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Coping Motives Mediate the Association of Trauma History with Problematic Cannabis Use in Young Adult Medical Cannabis Patients and Non-Patient Cannabis Users
Journal article   Open access   Peer reviewed

Coping Motives Mediate the Association of Trauma History with Problematic Cannabis Use in Young Adult Medical Cannabis Patients and Non-Patient Cannabis Users

Whitney A. Brammer, Bridgid M. Conn, Ellen Iverson, Stephen E. Lankenau, Chaka Dodson and Carolyn F. Wong
Substance use & misuse, v 57(5), pp 684-697
07 Jan 2022
PMID: 35193442
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11148629View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Science & Technology Psychiatry Psychology Social Sciences Substance Abuse
Background: Despite evidence of the contribution of childhood trauma to the development of problematic cannabis use, its mediating pathways are largely unknown. Given the link between cannabis motives with trauma and problematic cannabis use, motives of use may represent a construct through which trauma impacts problematic cannabis use. Methods: A sample of 339 medical cannabis patient and non-patient young adult users from the Los Angeles area were sampled at baseline and one year later. The current study examined the impact of childhood trauma on problematic use through a variety of cannabis use motives. Results: Controlling for age, socioeconomic status, perceived stress, and baseline problematic use, endorsing the use of cannabis to cope with distress at baseline uniquely mediated the associations between different childhood trauma types (e.g., physical abuse, neglect, sexual trauma) and problematic use one year later. Experience of any childhood trauma was positively associated with coping motives, whereas emotional and physical abuse were positively associated with pain motives, and sexual abuse was positively associated with sleep motives. Using cannabis for coping and increasing attention/focus were also positively associated with higher problematic use, whereas using cannabis for sleep was inversely associated with problematic use one year later. Conclusions: The motives of coping with distress and inattention may represent intermediate constructs through which trauma leads to later problematic cannabis use. Results highlight the need to clarify the pathways between health and non-health-oriented motives and cannabis use over time.

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11 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
Psychology
Substance Abuse
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