title: Successful and unsuccessful cannabis quitters: comparing group characteristics and quitting strategies.
abstract: BACKGROUND
  In order to improve treatments for cannabis use disorder, a better understanding of factors associated with successful quitting is required.
  
  
  METHODS
  This study examined differences between successful (n=87) and unsuccessful (n=78) cannabis quitters. Participants completed a questionnaire addressing demographic, mental health, and cannabis-related variables, as well as quitting strategies during their most recent quit attempt.
  
  
  RESULTS
  Eighteen strategies derived from cognitive behavioral therapy were entered into a principal components analysis. The analysis yielded four components, representing (1) Stimulus Removal, (2) Motivation Enhancement, (3) (lack of) Distraction, and (4) (lack of) Coping. Between groups comparisons showed that unsuccessful quitters scored significantly higher on Motivation Enhancement and (lack of) Coping. This may indicate that unsuccessful quitters focus on the desire to quit, but do not sufficiently plan strategies for coping. Unsuccessful quitters also had significantly more symptoms of depression and stress; less education; lower exposure to formal treatment; higher day-to-day exposure to other cannabis users; and higher cannabis dependence scores.
  
  
  CONCLUSIONS
  The findings suggest that coping, environmental modification, and co-morbid mental health problems may be important factors to emphasize in treatments for cannabis use disorder.
authors.affiliation: National Cannabis Prevention and Information Centre, University of New South Wales, 22-32 King Street, Randwick NSW 2031, Australia. s.rooke@unsw.edu.au
authors.forename: Sally E
authors.initials: SE
authors.lastname: Rooke
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Norberg
authors.forename: Jan
authors.initials: J
authors.lastname: Copeland
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000523:psychology*; D008875:Middle Aged; D009042:Motivation; D025341:Principal Component Analysis
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