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Given recent state legislation legalizing marijuana for recreational purposes and majority popular opinion favoring these laws, we developed the Protective Behavioral Strategies for Marijuana scale (PBSM) to identify strategies that may mitigate the harms related to marijuana use among those young people who choose to use the drug. In the current study, we expand on the initial exploratory study of the PBSM to further validate the measure with a large and geographically diverse sample (N = 2,117; 60% women, 30% non-White) of college students from 11 different universities across the United States. We sought to develop a psychometrically sound item bank for the PBSM and to create a short assessment form that minimizes respondent burden and time. Quantitative item analyses, including exploratory and confirmatory factor analyses with item response theory (IRT) and evaluation of differential item functioning (DIF), revealed an item bank of 36 items that was examined for unidimensionality and good content coverage, as well as a short form of 17 items that is free of bias in terms of gender (men versus women), race (White versus non-White), ethnicity (Hispanic versus non-Hispanic), and recreational marijuana use legal status (state recreational marijuana was legal for 25.5% of participants). We also provide a scoring table for easy transformation from sum scores to IRT scale scores. The PBSM item bank and short form associated strongly and negatively with past month marijuana use and consequences. The measure may be useful to researchers and clinicians conducting intervention and prevention programs with young adults.

The assessment of marijuana use quantity poses unique challenges. These challenges have limited research efforts on quantity assessments. However, quantity estimates are critical to detecting associations between marijuana use and outcomes. We examined accuracy of marijuana users' estimations of quantities of marijuana they prepared to ingest and predictors of both how much was prepared for a single dose and the degree of (in)accuracy of participants' estimates. We recruited a sample of 128 regular-to-heavy marijuana users for a field study wherein they prepared and estimated quantities of marijuana flower in a joint or a bowl as well as marijuana concentrate using a dab tool. The vast majority of participants overestimated the quantity of marijuana that they used in their preparations. We failed to find robust predictors of estimation accuracy. Self-reported quantity estimates are inaccurate, which has implications for studying the link between quantity and marijuana use outcomes. (PsycINFO Database Record

Alcohol use among college students has been associated with injunctive norms, which refer to the perceived acceptability of excessive drinking, and descriptive norms, which refer to perceptions of actual drinking. The purpose of this study was to examine the effect of a brief injunctive norms manipulation on both injunctive and descriptive norms about drinking alcohol and to explore differences in the malleability of norms across referent groups, sex, and gender role. Participants were 265 undergraduates (43% male, 70% freshmen) who completed a web-based survey for course credit. A randomly selected half were exposed to a page of information-based feedback about typical student injunctive norms. Relative to the control condition, the manipulation produced lower injunctive and descriptive norms related to typical students' drinking but no change in either type of norm related to close friends. Femininity was associated with less permissive normative beliefs about the acceptability of excessive drinking whereas masculinity was associated with elevated perceptions of peer drinking, but neither sex nor gender role moderated the manipulation effect. We conclude that perceptions of peer approval of drinking are malleable with a very brief information-based manipulation.

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Aerobic exercise is currently being studied as a relapse prevention strategy for individuals with alcohol use disorders. Negative affect and cravings predict relapse. The acute effects of moderate-intensity exercise have been shown to improve mood and reduce craving. The current study examined the acute effects of exercise on changes in mood, anxiety, and craving from pre- to post-exercise at each week of a 12-week moderate intensity exercise intervention with sedentary alcohol dependent adults. Twenty-six participants in the exercise condition of a larger randomized clinical trial (Brown et al., 2014) exercised in small groups at moderate intensity for 20 to 40 minutes per session. Participants rated mood, anxiety, and cravings in the present moment before and after each exercise session over the course of the 12-week intervention. Data analyses focused on effect size and interval estimation. Joinpoint analysis was used to model longitudinal trends. Increases in mood and decreases in anxiety and craving were apparent at every session. Effect size estimates revealed that average change from pre- to post-exercise was in the small to medium range with some individual sessions reaching the large range. Joinpoint analyses revealed that the pre-post exercise changes in mood increased, anxiety remained stable, and craving diminished across the 12 weeks. This study provides provisional support for a change in mood, anxiety and alcohol cravings for the role of exercise in the early recovery period for alcohol dependence. Acute single bouts of moderate-intensity exercise may help individuals with alcohol dependence manage mood, anxiety, and craving thereby reducing relapse risk, but further research is needed with a more rigorous study design.

ABSTRACT. Objective: Given the high prevalence of marijuana use among college students, it is imperative to determine the factors that may reduce risk of problematic marijuana use and/or the development of cannabis use disorder. We examined marijuana protective behavioral strategies (PBS) as a proximal predictor of marijuana-related outcomes and a mediator of the associations between other known risk/protective factors and marijuana-related outcomes. Method: Using data from a sample of 2,129 past-month marijuana users, collected from 11 universities in the United States, we examined marijuana PBS use as a mediator of the effects of sex, age at first use, impulsivity-like traits, and marijuana use motives on marijuana use frequency and marijuanarelated consequences. Results: Marijuana PBS was identified as a robust negative predictor of marijuana use frequency and marijuana-related consequences. Further, Marijuana PBS use fully or partially mediated the effects of sex, premeditation, perseverance, coping motives, enhancement motives, conformity motives, and expansion motives on marijuana outcomes. Conclusions: Our results suggest that marijuana PBS use is a good candidate to be considered as a mechanism by which marijuana users moderate their marijuana use and attenuate their risk of experiencing marijuana-related consequences. , 2015). In fact, about 30% of college students report past-year prevalence of marijuana use, and nearly 10% meet diagnostic criteria for cannabis use disorder (Caldeira et al., 2008;Johnston et al., 2015). In a recent study across 11 different U.S. universities, Pearson and colleagues (2017) found that between 15.5% and 38.7% (M = 26.2%) of college students report using marijuana in the past month. Further, marijuana-related negative consequences are prevalent with marijuana users experiencing approximately eight distinct negative consequences monthly (Pearson et al., 2017). Although there are several known risk (e.g., earlier age at first use and coping motives) and protective factors (e.g., self-regulation and female sex) of problematic marijuana use, research needs to go beyond examining only distal antecedents 1 and consider more proximal behaviors that may increase or decrease the negative consequences from using marijuana. Within the present study, we focus on marijuana protective behavioral strategies (PBS; Pedersen et al., 2016) as a proximal factor expected to a) relate to both frequency of marijuana use and marijuana-related negative consequences, and b) account for the effects of several known risk/ protective factors of problematic marijuana use.Stemming from a harm reduction focus in the alcohol field, much research has been conducted examining the use of alcohol PBS, defined as "behaviors that are used im-1 We refer to these variables as "distal antecedents" to marijuanarelated outcomes to distinguish them from more "proximal antecedents," which tend to be variables that are less stable, more malleable, and presumed to be more proximal in a causal chain leading to marijuan...