1. The role of decision-making in cannabis-related problems among young adults
- Author
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Robin M. Mermelstein, Raul Gonzalez, Randi M. Schuster, and Kathleen R. Diviak
- Subjects
Adult ,Male ,Marijuana Abuse ,medicine.medical_specialty ,Memory, Episodic ,media_common.quotation_subject ,Decision Making ,Poison control ,Toxicology ,Verbal learning ,Article ,Young Adult ,Injury prevention ,medicine ,Humans ,Pharmacology (medical) ,Psychiatry ,Episodic memory ,media_common ,Pharmacology ,biology ,Addiction ,biology.organism_classification ,Iowa gambling task ,Psychiatry and Mental health ,Gambling ,Female ,Cannabis ,Psychology ,Neurocognitive ,Psychomotor Performance - Abstract
Deficits in decision-making and episodic memory are often reported among heavy cannabis users, yet little is known on how they influence negative consequences from cannabis use. Individual differences in decision-making may explain, in part, why some individuals experience significant problems from their cannabis use whereas others do not. We hypothesized that poor decision-making would moderate relationships between amount of cannabis use and problems from cannabis use whereas episodic memory performance would not.Young adult cannabis users (n=52) with cannabis as their drug of choice and with minimal comorbidities completed semi-structured interviews, self-report questionnaires, and measures of neurocognitive functioning, with decision-making accessed via the Iowa Gambling Task (IGT), episodic memory via the Hopkins Verbal Learning Test - Revised (HVLT) and problems from cannabis use with the Marijuana Problems Scale.Strong relationships were observed between amount of cannabis use (lifetime, 12-month, and 30-day) and problems reported from use, but only among participants with low (impaired) decision-making (R(2)=.39 to .51; p.01). No significant relationships were observed among those with better (low average to high average) decision-making performance (p.05). In contrast, episodic memory performance was not a significant moderator of the relationship between amount of cannabis use and cannabis problems (p.05).Cannabis users with poor decision-making may be at greater risk for experiencing significant negative consequences from their cannabis use. Our results lend further support to emerging evidence of decision-making as a risk factor for addiction and extend these findings to cannabis users.
- Published
- 2015
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