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Journal article
Mental and Physical Health-Related Cannabis Motives Mediate the Relationship between Childhood Trauma and Problematic Cannabis Use over Time among Emerging Adult Cannabis Users
Substance use & misuse, v 59(2), pp 193-207
2024
PMID: 37822106
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
While growing evidence has identified mental and physical health-related cannabis use motives as significant mechanisms between childhood trauma and problematic cannabis use (PCU) for emerging adults (EA), there is a need to understand the longitudinal stability of these pathways and how they impact PCU as cannabis users age into later adulthood.
Methods
The current study extends an analysis examining the impact of childhood trauma (e.g., emotional abuse, sexual abuse) on multiple indicators of PCU through a range of cannabis use motives. 339 medical cannabis patient and non-patient EA users from the Los Angeles area were sampled at baseline (mean age = 21.23; SD = 2.48). The present analysis used four waves of follow-up data collected from 2016 to 2018 (W3, W4) and 2019-2020 (W5, W6).
Results
Use of cannabis to cope with nausea, sleep, pain, and emotional distress mediated the relationships between some types of childhood abuse and PCU at W4, though most associations attenuated by later adulthood (W6). Specifically, greater emotional distress and nausea motives were associated with greater PCU in models of emotional abuse and neglect and sexual abuse, with emotional distress continuing to mediate at W6. Conversely, sleep and pain motives were associated with lower PCU in models for emotional neglect.
Conclusions
Mental and physical health-related motives reflect potential intervenable factors that predict PCU in emerging adulthood among EA cannabis users with histories of childhood trauma. Results highlight the importance of and value for assessing a wide range of motives and PCU outcomes to target and address areas for intervention.
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Details
- Title
- Mental and Physical Health-Related Cannabis Motives Mediate the Relationship between Childhood Trauma and Problematic Cannabis Use over Time among Emerging Adult Cannabis Users
- Creators
- Bridgid M. Conn - University of Southern CaliforniaWhitney A. Brammer - Children's Hospital of Los AngelesSusie Choi - Children's Hospital of Los AngelesEkaterina V. Fedorova - Drexel UniversityJanna Ataiants - Drexel UniversityStephen E. Lankenau - Drexel UniversityCarolyn F. Wong - Children's Hospital of Los Angeles
- Publication Details
- Substance use & misuse, v 59(2), pp 193-207
- Publisher
- Taylor & Francis
- Number of pages
- 15
- Grant note
- 2R01DA034067 / National Institute on Drug Abuse; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:001082711300001
- Scopus ID
- 2-s2.0-85173906560
- Other Identifier
- 991021452348104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology
- Substance Abuse