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A randomized controlled trial of brief cognitive–behavioral interventions for cannabis use disorder
Open accessAbstract
The increasing demand for treatment for cannabis dependence in Australia and internationally has led to the identification of significant gaps in knowledge of effective interventions. A randomized controlled trial of brief cognitive-behavioral interventions (CBT) for cannabis dependence was undertaken to address this issue. A total of 229 participants were assessed and randomly assigned to either a six-session CBT program (6CBT), a single-session CBT intervention (1CBT), or a delayed-treatment control (DTC) group. Participants were assisted in acquiring skills to promote cannabis cessation and maintenance of abstinence. Participants were followed-up a median of 237 days after last attendance. Participants in the treatment groups reported better treatment outcomes than the DTC group. They were more likely to report abstinence, were significantly less concerned about their control over cannabis use, and reported significantly fewer cannabis-related problems than those in the DTC group. Those in the 6CBT group also reported more significantly reduced levels of cannabis consumption than the DTC group. While the therapist variable had no effect on any outcome, a secondary analysis of the 6CBT and 1CBT groups showed that treatment compliance was significantly associated with decreased dependence and cannabis-related problems. This study supports the attractiveness and effectiveness of individual CBT interventions for cannabis use disorders and the need for multisite replication trials.
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“Best-practice evidence suggests that the most effective treatment response for cannabis-dependent users is a 'brief intervention' involving six sessions of cognitive behavioural therapy, yet this is not currently provided in Portugal (see, e.g.Copeland et al. 2001).”
From What Can We Learn From The Portuguese Decriminalization of Illicit Drugs? (2010) · cites this paper as Copeland et al. 2001
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“Some studies have failed to report follow-up data (Stephens et al., 2002), but those that have report abstinence rates between 0% and 30% at 3-month follow-up (e.g., Budney et al., 2000;Stephens et al., 2000) and about half that or less at 9-to 12-month follow-up (e.g., Budney et al., 2000;Copeland et al., 2001;Stephens et al., 1994Stephens et al., , 2000)).”
From A preliminary investigation of acceptance and commitment therapy as a treatment for Marijuana dependence in adults (2007) · cites this paper as Copeland et al., 2001
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“Treatment options include relapse prevention (Stephens et al., 1994(Stephens et al., , 2000)), motivational enhancement procedures (Budney et al., 2000;Stephens et al., 2002), cognitive behavior therapy and coping skills training (Budney et al.;Copeland et al., 2001;Stephens et al., 2002), and voucher-based motivational incentives (Budney et al.).”
From A preliminary investigation of acceptance and commitment therapy as a treatment for Marijuana dependence in adults (2007) · cites this paper as Copeland et al., 2001
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“Early randomized studies of brief intervention for drug use among adults found statistically significant effects for at least one of the primary outcomes (Baker et al., 2005; Bernstein et al., 2005; Copeland et al., 2001; Davis, Baer, Saxon, & Kivlahan, 2003; Humeniuk et al., 2012; McCambridge & Strang, 2004; Stephens, Roffman, & Curtin, 2000; Zahradnik et al., 2009)”
From A randomized study of the use of screening, brief intervention, and referral to treatment (SBIRT) for drug and alcohol use with jail inmates (2017) · cites this paper as Copeland et al., 2001
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Self-citationThe AUDIT questionnaire: choosing a cut-off score
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Babor, T. F., Caulkins, J. P., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K. N., Obot, I. S., Rehm, J. T., Reuter, P., Room, R., et al. (2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.003.016
Preventing illicit drug use by young people
Babor, T. F., Caulkins, J. P., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K. N., Obot, I. S., Rehm, J. T., Reuter, P., Room, R., et al. (2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.003.008
Counselling Intervention for Tobacco and Methamphetamine Addiction (Dual Users)
Aziz, A. R. A., & Ramachandran, S. (2022) · Malaysian Journal of Social Sciences and Humanities (MJSSH) · doi:10.47405/mjssh.v7i5.1514
“, 2003), cannabis (Copeland et al., 2001), and amphetamine use (Baker & Dawe, 2005), for improving psychotic symptomatology (Haddock et al.”
Background(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.002.0005
(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.002.0004
(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.002.0007
(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.005.01
(2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199557127.002.0003
Substance Use Disorders: Second Wave Approaches
Ecker, A. H., Hogan, J., Dawson, D. B., & Cucciare, M. A. (2022) · Springer eBooks · doi:10.1007/978-3-031-11677-3_24
Nwoga, C. N., David, A. M., Dusu, S. J., Kwei, M. D., Dakwak, S., Ndak, A. Z., & Stephen, B. (2024) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2024.143012
Rahmadini, S. F., & Alfian, I. N. (2024) · Psikoborneo Jurnal Ilmiah Psikologi · doi:10.30872/psikoborneo.v12i1.12951
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Thakur, N., Durrany, A., Kumar, M., Bajwan, D., & Kumar, D. (2024) · Preprints.org · doi:10.20944/preprints202407.1358.v1
Contingency Management for Cannabis Use Disorder Treatment
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Metadata
- Authors
- Copeland, J., Swift, W., Roffman, R., & Stephens, R.
- Affiliations
- UNSW Sydney (AU)
- University of Washington (US)
- Virginia Tech (US)
- Corresponding author
- Copeland, Jan
- ORCID
- Copeland, Jan
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2001-09
- Volume
- 21
- Issue
- 2
- Pages
- 55-64
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2017872800
- Cited by
- 322
- References
- 32
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 12 · 2023: 8 · 2022: 10 · 2021: 4 · 2020: 8 · 2019: 8 · 2018: 17 · 2017: 13 · 2016: 15 · 2015: 16 · 2014: 17 · 2013: 14 · 2012: 16
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- cannabis use disorder, cognitive behavioral therapy, brief intervention, single-session intervention, abstinence maintenance, cannabis cessation, medication adherence, cannabis-related problems, therapist effects
- MeSH terms
- Adult, Australia, Marijuana Abuse, Female, Humans, Male, Patient Compliance, Self-Assessment, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome
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