Definitions of Risky and Problematic Cannabis Use: A Systematic Review
In: Substance use & misuse: an international interdisciplinary forum, Band 51, Heft 13, S. 1760-1770
ISSN: 1532-2491
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In: Substance use & misuse: an international interdisciplinary forum, Band 51, Heft 13, S. 1760-1770
ISSN: 1532-2491
In: Substance use & misuse: an international interdisciplinary forum, Band 49, Heft 12, S. 1665-1683
ISSN: 1532-2491
In: European addiction research, Band 24, Heft 3, S. 109-117
ISSN: 1421-9891
<b><i>Introduction:</i></b> The Standard Joint Unit (1 SJU = 7 mg of 9-Tetrahydrocannabinol) simplifies the exploration of risky patterns of cannabis use. This study proposes a preliminary quantitative cutoff criterion to screen for cannabis use disorder (CUD). <b><i>Methodology:</i></b> Socio-demographical data and information on cannabis quantities, frequency of use, and risk for CUD (measured with the Cannabis Abuse Screening Test (CAST) of cannabis users recruited in Barcelona (from February 2015 to June 2016) were collected. CAST scores were categorized into low, moderate, and high risk for CUD, based on the SJU consumed and frequency. Receiver operating characteristic (ROC) analysis related daily SJU with CUD. <b><i>Results:</i></b> Participants (<i>n</i> = 473) were on average 29 years old (SD = 10), men (77.1%), and single (74.6%). With an average of 4 joints per smoking day, 82.5% consumed cannabis almost every day. Risk for CUD (9.40% low, 23.72% moderate, 66.88% high) increased significantly with more frequency and quantities consumed. The ROC analyses suggest 1.2 SJU per day as a cutoff criterion to screen for at least moderate risk for CUD (sensitivity 69.4%, specificity 63.6%). <b><i>Conclusion:</i></b> Frequency and quantity should be considered when exploring cannabis risks. A 1 SJU per day is proposed as a preliminary quantitative-based criterion to screen users with at least a moderate risk for CUD.