Effect of anxiety on treatment presentation and outcome: Results from the marijuana treatment project

Buckner, Julia D.; Carroll, Kathleen M.

doi:10.1016/j.psychres.2009.10.010

Cited by 55Substance Abuse Treatment and OutcomesCannabis and Cannabinoid ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Effect of anxiety on treatment presentation and outcome: Results from the marijuana treatment project

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Buckner, Julia D., Carroll, Kathleen M.·2010·Psychiatry Research

DOI 10.1016/j.psychres.2009.10.010PMC PMC2914117

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Abstract

Despite emerging evidence of the efficacy of psychotherapies for marijuana dependence, variability in outcome exists. This study examined the role of anxiety on treatment involvement and outcome. Four questions were examined: (1) Is greater anxiety associated with greater impairment at baseline? (2) Is baseline anxiety related to greater marijuana use and problems following treatment? (3) Does adding cognitive-behavioral therapy (CBT) to motivation enhancement therapy (MET) reduce anxiety relative to MET alone; (4) Are reductions in anxiety associated with better outcomes? The sample comprised 450 marijuana-dependent patients in the Marijuana Treatment Project. Marijuana use and anxiety were measured at pretreatment and 4- and 9-month follow-ups. At baseline, anxiety was linked to more marijuana-related problems. CBT was associated with less anxiety at follow-up compared to MET alone. Reductions in anxiety were related to less marijuana use. In fact, reduction in anxiety from baseline to 4-month follow-up was associated with less marijuana use at 9 months, but reduction in marijuana use did not predict subsequent anxiety. Data suggest that anxiety is an important variable that deserves further attention in marijuana-dependence treatment.

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Patients with elevated anxiety have poorer cannabis outcomes after MET-CBT, including more cannabis use and related problems.
“patients with elevated anxiety report more cannabis use and related problems following treatment (Buckner & Carroll, 2010).”
From Integrated cognitive behavioral therapy for comorbid cannabis use and anxiety disorders: A pilot randomized controlled trial (2019) · cites this paper as Buckner & Carroll, 2010
The Results (§3.2; page unavailable) link higher pretreatment anxiety to more cannabis-related problems at follow-up among women, but not men. Results (§3.4) link changes in anxiety to later cannabis use and problems, including in the CBT-MET condition. The claim overstates these findings by treating elevated anxiety as a general predictor of both greater use and more problems after CBT-MET. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Reductions in anxiety during cannabis use disorder treatment are associated with better outcomes.
“decreases in anxiety during CUD treatment are related to better outcomes (Buckner & Carroll, 2010)”
From Integrated cognitive behavioral therapy for comorbid cannabis use and anxiety disorders: A pilot randomized controlled trial (2019) · cites this paper as Buckner & Carroll, 2010

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Authors: Buckner, J. D., & Carroll, K. M.
Affiliations: Louisiana State University (US)
Yale University (US)
Corresponding author: Buckner, Julia D.
ORCID: Buckner, Julia D.
Carroll, Kathleen M.
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2010-08
Volume: 178
Issue: 3
Pages: 493-500
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2009.10.010
PMC: PMC2914117
OpenAlex: W2072755299
Cited by: 55
References: 55
Citations by year: 2026: 1 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 3 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 6
FWCI: 3.50
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatry Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Civil War Book Review (submittedVersion)
Funders: Substance Abuse and Mental Health Services Administration
National Institute on Drug Abuse (K05-DA00457, F31DA021457, R25DA020515, R37DA015969, P50DA009241, K05DA000457, R01DA015969, P50-DA-0-9241)
Center for Substance Abuse Treatment
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: cannabis use disorder, anxiety, treatment outcomes, treatment engagement, cognitive behavioral therapy, cannabis use, substance use disorders
MeSH terms: Adolescent, Adult, Anxiety, Marijuana Abuse, Female, Follow-Up Studies, Humans, Male, Middle Aged, Motivation, Retrospective Studies, Severity of Illness Index, Statistics as Topic, Time Factors, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Young Adult

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Effect of anxiety on treatment presentation and outcome: Results from the marijuana treatment project

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