Predicting Persistent, Limited, and Delayed Problematic Cannabis Use in Early Adulthood: Findings From a Longitudinal Study

Journal of the American Academy of Child and Adolescent Psychiatry
Sherika HillWilliam E Copeland

Abstract

To identify risk profiles associated with patterns of problematic cannabis use in early adulthood. Data came from 1,229 participants in the Great Smoky Mountains Study, a prospective 20-year cohort study from 1993 to 2015 that is representative of western North Carolina with yearly assessments conducted from ages 9 and 16 years, and assessments at ages 19, 21, 26, and 30 years. Patterns of problematic cannabis use (i.e., DSM-5 cannabis use disorder or daily use) in early adulthood included the following: nonproblematic use in late adolescence (ages 19-21) and early adulthood (ages 26-30); limited problematic use in late adolescence only; persistent problematic use in late adolescence and early adulthood; and delayed problematic use in early adulthood only. Multinominal logistic regression models examined pairwise associations between these patterns and risk factors in childhood/early adolescence (ages 9-16) and late adolescence (ages 19-21). Risk factors included psychiatric disorders (e.g., anxiety, depressive), other substance use (smoking, alcohol, illicit drugs), and challenging social factors (e.g., low socioeconomic status, family functioning, peers). Sex and race/ethnicity (white, African American, American Indian) inter...Continue Reading

Citations

Oct 31, 2018·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Erika Nicole DugasJennifer O'Loughlin
Oct 28, 2019·Journal of Dual Diagnosis·Lucia SideliRobin M Murray
Aug 24, 2019·JAMA Network Open·Elizabeth J GiffordWilliam E Copeland
Aug 21, 2021·Journal of the American Academy of Child and Adolescent Psychiatry·William E CopelandLilly Shanahan
Nov 2, 2021·Child Psychiatry and Human Development·Colleen Stiles-ShieldsNiranjan S Karnik

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