Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users
Background: Regulatory changes are increasing access to both medical cannabis and cannabis in general. As such, understanding patterns of recreational and medical cannabis use is a high public health priority. Objectives: Patterns of cannabis use (recreational and medical), other substance use, and...
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Elsevier
2020-10-01
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Series: | Comprehensive Psychiatry |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X20300304 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jasmine Turna Iris Balodis Catharine Munn Michael Van Ameringen Jason Busse James MacKillop |
spellingShingle |
Jasmine Turna Iris Balodis Catharine Munn Michael Van Ameringen Jason Busse James MacKillop Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users Comprehensive Psychiatry Cannabis Marijuana Attitudes Addiction Pain Anxiety |
author_facet |
Jasmine Turna Iris Balodis Catharine Munn Michael Van Ameringen Jason Busse James MacKillop |
author_sort |
Jasmine Turna |
title |
Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
title_short |
Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
title_full |
Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
title_fullStr |
Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
title_full_unstemmed |
Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
title_sort |
overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis users |
publisher |
Elsevier |
series |
Comprehensive Psychiatry |
issn |
0010-440X |
publishDate |
2020-10-01 |
description |
Background: Regulatory changes are increasing access to both medical cannabis and cannabis in general. As such, understanding patterns of recreational and medical cannabis use is a high public health priority. Objectives: Patterns of cannabis use (recreational and medical), other substance use, and psychiatric symptoms were characterized in a large sample of community adult cannabis users in Canada, prior to federal cannabis legalization. Methods: This was a self-report assessment of 709 cannabis users (Mean age = 30.19 (11.82) years; 55.01% female). Patterns of overall substance use and psychiatric symptomatology were compared based on recreational/medical cannabis status. Results: Overall, 61.4% of participants endorsed exclusively recreational use, while 38.6% reported some level of medical use. Of all medical users, only 23.4% reported authorization from a health professional. Recreational cannabis users typically reported infrequent use (less than weekly), whereas medical users modally reported daily use. Compared to recreational users, medical users reported more problematic cannabis use in addition to greater psychiatric symptomatology (anxiety, depression and trauma). Interestingly, a large majority of medical users also reported using recreationally (80.6%), while exclusive medical use was less common (19.3%). This dual motives group reported more daily cannabis use and more alcohol and tobacco use. Compared to medical-only users, individuals using cannabis for both medical and recreational purposes more often used cannabis to treat psychiatric conditions. Conclusions: These findings reveal the differences in cannabis use patterns and preferences between recreational and medical users, and even within medical users. In particular, dual motives individuals, who use cannabis for both positively and negatively reinforcing purposes, may warrant special attention as a subpopulation. |
topic |
Cannabis Marijuana Attitudes Addiction Pain Anxiety |
url |
http://www.sciencedirect.com/science/article/pii/S0010440X20300304 |
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doaj-d1a485643ab64f8ab746287e720b28f12020-11-25T03:47:52ZengElsevierComprehensive Psychiatry0010-440X2020-10-01102152188Overlapping patterns of recreational and medical cannabis use in a large community sample of cannabis usersJasmine Turna0Iris Balodis1Catharine Munn2Michael Van Ameringen3Jason Busse4James MacKillop5Michael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, CanadaMichael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, CanadaMichael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, CanadaMichael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; MacAnxiety Research Centre, McMaster University, Hamilton, ON, CanadaMichael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Department of Health, Evidence, and Impact, McMaster University, Hamilton, ON, Canada; Department of Anesthesia, McMaster University, Hamilton, ON, CanadaMichael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Homewood Research Institute, Guelph, ON, Canada; Corresponding author at: Peter Boris Centre for Addictions Research, McMaster University/St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, Ontario L8P 3R2, Canada.Background: Regulatory changes are increasing access to both medical cannabis and cannabis in general. As such, understanding patterns of recreational and medical cannabis use is a high public health priority. Objectives: Patterns of cannabis use (recreational and medical), other substance use, and psychiatric symptoms were characterized in a large sample of community adult cannabis users in Canada, prior to federal cannabis legalization. Methods: This was a self-report assessment of 709 cannabis users (Mean age = 30.19 (11.82) years; 55.01% female). Patterns of overall substance use and psychiatric symptomatology were compared based on recreational/medical cannabis status. Results: Overall, 61.4% of participants endorsed exclusively recreational use, while 38.6% reported some level of medical use. Of all medical users, only 23.4% reported authorization from a health professional. Recreational cannabis users typically reported infrequent use (less than weekly), whereas medical users modally reported daily use. Compared to recreational users, medical users reported more problematic cannabis use in addition to greater psychiatric symptomatology (anxiety, depression and trauma). Interestingly, a large majority of medical users also reported using recreationally (80.6%), while exclusive medical use was less common (19.3%). This dual motives group reported more daily cannabis use and more alcohol and tobacco use. Compared to medical-only users, individuals using cannabis for both medical and recreational purposes more often used cannabis to treat psychiatric conditions. Conclusions: These findings reveal the differences in cannabis use patterns and preferences between recreational and medical users, and even within medical users. In particular, dual motives individuals, who use cannabis for both positively and negatively reinforcing purposes, may warrant special attention as a subpopulation.http://www.sciencedirect.com/science/article/pii/S0010440X20300304CannabisMarijuanaAttitudesAddictionPainAnxiety |