Data Entry: Please note that the research database will be replaced by UNIverse by the end of October 2023. Please enter your data into the system https://universe-intern.unibas.ch. Thanks

Login for users with Unibas email account...

Login for registered users without Unibas email account...

 
A typology of cannabis-related problems among individuals with repeated illegal drug use in the first three decades of life : evidence for heterogeneity and different treatment needs
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 104454
Author(s) Wittchen, Hans-Ulrich; Behrendt, Silke; Höfler, Michael; Perkonigg, Axel; Rehm, Jürgen; Lieb, Roselind; Beesdo, Katja
Author(s) at UniBasel Lieb, Roselind
Year 2009
Title A typology of cannabis-related problems among individuals with repeated illegal drug use in the first three decades of life : evidence for heterogeneity and different treatment needs
Journal Drug and alcohol dependence
Volume 102
Number 1-3
Pages / Article-Number 151-7
Keywords Latent class analysis, cannabis, Epidemiology, Problem profile, Adolescence
Abstract

Background: Cannabis use (CU) and disorders (CUD) are highly prevalent among adolescents and Young adults. We aim to identify clinically meaningful Latent classes Of Users of cannabis and other illegal substances with distinct problem profiles.

Methods: N=3021 Community subjects aged 14-24 at baseline were followed-up over a period ranging Lip to 10 years. Substance Use (SU) and disorders (SUD) were assessed with the DSM-IV/M-CIDI. Latent class analysis (LCA) was conducted with a subset of N = 1089 Subjects with repeated illegal SU. The variables entered in the LCA were CU-related problems, CUD, other SUD, and other mental disorders.

Results: Four latent classes were identified: "Unproblematic CU" (class 1: 59.2%), "Primary alcohol use disorders" (class 2: 14.4%), "Delinquent cannabisi/alcohol DSM-IV-abuse" (class 3: 17.9%), "CUD with multiple problems" (class 4: 8.5%). Range and level of CU-related problems were highest in classes 3 and 4. Comorbidity with other mental disorders was highest in classes 2 and 4. The probability of alcohol disorders and unmet treatment needs was considerable in classes 2-4.

Conclusion: While the majority of Subjects with repeated illegal SU did not experience notable problems over the 10-year period, a large minority (40.8%) experienced problematic outcomes, distinguished by clinically meaningful profiles, The data underline the need for specifically tailored interventions for adolescents with problematic CU and highlight the potentially important role of alcohol and other mental disorders.

Publisher Elsevier
ISSN/ISBN 0376-8716
edoc-URL http://edoc.unibas.ch/dok/A5253163
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.drugalcdep.2009.02.012
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/19362792
ISI-Number WOS:000266228400021
Document type (ISI) Article
 
   

MCSS v5.8 PRO. 0.329 sec, queries - 0.000 sec ©Universität Basel  |  Impressum   |    
29/03/2024