Abstract
Introduction. Systematic screening of problematic cannabis use does
not include the motivations that lead to consumption, although
from a person-centered perspective this is fundamental. The present
study explores the motivations for cannabis use in adults and its
relationship with cannabis use patterns and problematic use. Method.
Adult cannabis users (previous 60 days) were recruited in the province
of Barcelona (n = 468). Information on their sociodemographic
data, cannabis use pattern, Cannabis Abuse Screening Test (CAST)
and the main motivation for use were collected. Motivations were
categorized a posteriori according to the Marijuana Motives Measures
(MMM). A descriptive and inferential analysis was carried out to link
the motivations to sociodemographic variables, consumption pattern
and probability of suffering problematic cannabis use (CAST).
Results. Using cannabis to heighten positive feelings (35%), out of
habit (29%) and to cope with negative feelings (25%) were the most
frequent motivations. In comparison to other motivations, coping is
related to a greater quantity of cannabis used (4 vs 3 joints per day,
p = 0.005), higher probability of problematic cannabis use (77% vs
64%, p = 0.05), and greater social vulnerability (unemployment 56%
vs 37%, p = 0.001; and low educational level 14% vs 8%, p = 0.042).
Conclusions. Coping as a motivation for cannabis use is present in one
out of four users and is a marker of social vulnerability, greater quantity
of cannabis used and higher risk of problematic use. Patient-centered
care together with preventive (emotional and social education) and
clinical strategies (psychotherapy) can be useful for this population
at higher risk.
Keywords
Patient-centered care; Cannabis; Motivations for cannabis use; Problematic cannabis use
Bibliographic citation
Casajuana Kögel C, López-Pelayo H, Oliveras C, Gual A, Balcells-Oliveró MM Colom J. Relación entre las motivaciones para consumir y el consumo problemático de cannabis. Adicciones. 2021 Jan 15;33(1):31-42.
Audience
Professionals
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