Natural outcome of cannabis use disorder: a 3-year longitudinal follow-up.
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| Title: | Natural outcome of cannabis use disorder: a 3-year longitudinal follow-up. |
|---|---|
| Authors: | Feingold, Daniel, Fox, Jonah, Rehm, Jürgen, Lev‐Ran, Shaul |
| Source: | Addiction. Dec2015, Vol. 110 Issue 12, p1963-1974. 12p. 4 Charts. |
| Subjects: | Disease remission, Drug addiction, Substance abuse relapse, Diagnosis, Cannabis (Genus) |
| Geographic Terms: | United States |
| Abstract: | Aims To assess the prevalence and correlates of remission from cannabis use disorders (CUDs), focusing on the proportion of individuals with CUDs that remit without abstaining from cannabis use. Design Three-year longitudinal study. Setting Wave 1 (2001) and wave 2 (2004) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of US adults aged 18 years and over. Participants Our sample included 444 individuals diagnosed with DSM-IV cannabis abuse and/or dependence during the 12 months prior to wave 1 of the NESARC. Measurements Baseline socio-demographic and clinical correlates were analysed for possible outcomes of CUDs after 3 years: abstinent remission, non-abstinent remission and sustained disorder. Findings Approximately two-thirds (67%) of individuals with baseline CUD remitted at follow-up. Approximately 37% of those who remitted were non-abstinent. Remission was associated with Hispanic ethnicity [odds ratio (OR) = 2.59; 95% confidence interval (CI) = 1.27-4.87], baseline daily or almost daily use of cannabis (OR = 1.91; 95% CI = 1.15-3.16), baseline use of other drugs (OR = 1.63; 95% CI = 1.04-2.56) and two or more medical conditions at baseline (OR = 8.40; 95% CI = 2.67-26.41). Non-abstinent remission was associated with baseline daily or almost daily use of cannabis (OR = 1.92; 95% CI = 1.05-3.51). Conclusions A substantial level of remission from cannabis use disorders (CUDs), including non-abstinent remission, suggests that the nature of CUDs may be more unstable than reported previously. [ABSTRACT FROM AUTHOR] |
| Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 110900814 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Natural outcome of cannabis use disorder: a 3-year longitudinal follow-up. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Feingold%2C+Daniel%22">Feingold, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Fox%2C+Jonah%22">Fox, Jonah</searchLink><br /><searchLink fieldCode="AR" term="%22Rehm%2C+Jürgen%22">Rehm, Jürgen</searchLink><br /><searchLink fieldCode="AR" term="%22Lev‐Ran%2C+Shaul%22">Lev‐Ran, Shaul</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Dec2015, Vol. 110 Issue 12, p1963-1974. 12p. 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Disease+remission%22">Disease remission</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+addiction%22">Drug addiction</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+relapse%22">Substance abuse relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Cannabis+%28Genus%29%22">Cannabis (Genus)</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Aims To assess the prevalence and correlates of remission from cannabis use disorders (CUDs), focusing on the proportion of individuals with CUDs that remit without abstaining from cannabis use. Design Three-year longitudinal study. Setting Wave 1 (2001) and wave 2 (2004) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of US adults aged 18 years and over. Participants Our sample included 444 individuals diagnosed with DSM-IV cannabis abuse and/or dependence during the 12 months prior to wave 1 of the NESARC. Measurements Baseline socio-demographic and clinical correlates were analysed for possible outcomes of CUDs after 3 years: abstinent remission, non-abstinent remission and sustained disorder. Findings Approximately two-thirds (67%) of individuals with baseline CUD remitted at follow-up. Approximately 37% of those who remitted were non-abstinent. Remission was associated with Hispanic ethnicity [odds ratio (OR) = 2.59; 95% confidence interval (CI) = 1.27-4.87], baseline daily or almost daily use of cannabis (OR = 1.91; 95% CI = 1.15-3.16), baseline use of other drugs (OR = 1.63; 95% CI = 1.04-2.56) and two or more medical conditions at baseline (OR = 8.40; 95% CI = 2.67-26.41). Non-abstinent remission was associated with baseline daily or almost daily use of cannabis (OR = 1.92; 95% CI = 1.05-3.51). Conclusions A substantial level of remission from cannabis use disorders (CUDs), including non-abstinent remission, suggests that the nature of CUDs may be more unstable than reported previously. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/add.13071 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 1963 Subjects: – SubjectFull: Disease remission Type: general – SubjectFull: Drug addiction Type: general – SubjectFull: Substance abuse relapse Type: general – SubjectFull: Diagnosis Type: general – SubjectFull: Cannabis (Genus) Type: general – SubjectFull: United States Type: general Titles: – TitleFull: Natural outcome of cannabis use disorder: a 3-year longitudinal follow-up. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Feingold, Daniel – PersonEntity: Name: NameFull: Fox, Jonah – PersonEntity: Name: NameFull: Rehm, Jürgen – PersonEntity: Name: NameFull: Lev‐Ran, Shaul IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 09652140 Numbering: – Type: volume Value: 110 – Type: issue Value: 12 Titles: – TitleFull: Addiction Type: main |
| ResultId | 1 |
