Time-varying associations between confidence and motivation to abstain from marijuana during treatment among adolescents

Addictive Behaviors
Tammy Chung, Stephen A Maisto

Abstract

An important goal of addictions treatment is to develop a positive association between high levels of confidence and motivation to abstain from substance use. This study modeled the time-varying association between confidence and motivation to abstain from marijuana use among youth in treatment, and the time-varying effect of pre-treatment covariates (marijuana abstinence goal and perceived peer marijuana use) on motivation to abstain. 150 adolescents (75% male, 83% White) in community-based intensive outpatient treatment in Pennsylvania completed a pre-treatment assessment of abstinence goal, perceived peer marijuana use, and motivation and confidence to abstain from marijuana. Ratings of motivation and confidence to abstain also were collected after each session. A time-varying effect model (TVEM) was used to characterize changes in the association between confidence and motivation to abstain (lagged), and included covariates representing pre-treatment abstinence goal and perceived peer marijuana use. Confidence and motivation to abstain from marijuana generally increased during treatment. The association between confidence and motivation strengthened across sessions 1-4, and was maintained through later sessions. Pre-treatme...Continue Reading

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Citations

Feb 28, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Yifrah KaminerRebecca H Burke
Dec 16, 2017·Journal of Child & Adolescent Substance Abuse·Suzanne SpinolaTammy Chung

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