Coping-motivated marijuana use correlates with DSM-5 cannabis use disorder and psychological distress among emerging adults
Open accessAbstract
Compared to other age cohorts, emerging adults, ages 18-25 years, have the highest rates of marijuana (MJ) use. We examined the relationship of using MJ to cope with negative emotions, relative to using MJ for enhancement or social purposes, to MJ-associated problems and psychological distress among emerging adults. Participants were 288 community-dwelling emerging adults who reported current MJ use as part of a "Health Behaviors" study. Linear and logistic regressions were used to evaluate the adjusted association of coping-motivated MJ use with the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) cannabis use disorder, MJ-related problem severity, depressive symptoms, and perceived stress. After adjusting for other variables in the regression model, using MJ to cope was positively associated with having DSM-5 cannabis use disorder (OR = 1.85, 95% CI [1.31, 2.62], p < .01), MJ problem severity (b = .41, 95% CI [.24, .57], p < .01), depression (b = .36, 95% CI [.23, .49], p < .01), and perceived stress (b = .37, 95% CI [.22, .51], p < .01). Using MJ for enhancement purposes or for social reasons was not associated significantly with any of the dependent variables. Using MJ to cope with negative emotions in emerging adults is associated with MJ-related problems and psychological distress. Assessment of MJ use motivation may be clinically important among emerging adults.
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Individuals with cannabis use disorder tend to report a primary motive of smoking to cope.
“those with cannabis use disorder tend to report a primary motive of smoking to cope (Moitra et al., 2015).”
From Examining the Prospective Associations Between Mindfulness Facets and Substance Use in Emerging Adulthood. (2021) · cites this paper as Moitra et al., 2015
The Results report that, among emerging adults who used marijuana, coping-motivated use was significantly associated with meeting DSM-5 criteria for cannabis use disorder. They do not show that coping was the primary motive reported by people with the disorder; an association does not establish which motive predominated. (LLM, conf=0.88)
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References 35 · Cited by 129
- Authors
- Moitra, E., Christopher, P. P., Anderson, B. J., & Stein, M. D.
- Affiliations
- Brown University (US)
- Butler Hospital (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2015-09
- Volume
- 29
- Issue
- 3
- Pages
- 627-632
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC4586302
- OpenAlex
- W2331924607
- Cited by
- 129
- References
- 35
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 12 · 2023: 10 · 2022: 13 · 2021: 10 · 2020: 22 · 2019: 15 · 2018: 13 · 2017: 5 · 2016: 6 · 2015: 1
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychology of Addictive Behaviors (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA020509)
- 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, coping motives, cannabis use disorder, DSM-5, psychological distress, depression, perceived stress, emerging adults, use motivation, social uses, problem severity
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Anxiety, Marijuana Abuse, Depression, Female, Humans, Male, Marijuana Smoking, Motivation, Smoking, Stress, Psychological, Linear Models, Logistic Models, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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