The occurrence of cannabis use disorders and other cannabis-related problems among first-year college students

Caldeira, Kimberly M.; Arria, Amelia M.; O’Grady, Kevin E.; Vincent, Kathryn B.; Wish, Eric D.

doi:10.1016/j.addbeh.2007.10.001

Cited by 193 publications

(159 citation statements)

References 33 publications

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“…Finally, universities must make substance-abuse treatment services available for the substantial number of college students who need them, because prior evidence indicates that college students experience dependence and abuse at rates similar to the general population (43,44). Treatment programs should be designed to address the specific challenges intrinsic to college life, especially regarding the intensity of the social environment and academic pressures.…”

Section: Implications Of the Current Findings For Early Intervention mentioning

confidence: 99%

Drug Exposure Opportunities and Use Patterns among College Students: Results of a Longitudinal Prospective Cohort Study

et al. 2008

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Underage drinking and drug use among college students are major public health concerns, yet few studies have examined these behaviors and their associated risk factors and consequences prospectively. This paper describes the sampling and recruitment methods of a longitudinal study of 1,253 college students at a large, mid-Atlantic university. Incoming first-year students were screened during the unique window between high school and college in order to oversample drug users for longitudinal follow-up. Intensive recruitment strategies yielded a 95% cumulative response rate in annual interviews and semi-annual surveys. We report preliminary results on exposure opportunity, lifetime prevalence, initiation, continuation, and cessation of substance use for alcohol, tobacco, and ten illicit and prescription drugs during the first two years of college. Findings suggest that while some substance use represents a continuation of patterns initiated in high school, exposure opportunity and initiation of substance use frequently occur in college. Implications for prevention and early intervention are discussed. Keywords NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript IntroductionUnderage drinking and illicit substance use among college students are major public health concerns. Annually, at least 1,400 deaths are attributable to alcohol use on college campuses (1). High-risk drinking among young adults is associated with sexual assault, destruction of property, academic problems, accidental injury, and several adverse health consequences (2-5). Binge drinking and illicit drug use often co-occur (2,6-10), but in contrast to longitudinal studies of alcohol consumption (11), surprisingly few longitudinal prospective studies have examined patterns, correlates, and consequences of illicit drug use among college students. Little information is available on the patterns of initiation and cessation during college-that is, it is not known how often drug use is initiated after coming to college versus continuing a pattern that began in high school, and how often a pattern of regular drug use resolves among college students. Moreover, a majority of the conceptual models used to explain the onset and course of early drug use were developed from studying samples of adolescents, many of whom were deviant and disadvantaged (12)(13)(14)(15)(16)(17). Although the application of these models to samples of educated, academically-achieving youths might be appropriate, other risk factors and consequences might be needed to fully describe the natural history and course of drug use and other health risk behaviors during this unique developmental window. For example, an important potential outcome of drug use among college students might be diminished expectations regarding career goals or difficulty establishing autonomy.This paper describes results from the College Life Study (CLS), funded by the National Institute on Drug Abuse in October 2003 to address critical gaps in our knowledge base concerning the longi...

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Section: Implications Of the Current Findings For Early Intervention mentioning

confidence: 99%

Drug Exposure Opportunities and Use Patterns among College Students: Results of a Longitudinal Prospective Cohort Study

et al. 2008

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“…We examined these relationships among college students given that young adults broadly and college students specifi cally appear vulnerable to cannabis use and use-related problems Caldeira et al, 2008) and that college students experience a greater increase in cannabis-related problems from ages 18 to 21 relative to same age, noncollege peers (White et al, 2005). Furthermore, the transition from high school to college appears associated with increased social anxiety (Spokas and Heimberg, 2009), and social anxiety and SAD have been found to be related to cannabis-related problems among college students (e.g., Buckner et al, 2006aBuckner et al, , 2006bBuckner et al, , 2007Buckner et al, , 2011bBuckner et al, , 2012b.…”

Section: Current Studymentioning

confidence: 99%

Cannabis Use Behaviors and Social Anxiety: The Roles of Perceived Descriptive and Injunctive Social Norms

Ecker

Buckner

2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Individuals with greater social anxiety are particularly vulnerable to cannabis-related impairment. Descriptive norms (beliefs about others' use) and injunctive norms (beliefs regarding others' approval of risky use) may be particularly relevant to cannabis-related behaviors among socially anxious persons if they use cannabis for fear of evaluation for deviating from what they believe to be normative behaviors. Yet, little research has examined the impact of these social norms on the relationships between social anxiety and cannabis use behaviors. Method: The current study investigated whether the relationships of social anxiety to cannabis use and use-related problems varied as a function of social norms. The sample comprised 230 (63.0% female) current cannabis-using undergraduates. Results: Injunctive norms (regarding parents, not friends) moderated the relationship between social anxiety and cannabis-related problem severity. Post hoc probing indicated that among participants with higher (but not lower) social anxiety, those with greater norm endorsement reported the most severe impairment. Injunctive norms (parents) also moderated the relationship between social anxiety and cannabis use frequency such that those with higher social anxiety and lower norm endorsement used cannabis less frequently. Descriptive norms did not moderate the relationship between social anxiety and cannabis use frequency. Conclusions: Socially anxious cannabis users appear to be especially infl uenced by beliefs regarding parents' approval of risky cannabis use. Results underscore the importance of considering reference groups and the specifi c types of norms in understanding factors related to cannabis use behaviors among this vulnerable population. (J. Stud. Alcohol Drugs, 75, 74-82, 2014)

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“…Almost one third of undergraduates report having used in the past year (Kilmer et al, 2006;Mohler-Kuo et al, 2003), and approximately 25% of first-year past-year undergraduate cannabis users meet criteria for a cannabis use disorder (Caldeira et al, 2008). College cannabis use is related to a range of risky behaviors including drinking and driving, other substance use, and risky sex (Bell et al, 1997;Caldeira et al, 2008;Everett et al, 1999;Poulson et al, 2008). Further, cannabis use adversely affects brain development among young adults (Ashtari et al, 2009) and negatively affects memory and motivation (Caldeira et al, 2008;Kouri et al, 1995).…”

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confidence: 99%

“…College cannabis use is related to a range of risky behaviors including drinking and driving, other substance use, and risky sex (Bell et al, 1997;Caldeira et al, 2008;Everett et al, 1999;Poulson et al, 2008). Further, cannabis use adversely affects brain development among young adults (Ashtari et al, 2009) and negatively affects memory and motivation (Caldeira et al, 2008;Kouri et al, 1995).…”

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confidence: 99%

Event-Specific Cannabis Use and Use-Related Impairment: The Relationship to Campus Traditions

Buckner

Henslee

Jeffries

2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Despite high rates of college cannabis use, little work has identified high-risk cannabis use events. For instance, Mardi Gras (MG) and St. Patrick's Day (SPD) are characterized by more college drinking, yet it is unknown whether they are also related to greater cannabis use. Further, some campuses may have traditions that emphasize substance use during these events, whereas other campuses may not. Such campus differences may affect whether students use cannabis during specific events. The present study tested whether MG and SPD were related to more cannabis use at two campuses with different traditions regarding MG and SPD. Further, given that Campus A has specific traditions regarding MG whereas Campus B has specific traditions regarding SPD, cross-campus differences in event-specific use were examined. Method: Current cannabis-using undergraduates (N = 154) at two campuses completed an online survey of event-specific cannabis use and event-specific cannabis-related problems. Results: Participants used more cannabis during MG and SPD than during a typical weekday, typical day on which the holiday fell, and a holiday unrelated to cannabis use (Presidents' Day). Among those who engaged in event-specific use, MG and SPD cannabis use was greater than typical weekend use. Campus differences were observed. For example, Campus A reported more cannabis-related problems during MG than SPD, whereas Campus B reported more problems during SPD than MG. Conclusions: Specific holidays were associated with more cannabis use and use-related problems. Observed between-campus differences indicate that campus traditions may affect event-specific cannabis use and use-related problems. (J. Stud. Alcohol Drugs, 76, 190-194, 2015)

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The occurrence of cannabis use disorders and other cannabis-related problems among first-year college students

Cited by 193 publications

References 33 publications

Drug Exposure Opportunities and Use Patterns among College Students: Results of a Longitudinal Prospective Cohort Study

Drug Exposure Opportunities and Use Patterns among College Students: Results of a Longitudinal Prospective Cohort Study

Cannabis Use Behaviors and Social Anxiety: The Roles of Perceived Descriptive and Injunctive Social Norms

Event-Specific Cannabis Use and Use-Related Impairment: The Relationship to Campus Traditions

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