Brief Treatments for Cannabis Dependence Findings From a Randomized Multisite Trial

This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included...

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Published in:	Journal of consulting and clinical psychology Vol. 72; no. 3; pp. 455 - 466
Main Authors:	Babor, Thomas F, Carroll, Kathleen, Christiansen, Kenneth, Donaldson, Jean, Herrell, James, Kadden, Ronald, Litt, Mark, McRee, Bonnie, Miller, Michael, Roffman, Roger, Solowji, Nadia, Steinberg, Karen, Stephens, Robert, Vendetti, Janice
Format:	Journal Article
Language:	English
Published:	Washington, DC American Psychological Association 01-06-2004 APA Service Center
Subjects:	Addiction Adult Behavior Modification Biological and medical sciences Brief interventions Brief Psychotherapy Cannabis Cannabis Use Case Management Caseworker Approach Clinical psychology Cognitive Behavior Therapy Cognitive Restructuring Cognitive therapy Comparative studies Desintoxication. Drug withdrawal Drug Addiction Drug dependency Efficacy Female Human Humans Male Marijuana Marijuana Abuse - therapy Medical sciences Medical treatment Mental Disorders Motivation Program Effectiveness Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapeutic Outcomes Psychotherapy, Brief - methods Randomized controlled trials Substance abuse treatment Therapy Treatment Treatment Planning Treatments U.S.A USA Consumption Short term Human Drug addiction Poison withdrawal Treatment efficiency Cannabidaceae Cannabis Follow up study Dicotyledones Marihuana Angiospermae Dependence Evolution Spermatophyta
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Abstract	This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994 ) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use.
AbstractList	This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use. This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use. (Original abstract) This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: journal abstract) This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use. [PUBLICATION ABSTRACT] This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994 ) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use.
Author	Carroll, Kathleen Herrell, James Kadden, Ronald Litt, Mark Stephens, Robert Christiansen, Kenneth Steinberg, Karen Solowji, Nadia Babor, Thomas F McRee, Bonnie Vendetti, Janice Donaldson, Jean Roffman, Roger Miller, Michael
Author_xml	– sequence: 1 givenname: Thomas F surname: Babor fullname: Babor, Thomas F organization: Department of Community Medicine and Health Care, University of Connecticut School of Medicine – sequence: 2 givenname: Kathleen surname: Carroll fullname: Carroll, Kathleen organization: Department of Psychiatry, Yale University – sequence: 3 givenname: Kenneth surname: Christiansen fullname: Christiansen, Kenneth organization: The Village South, Inc., Miami, Florida – sequence: 4 givenname: Jean surname: Donaldson fullname: Donaldson, Jean organization: Center for Substance Abuse Treatment, Rockville, Maryland – sequence: 5 givenname: James surname: Herrell fullname: Herrell, James organization: Center for Substance Abuse Treatment, Rockville, Maryland – sequence: 6 givenname: Ronald surname: Kadden fullname: Kadden, Ronald organization: Department of Psychiatry, University of Connecticut School of Medicine – sequence: 7 givenname: Mark surname: Litt fullname: Litt, Mark organization: Department of Psychiatry, University of Connecticut School of Medicine – sequence: 8 givenname: Bonnie surname: McRee fullname: McRee, Bonnie organization: Department of Community Medicine and Health Care, University of Connecticut School of Medicine – sequence: 9 givenname: Michael surname: Miller fullname: Miller, Michael organization: The Village South, Inc., Miami, Florida – sequence: 10 givenname: Roger surname: Roffman fullname: Roffman, Roger organization: School of Social Work, University of Washington – sequence: 11 givenname: Nadia surname: Solowji fullname: Solowji, Nadia organization: Department of Psychology, University of Wollongong, Wollongong, Australia – sequence: 12 givenname: Karen surname: Steinberg fullname: Steinberg, Karen organization: Department of Psychiatry, University of Connecticut School of Medicine – sequence: 13 givenname: Robert surname: Stephens fullname: Stephens, Robert organization: Department of Psychology, Virginia Polytechnic Institute and State University – sequence: 14 givenname: Janice surname: Vendetti fullname: Vendetti, Janice organization: Department of Community Medicine and Health Care, University of Connecticut School of Medicine
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Keywords	Consumption Short term Human Drug addiction Poison withdrawal Treatment efficiency Cannabidaceae Cannabis Follow up study Dicotyledones Marihuana Angiospermae Dependence Evolution Spermatophyta
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F. – volume: 97 start-page: 109 year: 2002 end-page: 124 article-title: The Marijuana Treatment Project: Rationale, design and participant characteristics publication-title: Addiction contributor: fullname: Kadden, R. – volume: 61 start-page: 1100 year: 1993 end-page: 1104 article-title: Adult marijuana users seeking treatment publication-title: Journal of Consulting and Clinical Psychology contributor: fullname: Simpson, E. E. – volume: 17 start-page: 15 year: 1999 end-page: 23 article-title: Integrating skills training and motivational therapies publication-title: Journal of Substance Abuse Treatment contributor: fullname: Baer, J. S. – volume: 61 start-page: 1100 year: 1993 end-page: 1104 article-title: Adult marijuana users seeking treatment publication-title: Journal of Consulting and Clinical Psychology contributor: fullname: Roffman, R. A. – volume: 141 start-page: 395 year: 1999 end-page: 404 article-title: Abstinence symptoms following smoked marijuana in humans publication-title: Psychopharmacology contributor: fullname: Haney, M. – volume: 12 start-page: 70 year: 1994 end-page: 75 article-title: Ensuring balanced distribution of prognostic factors in treatment outcome research publication-title: Journal of Studies on Alcohol contributor: fullname: Carbonari, J. P. – volume: 2 start-page: 244 year: 1994 end-page: 268 article-title: Comparative epidemiology of dependence on tobacco, alcohol, controlled substances, and inhalants: Basic findings from the National Comorbidity Survey publication-title: Experimental and Clinical Psychopharmacology contributor: fullname: Kessler, R. C. – volume: 21 start-page: 55 year: 2001 end-page: 64 article-title: A randomized controlled trial of brief cognitive-behavioral interventions for cannabis use disorder publication-title: Journal of Substance Abuse Treatment contributor: fullname: Stephens, R. – volume: 97 start-page: 135 year: 2002 end-page: 142 article-title: Tailoring cannabis dependence treatment for a diverse population publication-title: Addiction contributor: fullname: Kabela, E. – volume: 97 start-page: 125 year: 2002 end-page: 134 article-title: Correlates of pre-treatment drop-out among persons with marijuana dependence publication-title: Addiction contributor: fullname: Vendetti, J. – volume: 8 start-page: 483 year: 2000 end-page: 492 article-title: Abstinence symptoms during withdrawal from chronic marijuana use publication-title: Experimental and Clinical Psychopharmacology contributor: fullname: Pope, H. 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Snippet	This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use...
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SubjectTerms	Addiction Adult Behavior Modification Biological and medical sciences Brief interventions Brief Psychotherapy Cannabis Cannabis Use Case Management Caseworker Approach Clinical psychology Cognitive Behavior Therapy Cognitive Restructuring Cognitive therapy Comparative studies Desintoxication. Drug withdrawal Drug Addiction Drug dependency Efficacy Female Human Humans Male Marijuana Marijuana Abuse - therapy Medical sciences Medical treatment Mental Disorders Motivation Program Effectiveness Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapeutic Outcomes Psychotherapy, Brief - methods Randomized controlled trials Substance abuse treatment Therapy Treatment Treatment Planning Treatments U.S.A USA
Subtitle	Findings From a Randomized Multisite Trial
Title	Brief Treatments for Cannabis Dependence
URI	http://psycnet.apa.org/journals/ccp/72/3/455 http://eric.ed.gov/ERICWebPortal/detail?accno=EJ684683 https://www.ncbi.nlm.nih.gov/pubmed/15279529 https://www.proquest.com/docview/210623370 https://www.proquest.com/docview/614400825 https://search.proquest.com/docview/37898165 https://search.proquest.com/docview/57034701
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