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Cannabis Use and Cannabis Use Disorder Among U.S. Adults with Psychiatric Disorders: 2001-2002 and 2012-2013.

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Title: Cannabis Use and Cannabis Use Disorder Among U.S. Adults with Psychiatric Disorders: 2001-2002 and 2012-2013.
Authors: Hasin, Deborah S. (AUTHOR), Mannes, Zachary L. (AUTHOR), Livne, Ofir (AUTHOR), Fink, David S. (AUTHOR), Martins, Silvia S. (AUTHOR), Stohl, Malki (AUTHOR), Olfson, Mark (AUTHOR), Cerdá, Magdalena (AUTHOR), Keyes, Katherine M. (AUTHOR), Keyhani, Salomeh (AUTHOR), Wisell, Caroline G. (AUTHOR), Bujno, Julia M. (AUTHOR), Saxon, Andrew (AUTHOR)
Source: Substance Use & Misuse. 2025, Vol. 60 Issue 2, p285-292. 8p.
Subjects: Substance abuse, Research funding, Mental illness, Logistic regression analysis, United States. Dept. of Veterans Affairs, Interviewing, Affective disorders, Anxiety, Surveys, Cannabis (Genus), Confidence intervals, Antisocial personality disorders, Adults
Geographic Terms: United States
Abstract: Background: Rates of cannabis use disorder (CUD) have increased disproportionately among Veterans Administration (VA) patients with psychiatric disorders compared to patients with no disorder. However, VA patient samples are not representative of all U.S. adults, so results on disproportionate increases in CUD prevalence could have been biased. To address this concern, we investigated whether disproportionate increases in the prevalence of cannabis outcomes among those with psychiatric disorders would replicate in nationally representative samples of U.S. adults. Methods: Data came from two national surveys conducted in 2001-2002 (n = 43,093) and 2012-2013 (n = 36,309). Outcomes were any past-year non-medical cannabis use, frequent non-medical use (≥3 times weekly), and DSM-IV CUD. Psychiatric disorders included mood, anxiety and antisocial personality disorders. Logistic regression was used to generate predicted prevalences of the outcomes, prevalence differences calculated and additive interactions compared differences between those with and without psychiatric disorders. Results: Cannabis outcomes increased more among those with psychiatric disorders. The difference in prevalence differences included any past-year non-medical cannabis use, 2.45% (95%CI = 1.29-3.62); frequent non-medical cannabis use, 1.58% (95%CI = 0.83-2.33); CUD, 1.40% (95%CI = 0.58-2.21). For most specific disorders, prevalences increased more among those with the disorder. Conclusions: In the U.S. general population, rates of cannabis use and CUD increased more among adults with psychiatric disorders than other adults, similar to findings from VA patient samples. Results suggest that although VA patients are not representative of all U.S. adults, findings from this important patient group can be informative. Greater clinical and policy attention to CUD is warranted for adults with psychiatric disorders. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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
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  Data: Cannabis Use and Cannabis Use Disorder Among U.S. Adults with Psychiatric Disorders: 2001-2002 and 2012-2013.
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  Data: <searchLink fieldCode="AR" term="%22Hasin%2C+Deborah+S%2E%22">Hasin, Deborah S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mannes%2C+Zachary+L%2E%22">Mannes, Zachary L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Livne%2C+Ofir%22">Livne, Ofir</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fink%2C+David+S%2E%22">Fink, David S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martins%2C+Silvia+S%2E%22">Martins, Silvia S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stohl%2C+Malki%22">Stohl, Malki</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Olfson%2C+Mark%22">Olfson, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cerdá%2C+Magdalena%22">Cerdá, Magdalena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Keyes%2C+Katherine+M%2E%22">Keyes, Katherine M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Keyhani%2C+Salomeh%22">Keyhani, Salomeh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wisell%2C+Caroline+G%2E%22">Wisell, Caroline G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bujno%2C+Julia+M%2E%22">Bujno, Julia M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Saxon%2C+Andrew%22">Saxon, Andrew</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2025, Vol. 60 Issue 2, p285-292. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%2E+Dept%2E+of+Veterans+Affairs%22">United States. Dept. of Veterans Affairs</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Cannabis+%28Genus%29%22">Cannabis (Genus)</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Antisocial+personality+disorders%22">Antisocial personality disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
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– Name: Abstract
  Label: Abstract
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  Data: Background: Rates of cannabis use disorder (CUD) have increased disproportionately among Veterans Administration (VA) patients with psychiatric disorders compared to patients with no disorder. However, VA patient samples are not representative of all U.S. adults, so results on disproportionate increases in CUD prevalence could have been biased. To address this concern, we investigated whether disproportionate increases in the prevalence of cannabis outcomes among those with psychiatric disorders would replicate in nationally representative samples of U.S. adults. Methods: Data came from two national surveys conducted in 2001-2002 (n = 43,093) and 2012-2013 (n = 36,309). Outcomes were any past-year non-medical cannabis use, frequent non-medical use (≥3 times weekly), and DSM-IV CUD. Psychiatric disorders included mood, anxiety and antisocial personality disorders. Logistic regression was used to generate predicted prevalences of the outcomes, prevalence differences calculated and additive interactions compared differences between those with and without psychiatric disorders. Results: Cannabis outcomes increased more among those with psychiatric disorders. The difference in prevalence differences included any past-year non-medical cannabis use, 2.45% (95%CI = 1.29-3.62); frequent non-medical cannabis use, 1.58% (95%CI = 0.83-2.33); CUD, 1.40% (95%CI = 0.58-2.21). For most specific disorders, prevalences increased more among those with the disorder. Conclusions: In the U.S. general population, rates of cannabis use and CUD increased more among adults with psychiatric disorders than other adults, similar to findings from VA patient samples. Results suggest that although VA patients are not representative of all U.S. adults, findings from this important patient group can be informative. Greater clinical and policy attention to CUD is warranted for adults with psychiatric disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd 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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        Value: 10.1080/10826084.2024.2423374
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        Text: English
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      – SubjectFull: Mental illness
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      – SubjectFull: Cannabis (Genus)
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Adults
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      – SubjectFull: United States
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      – TitleFull: Cannabis Use and Cannabis Use Disorder Among U.S. Adults with Psychiatric Disorders: 2001-2002 and 2012-2013.
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