Cited by 344Cannabis and Cannabinoid ResearchSubstance Abuse Treatment and OutcomesSmoking Behavior and Cessation

Stress-related factors in cannabis use and misuse: Implications for prevention and treatment

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Hyman, Scott M., Sinha, Rajita·2009·Journal of Substance Abuse Treatment

Abstract

We examined the role of stress as a risk factor and motivation for cannabis use/misuse. A systematic review of studies gathered from PsychINFO and MEDLINE databases was conducted. Findings suggest that cannabis is commonly used as a stress-coping strategy. Negative life events, trauma, and maladaptive coping were all related to consumption. Cannabis use for stress-coping purposes was most evident when examining chronic as compared with experimental use. Although many individuals may be able to use cannabis without consequences, there appears to be a subset of individuals who experience greater life stress and who may be more likely to use for stress-coping purposes. These individuals may be at greatest risk for addiction. Chronic use may potentiate stress-related motivation to use/abuse cannabis and is associated with decision-making deficits and alterations in brain-stress pathways that may exacerbate compulsive drug seeking and sensitize individuals to stress-related drug use. Overall, stress-coping interventions and harm reduction focused on reducing the amount ingested may facilitate prevention and recovery efforts.

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Crossref · 10.1016/j.jsat.2008.08.005

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Authors
Hyman, S. M., & Sinha, R.
Affiliations
Yale University (US)
Corresponding author
Hyman, Scott M.
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
2009-06
Volume
36
Issue
4
Pages
400-413
ISSN
0740-5472 (ISSN-L)
OpenAlex
W2080757251
Cited by
344
References
138
Citations by year
2026: 24 · 2025: 35 · 2024: 20 · 2023: 29 · 2022: 24 · 2021: 32 · 2020: 43 · 2019: 30 · 2018: 15 · 2017: 14 · 2016: 13 · 2015: 13 · 2014: 19 · 2013: 10 · 2012: 6
FWCI
0.57
Type
journal article
Language
en
Open access
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (K02-DA17232, P50-DA16556)
Topics
  • Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords
cannabis use, cannabis use disorder, stress, stress coping, negative life events, trauma, maladaptive coping, chronic cannabis use, addiction risk, decision-making deficits, compulsive drug seeking, harm reduction, prevention, treatment
MeSH terms
Adaptation, Psychological, Marijuana Abuse, Decision Making, Humans, Risk Factors, Stress, Psychological, Databases, Factual, Behavior, Addictive, Harm Reduction

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