Cannabis use disorders among adults in the United States during a time of increasing use of cannabis. Compton, W. M., Han, B., Jones, C. M., & Blanco, C. Drug Alcohol Depend, 204:107468, November, 2019. doi abstract bibtex BACKGROUND: Using U.S. National Surveys on Drug Use and Health (NSDUH) data, researchers found that prevalence of cannabis use among adults increased in recent years, but prevalence of DSM-IV cannabis use disorder (CUD) was stable. Examining trends of all individual CUD criteria and of CUD severity may elucidate reasons for the lack of increases in CUD. METHODS: Data were from 749,500 persons aged 18 or older who participated in the 2002-2017 NSDUH. Descriptive analyses and logistic regressions were applied. RESULTS: Among adults during 2002-2017, past-year prevalence of DSM-IV CUD remained stable at 1.5% to 1.4%, but cannabis use increased from 10.4% to 15.3%, daily/near daily use increased from 1.9% to 4.2%, and mild DSM-5 CUD increased from 1.4% to 1.9%. Among adult cannabis users, past-year prevalence of DSM-IV CUD decreased from 14.8% to 9.3%, daily/near daily use increased from 18.0% to 27.2%, and DSM-5 moderate (4-5 criteria) and severe (6+ criteria) CUD decreased from 4.3% to 3.1% and from 2.4% to 1.3%, respectively. Examining trends in individual CUD criteria during 2002-2017 among adults overall revealed increases in two criteria (tolerance; spending a lot of time getting/using cannabis or getting over cannabis effects) and decreases/no changes in other criteria; among adult cannabis users, there was no change in one criterion (tolerance) and decreases in other criteria. CONCLUSIONS: DSM-5's single dimension CUD measure may be more sensitive to diagnosis prevalence changes than the separate DSM-IV cannabis dependence and abuse categories. Future diagnostic approaches to assessing CUD may benefit from quantitatively oriented criteria.
@article{compton_cannabis_2019,
title = {Cannabis use disorders among adults in the {United} {States} during a time of increasing use of cannabis},
volume = {204},
issn = {1879-0046 (Electronic) 0376-8716 (Print) 0376-8716 (Linking)},
doi = {10.1016/j.drugalcdep.2019.05.008},
abstract = {BACKGROUND: Using U.S. National Surveys on Drug Use and Health (NSDUH) data, researchers found that prevalence of cannabis use among adults increased in recent years, but prevalence of DSM-IV cannabis use disorder (CUD) was stable. Examining trends of all individual CUD criteria and of CUD severity may elucidate reasons for the lack of increases in CUD. METHODS: Data were from 749,500 persons aged 18 or older who participated in the 2002-2017 NSDUH. Descriptive analyses and logistic regressions were applied. RESULTS: Among adults during 2002-2017, past-year prevalence of DSM-IV CUD remained stable at 1.5\% to 1.4\%, but cannabis use increased from 10.4\% to 15.3\%, daily/near daily use increased from 1.9\% to 4.2\%, and mild DSM-5 CUD increased from 1.4\% to 1.9\%. Among adult cannabis users, past-year prevalence of DSM-IV CUD decreased from 14.8\% to 9.3\%, daily/near daily use increased from 18.0\% to 27.2\%, and DSM-5 moderate (4-5 criteria) and severe (6+ criteria) CUD decreased from 4.3\% to 3.1\% and from 2.4\% to 1.3\%, respectively. Examining trends in individual CUD criteria during 2002-2017 among adults overall revealed increases in two criteria (tolerance; spending a lot of time getting/using cannabis or getting over cannabis effects) and decreases/no changes in other criteria; among adult cannabis users, there was no change in one criterion (tolerance) and decreases in other criteria. CONCLUSIONS: DSM-5's single dimension CUD measure may be more sensitive to diagnosis prevalence changes than the separate DSM-IV cannabis dependence and abuse categories. Future diagnostic approaches to assessing CUD may benefit from quantitatively oriented criteria.},
journal = {Drug Alcohol Depend},
author = {Compton, W. M. and Han, B. and Jones, C. M. and Blanco, C.},
month = nov,
year = {2019},
pmcid = {PMC7028308},
keywords = {Adolescent, Adult, Aged, Cannabis use, Cannabis use disorder, Diagnostic and Statistical Manual of Mental Disorders, Diagnostic criteria for cannabis use disorder, Dsm-5, Dsm-iv, Female, Health Surveys/methods/*trends, Humans, Male, Marijuana Abuse/diagnosis/*epidemiology/psychology, Marijuana Smoking/*epidemiology/psychology/*trends, Middle Aged, United States/epidemiology, Young Adult},
pages = {107468},
}
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{"_id":"3zqiLH6J8NW3JQXuw","bibbaseid":"compton-han-jones-blanco-cannabisusedisordersamongadultsintheunitedstatesduringatimeofincreasinguseofcannabis-2019","author_short":["Compton, W. M.","Han, B.","Jones, C. M.","Blanco, C."],"bibdata":{"bibtype":"article","type":"article","title":"Cannabis use disorders among adults in the United States during a time of increasing use of cannabis","volume":"204","issn":"1879-0046 (Electronic) 0376-8716 (Print) 0376-8716 (Linking)","doi":"10.1016/j.drugalcdep.2019.05.008","abstract":"BACKGROUND: Using U.S. National Surveys on Drug Use and Health (NSDUH) data, researchers found that prevalence of cannabis use among adults increased in recent years, but prevalence of DSM-IV cannabis use disorder (CUD) was stable. Examining trends of all individual CUD criteria and of CUD severity may elucidate reasons for the lack of increases in CUD. METHODS: Data were from 749,500 persons aged 18 or older who participated in the 2002-2017 NSDUH. Descriptive analyses and logistic regressions were applied. RESULTS: Among adults during 2002-2017, past-year prevalence of DSM-IV CUD remained stable at 1.5% to 1.4%, but cannabis use increased from 10.4% to 15.3%, daily/near daily use increased from 1.9% to 4.2%, and mild DSM-5 CUD increased from 1.4% to 1.9%. Among adult cannabis users, past-year prevalence of DSM-IV CUD decreased from 14.8% to 9.3%, daily/near daily use increased from 18.0% to 27.2%, and DSM-5 moderate (4-5 criteria) and severe (6+ criteria) CUD decreased from 4.3% to 3.1% and from 2.4% to 1.3%, respectively. Examining trends in individual CUD criteria during 2002-2017 among adults overall revealed increases in two criteria (tolerance; spending a lot of time getting/using cannabis or getting over cannabis effects) and decreases/no changes in other criteria; among adult cannabis users, there was no change in one criterion (tolerance) and decreases in other criteria. CONCLUSIONS: DSM-5's single dimension CUD measure may be more sensitive to diagnosis prevalence changes than the separate DSM-IV cannabis dependence and abuse categories. Future diagnostic approaches to assessing CUD may benefit from quantitatively oriented criteria.","journal":"Drug Alcohol Depend","author":[{"propositions":[],"lastnames":["Compton"],"firstnames":["W.","M."],"suffixes":[]},{"propositions":[],"lastnames":["Han"],"firstnames":["B."],"suffixes":[]},{"propositions":[],"lastnames":["Jones"],"firstnames":["C.","M."],"suffixes":[]},{"propositions":[],"lastnames":["Blanco"],"firstnames":["C."],"suffixes":[]}],"month":"November","year":"2019","pmcid":"PMC7028308","keywords":"Adolescent, Adult, Aged, Cannabis use, Cannabis use disorder, Diagnostic and Statistical Manual of Mental Disorders, Diagnostic criteria for cannabis use disorder, Dsm-5, Dsm-iv, Female, Health Surveys/methods/*trends, Humans, Male, Marijuana Abuse/diagnosis/*epidemiology/psychology, Marijuana Smoking/*epidemiology/psychology/*trends, Middle Aged, United States/epidemiology, Young Adult","pages":"107468","bibtex":"@article{compton_cannabis_2019,\n\ttitle = {Cannabis use disorders among adults in the {United} {States} during a time of increasing use of cannabis},\n\tvolume = {204},\n\tissn = {1879-0046 (Electronic) 0376-8716 (Print) 0376-8716 (Linking)},\n\tdoi = {10.1016/j.drugalcdep.2019.05.008},\n\tabstract = {BACKGROUND: Using U.S. National Surveys on Drug Use and Health (NSDUH) data, researchers found that prevalence of cannabis use among adults increased in recent years, but prevalence of DSM-IV cannabis use disorder (CUD) was stable. Examining trends of all individual CUD criteria and of CUD severity may elucidate reasons for the lack of increases in CUD. METHODS: Data were from 749,500 persons aged 18 or older who participated in the 2002-2017 NSDUH. Descriptive analyses and logistic regressions were applied. RESULTS: Among adults during 2002-2017, past-year prevalence of DSM-IV CUD remained stable at 1.5\\% to 1.4\\%, but cannabis use increased from 10.4\\% to 15.3\\%, daily/near daily use increased from 1.9\\% to 4.2\\%, and mild DSM-5 CUD increased from 1.4\\% to 1.9\\%. Among adult cannabis users, past-year prevalence of DSM-IV CUD decreased from 14.8\\% to 9.3\\%, daily/near daily use increased from 18.0\\% to 27.2\\%, and DSM-5 moderate (4-5 criteria) and severe (6+ criteria) CUD decreased from 4.3\\% to 3.1\\% and from 2.4\\% to 1.3\\%, respectively. Examining trends in individual CUD criteria during 2002-2017 among adults overall revealed increases in two criteria (tolerance; spending a lot of time getting/using cannabis or getting over cannabis effects) and decreases/no changes in other criteria; among adult cannabis users, there was no change in one criterion (tolerance) and decreases in other criteria. CONCLUSIONS: DSM-5's single dimension CUD measure may be more sensitive to diagnosis prevalence changes than the separate DSM-IV cannabis dependence and abuse categories. Future diagnostic approaches to assessing CUD may benefit from quantitatively oriented criteria.},\n\tjournal = {Drug Alcohol Depend},\n\tauthor = {Compton, W. M. and Han, B. and Jones, C. 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