title: The moderating effects of cannabis use and decision making on the relationship between conduct disorder and risky sexual behavior.
abstract: Risky sexual behavior (RSB) is a current public health concern affecting adolescents and young adults. Conduct disorder, cannabis use, and decision-making (DM) ability are interrelated constructs that are relevant to RSB; however, there is little research on the association of DM and RSB. Participants were 79 cannabis users assessed through self-report measures of RSB and mental health and a timeline follow-back procedure for substance use. DM ability was assessed via the Iowa Gambling Task. We found that more conduct disorder symptoms accounted for unique variance in measures of overall RSB and an earlier initiation of oral sex, even when taking into account DM and cannabis use. Amount of cannabis use and DM ability moderated the relationships between number of conduct disorder symptoms and number of oral sex partners and age of initiation for vaginal sex. An increase in conduct disorder symptoms was associated with more oral sex partners when DM was poor and fewer partners when DM was better; however, this relationship was only present at higher levels of cannabis use. Furthermore, when DM was poor, more conduct disorder symptoms predicted a younger age of initiation of vaginal sex, with the age decreasing as amount of cannabis use increased. Determining how DM influences RSB may assist in the identification of novel treatment approaches to reduce engagement in RSB.
authors.affiliation: a Center for Children and Families, Department of Psychology , Florida International University , Miami , FL , USA.
authors.forename: J Megan
authors.initials: JM
authors.lastname: Ross
authors.forename: Stefany
authors.initials: S
authors.lastname: Coxe
authors.forename: Randi M
authors.initials: RM
authors.lastname: Schuster
authors.forename: Angelica
authors.initials: A
authors.lastname: Rojas
authors.forename: Raul
authors.initials: R
authors.lastname: Gonzalez
mesh_terms: D000293:Adolescent; D019955:Conduct Disorder / Q000523:psychology*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000523:psychology*; D012309:Risk-Taking; D057566:Self Report; D012725:Sexual Behavior / Q000523:psychology*; D055815:Young Adult
keywords: Cannabis; Conduct disorder; Decision making; Risky sexual behavior
references.citation: Sex Transm Dis. 2002 Jan;29(1):38-43
references.pmid: 11773877
references.citation: Fam Plann Perspect. 2001 Nov-Dec;33(6):268-75
references.pmid: 11804436
references.citation: J Adolesc Health. 1998 Jul;23(1):39-48
references.pmid: 9648021
references.citation: J Stud Alcohol. 1998 Sep;59(5):560-7
references.pmid: 9718109
references.citation: Fam Plann Perspect. 1998 Nov-Dec;30(6):271-5
references.pmid: 9859017
references.citation: Dev Psychopathol. 1999 Winter;11(1):127-41
references.pmid: 10208359
references.citation: Health Soc Work. 1999 May;24(2):147-54
references.pmid: 10340165
references.citation: J Neurosci. 1999 Jul 1;19(13):5473-81
references.pmid: 10377356
references.citation: Drug Alcohol Depend. 1999 Aug 2;56(1):47-53
references.pmid: 10462092
references.citation: J Abnorm Psychol. 2005 Feb;114(1):38-49
references.pmid: 15709810
references.citation: Am J Epidemiol. 2005 Apr 15;161(8):774-80
references.pmid: 15800270
references.citation: Nat Neurosci. 2005 Nov;8(11):1458-63
references.pmid: 16251988
references.citation: J Am Acad Child Adolesc Psychiatry. 2006 Feb;45(2):175-83
references.pmid: 16429088
references.citation: Dev Psychopathol. 2002 Winter;14(1):179-207
references.pmid: 11893092
references.citation: J Stud Alcohol Suppl. 2002 Mar;(14):101-17
references.pmid: 12022716
references.citation: J Exp Psychol Appl. 2002 Jun;8(2):75-84
references.pmid: 12075692
references.citation: Psychol Addict Behav. 2002 Jun;16(2):161-4
references.pmid: 12079256
references.citation: J Abnorm Psychol. 2003 Aug;112(3):497-507
references.pmid: 12943028
references.citation: J Behav Med. 2003 Oct;26(5):473-500
references.pmid: 14593854
references.citation: J Int Neuropsychol Soc. 2004 Jan;10(1):1-14
references.pmid: 14751002
references.citation: Ann N Y Acad Sci. 2004 Jun;1021:51-8
references.pmid: 15251873
references.citation: Drug Alcohol Depend. 2004 Oct 5;76(1):107-11
references.pmid: 15380295
references.citation: Addict Behav. 2004 Nov;29(8):1643-7
references.pmid: 15451132
references.citation: Drug Alcohol Depend. 2004 Nov 11;76(2):181-90
references.pmid: 15488342
references.citation: J Adolesc Health Care. 1989 Sep;10(5):398-403
references.pmid: 2808084
references.citation: AIDS. 1991 Feb;5(2):181-5
references.pmid: 2031690
references.citation: Am J Psychiatry. 1993 Jun;150(6):885-90
references.pmid: 8494063
references.citation: J Adolesc Health. 1993 May;14(3):202-7
references.pmid: 8323931
references.citation: Cognition. 1994 Apr-Jun;50(1-3):7-15
references.pmid: 8039375
references.citation: J Sch Health. 1994 Nov;64(9):372-7
references.pmid: 7877279
references.citation: J Clin Psychol. 1995 Nov;51(6):768-74
references.pmid: 8778124
references.citation: J Stud Alcohol. 1996 May;57(3):314-24
references.pmid: 8709590
references.citation: Acta Obstet Gynecol Scand. 1996 May;75(5):484-9
references.pmid: 8677776
references.citation: J Pers Assess. 1996 Dec;67(3):588-97
references.pmid: 8991972
references.citation: Drug Alcohol Depend. 1997 Nov 25;48(2):69-76
references.pmid: 9363405
references.citation: Drug Alcohol Depend. 1998 Mar 1;50(1):27-37
references.pmid: 9589270
references.citation: AIDS Behav. 2006 Sep;10(5):599-605
references.pmid: 16691461
references.citation: J Clin Child Adolesc Psychol. 2006 Dec;35(4):571-7
references.pmid: 17007602
references.citation: Eur J Hum Genet. 2007 Mar;15(3):279-87
references.pmid: 17245411
references.citation: Int J Neurosci. 2007 Mar;117(3):369-85
references.pmid: 17365121
references.citation: J Clin Exp Neuropsychol. 2007 Feb;29(2):155-9
references.pmid: 17365250
references.citation: J Am Acad Child Adolesc Psychiatry. 2007 Oct;46(10):1272-9
references.pmid: 17885568
references.citation: J Infect Dis. 2007 Dec 15;196(12):1852-9
references.pmid: 18190267
references.citation: J Child Psychol Psychiatry. 2008 Apr;49(4):386-94
references.pmid: 17979959
references.citation: BMC Public Health. 2008;8:155
references.pmid: 18471281
references.citation: J Pers Assess. 2009 Mar;91(2):121-36
references.pmid: 19205933
references.citation: J Stud Alcohol Drugs. 2009 Mar;70(2):169-77
references.pmid: 19261228
references.citation: Eur Addict Res. 2009;15(2):94-8
references.pmid: 19142009
references.citation: J Stud Alcohol Drugs. 2009 Jul;70(4):499-507
references.pmid: 19515289
references.citation: Biol Psychiatry. 2009 Jul 15;66(2):162-8
references.pmid: 19362293
references.citation: Clin Psychol Rev. 2010 Jul;30(5):562-81
references.pmid: 20457481
references.citation: Drug Alcohol Depend. 2011 Aug 1;117(1):78-81
references.pmid: 21277705
references.citation: Drug Alcohol Depend. 2012 Jan 1;120(1-3):22-7
references.pmid: 22099393
references.citation: Drug Alcohol Depend. 2012 Feb 1;121(1-2):159-62
references.pmid: 21920674
references.citation: MMWR Surveill Summ. 2012 Jun 8;61(4):1-162
references.pmid: 22673000
references.citation: Dev Psychol. 2012 Sep;48(5):1429-42
references.pmid: 22390666
references.citation: J Int Neuropsychol Soc. 2012 Sep;18(5):827-33
references.pmid: 22676889
references.citation: J Stud Alcohol Drugs. 2014 Mar;75(2):259-68
references.pmid: 24650820
references.citation: MMWR Suppl. 2014 Jun 13;63(4):1-168
references.pmid: 24918634
references.citation: Cereb Cortex. 2000 Mar;10(3):295-307
references.pmid: 10731224
references.citation: Neuropsychologia. 2000;38(8):1180-7
references.pmid: 10838152
references.citation: Neuropsychologia. 2001;39(4):376-89
references.pmid: 11164876
references.citation: J Adolesc Health. 2001 Mar;28(3):181-9
references.pmid: 11226840
references.citation: Addiction. 2001 Apr;96(4):607-21
references.pmid: 11300964
references.citation: J Am Acad Child Adolesc Psychiatry. 2001 Jun;40(6):642-53
references.pmid: 11392341
references.citation: Dev Psychopathol. 2001 Spring;13(2):355-75
references.pmid: 11393651