Natural Recovery From Cannabis Use in People With Psychosis: A Qualitative Study

Rebgetz, Shane; Hides, Leanne; Kavanagh, David J.; Choudhary, Anand

doi:10.1080/15504263.2015.1100472

Cited by 9 publications

(13 citation statements)

References 8 publications

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“…This qualitative prospective study explored natural recovery from cannabis use among people with early psychosis over 3 months. Consistent with previous research, worsening mental health symptoms were identified as a major reason for reducing/ceasing cannabis use ( Rebgetz et al, 2015 , Rebgetz et al, 2015 ). Relationship issues were identified as another major reason for making a change in cannabis use—particularly concerns about letting others down.…”

Section: Discussionsupporting

confidence: 86%

“…homelessness) that occur when someone with psychosis also misuses a psychoactive substance. However, only eight studies have examined the subjective experience of ceasing or reducing cannabis among individuals with psychosis ( Rebgetz et al, 2015 , Rebgetz et al, 2015 ), and there is little examination of mechanisms underpinning the phenomenon.…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative methods have begun to provide additional insights into the strategies used by this population. Our recent study found that cessation was linked to the individual's awareness of the multiple negative consequences of cannabis use or a more specific motivator (e.g., loss of employment; Rebgetz, Hides, et al, 2015 ). Maintenance strategies were associated with the awareness of the impact of cannabis use on mental health symptoms, thinking about incentives and support from others.…”

Section: Introductionmentioning

confidence: 99%

“…Maintenance strategies were associated with the awareness of the impact of cannabis use on mental health symptoms, thinking about incentives and support from others. Reasons for relapse were found to be similar to non-psychotic groups including pressure from others, stressful events, coping with cravings and boredom ( Rebgetz, Hides, et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

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Prospective recovery of cannabis use in a psychotic population: A qualitative analysis

Rebgetz

Hides

Kavanagh

et al. 2016

Addictive Behaviors Reports

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IntroductionThere is growing evidence for natural recovery from cannabis use by people with psychosis, but mechanisms underpinning it need further exploration. This study prospectively explored this issue.MethodTwenty-two people with psychosis and cannabis misuse were recruited: 19 provided data for at least one follow-up assessment, and 13 of these (68%) reduced or ceased using cannabis. A semi-structured interview with the latter group explored reasons for initiating the attempt, strategies they employed, and context/s where any relapse occurred. Interpretative phenomenological analysis was used to identify themes.ResultsParticipants who reduced or ceased cannabis use had fewer negative symptoms at Baseline, and were more likely to only use cannabis. Major reasons for starting an attempt were worsening mental health, relationship and lifestyle difficulties. Effective strategies fell into psychological, relationship, lifestyle and medication themes. Only three participants reported a relapse: triggers involved substance-using peers, relationship difficulties, and problems with negative emotions including ones from past trauma.ConclusionsAn encouragingly high rate of maintained reductions in cannabis use was seen. Increased awareness of the benefits across multiple life domains from addressing cannabis use may be critical to the initiation and maintenance of attempts, both to maximise motivation, and avoid over-dependence on improvements in any single domain. Negative symptoms, multiple substance use, dysphoria and pressure from substance-using peers clearly offer additional challenges for control.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prospective recovery of cannabis use in a psychotic population: A qualitative analysis

Rebgetz

Hides

Kavanagh

et al. 2016

Addictive Behaviors Reports

Self Cite

View full text Add to dashboard Cite

show abstract

“…Little evidence exists as to how this group can be encouraged and supported to abstain from cannabis use with the aim of reducing the impact of psychosis on their lives. There is the opportunity to learn from those with psychosis who have successfully reduced or abstained completely from using cannabis [ 30 , 31 ].…”

Section: Knowledge Gapsmentioning

confidence: 99%

Cannabis and Psychosis: Are We any Closer to Understanding the Relationship?

Hamilton

Monaghan

2019

Curr Psychiatry Rep

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Purpose of Review This paper provides an update from the literature on understanding of the relationship between cannabis and schizophrenia. In particular, the paper focuses on the latest findings and remaining areas that require investigation. Recent Findings Three hypotheses have emerged as potential explanations for the association between cannabis and schizophrenia, namely cannabis can trigger schizophrenia, cannabis is used to mitigate symptoms of schizophrenia, and there are common factors which might account for the association. Biological and genetic factors dominate this field of research; this has been at the expense of exploring social and cultural contributory factors which influence cannabis and schizophrenia. Summary The evidence for cannabis acting as a causal factor for schizophrenia has so far not been established. Research needs to extend beyond males drawn from western countries if we are to advance knowledge and understanding of the link between cannabis use and schizophrenia.

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Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

Petros¹,

Walker²,

Davis³

et al. 2022

Psychiatric Rehabilitation Journal

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Objective: Young adults experiencing a first episode of psychosis (FEP) have high rates of cannabis use and cannabis use disorder (CUD). No evidence-based practice effectively treats CUD for people with FEP, and little is known about factors that influence intentions to reduce or stop using. A critical inquiry was conducted to identify salient factors contributing to intentions of young adults with FEP to reduce or discontinue cannabis use, guided by theory of planned behavior (TPB). Method: Online focus groups (n = 3) and individual interviews (n = 3) were conducted with 16 young adults with FEP (mean age of 23.7) and historical cannabis use (averaging 11.8 days of use in the previous 30). A content analysis was conducted to sort data into TPB constructs, and a thematic analysis was subsequently performed to identify the breadth of themes. Results: Participants identified benefits of cannabis reduction and cessation for pursuing life goals, but most maintained regular use. Participants perceived cannabis as a facilitator of social interactions, enjoyable activities, and improved mental health (and reduced dysthymia). Many were concerned about reducing or discontinuing cannabis without replacement strategies to compensate for its benefits. Conclusions and Implications for Practice: In spite of life goals incompatible with cannabis use, cessation was not favored given the perceived benefits of cannabis and participants’ lack of replacement strategies to facilitate social interactions, enjoyable activities, and euthymia. Interventions may be improved by addressing motivations for use and by teaching skills to build positive social support, schedule enjoyable activities, and ameliorate dysthymia.

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Natural Recovery From Cannabis Use in People With Psychosis: A Qualitative Study

Cited by 9 publications

References 8 publications

Prospective recovery of cannabis use in a psychotic population: A qualitative analysis

Prospective recovery of cannabis use in a psychotic population: A qualitative analysis

Cannabis and Psychosis: Are We any Closer to Understanding the Relationship?

Young adults with psychosis: Intentions for cannabis reduction and cessation based on theory of planned behavior.

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