Risky decision‐making as an antecedent or consequence of adolescent cannabis use: findings from a 2‐year longitudinal study.
Background and aims: Although poor decision‐making (DM) has been correlated with problematic cannabis use (CU), cross‐sectional designs make it difficult to determine whether poor DM represents an antecedent and/or consequence of CU. The current study measured bidirectional associations between CU a...
| Publicado en: | Addiction Vol. 117; no. 2; pp. 392 - 411 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154579707&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154579707 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Feb2022 vid: 117 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 154579707 151489171 154579707 154579707 10.1111/add.15626 154579707 ppf: 392 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Risky decision‐making as an antecedent or consequence of adolescent cannabis use: findings from a 2‐year longitudinal study. aug: au: Pacheco‐Colón, Ileana Lopez‐Quintero, Catalina Coxe, Stefany Limia, Jorge M. Pulido, William Granja, Karen Paula, Dayana C. Gonzalez, Ingrid Ross, J. Megan Duperrouzel, Jacqueline C. Hawes, Samuel W. Gonzalez, Raul affil: Center for Children and Families, Department of Psychology, Florida International University, Miami FL,, USA sug: subj: Cannabis Adverse Effects Substance Use Disorders Complications Risk Taking Behavior In Adolescence Decision Making In Adolescence Human Prospective Studies Descriptive Statistics Data Analysis Software Male Female Adolescence Cross Sectional Studies Semi-Structured Interview Confidence Intervals Odds Ratio Questionnaires Scales Adolescent: 13-18 years Male Female ab: Background and aims: Although poor decision‐making (DM) has been correlated with problematic cannabis use (CU), cross‐sectional designs make it difficult to determine whether poor DM represents an antecedent and/or consequence of CU. The current study measured bidirectional associations between CU and DM among adolescents over 2 years and compared these findings to those observed with episodic memory, which is consistently reported as a consequence of CU. We also measured the role of DM as a risk factor for cannabis use disorder (CUD) onset. Design Two‐year longitudinal study with five bi‐annual assessments. Participants: Participants were 401 adolescents aged 14–17 years at baseline. Setting: Miami, Florida, USA. Measurements CU frequency and CUDs were assessed at each time‐point through the Drug Use History Questionnaire and Structured Clinical Interview for DSM‐IV, respectively. Neurocognition was assessed at odd time‐points throughout the Iowa Gambling Task, Game of Dice Task and Cups Task [decision‐making (DM)] and the Wechsler Memory Scale IV and California Verbal Learning Test II (episodic memory). We used latent growth curve modeling to examine bidirectional influences between CU and neurocognition over time. We applied discrete time survival analyses to determine whether baseline DM predicted CUD onset. Findings Greater lifetime CU frequency was associated with poorer episodic memory at baseline (bs = −14.84, −16.44, Ps = 0.038, 0.021). Greater CU escalation predicted lesser gains in immediate episodic memory (b = −0.05, P = 0.020). Baseline DM did not predict CU escalation (b = 0.07, P = 0.421), nor did escalation in CU predict changes in DM (b = 0.02, P = 0.352). Baseline DM also did not predict CUD onset (adjusted OR = 1.01, 95% confidence interval = 0.98–1.06). Conclusions: This study replicates findings that poorer episodic memory in adolescents appears to be a consequence of cannabis use, even among adolescents at earlier stages of use. Poor decision‐making does not appear to be either a consequence of or a risk factor for escalating cannabis use or onset of cannabis use disorder among adolescents. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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