less likely to occur than did nonusers. Expectancies, but not evaluations, of negative consequences were significantly associated with marijuana use intensity. Expectancies of problems demonstrated a curvilinear relationship with marijuana-use intensity and marijuana problems. Men evaluated alcohol and marijuana problems less negatively than did women. In summary, the expected likelihood of alcohol-marijuana problems and the evaluation of such problems represent a vulnerability factor associated with increased liability for hazardous alcohol and marijuana use.     

Personality characteristics of adolescent marijuana users

A group of high school students from middle- to upper-middle-class backgrounds was studied to investigate the relationship between marijuana use, marijuana misuse, and personality. The California Personality Inventory and a version of the Adolescent Alcohol Involvement Scale (adapted for the assessment of marijuana involvement) were the primary instruments used. Analysis of variance and regression analysis were performed on the data. Results indicated a relationship between the personality characteristics of adolescents who are involved in marijuana use and misuse and adolescents who are not; there are discernible differences in the personalities of the adolescents who are involved with marijuana. The intervention and prevention implications of these results are discussed.