title: A preliminary evaluation of synthetic cannabinoid use among adolescent cannabis users: Characteristics and treatment outcomes.
abstract: Little is known regarding the use of synthetic cannabinoids (SC), particularly use among adolescent substance users who may be at higher risk. The present exploratory study seeks to describe SC use and subjective effects among cannabis-using adolescents as well as compare the characteristics of cannabis users who do and do not use SC. Exploratory analyses evaluated cannabis treatment outcomes among SC users and non-users. Participants enrolled in a randomized, controlled intervention for cannabis-using high school students aged 14-19 (N=252) completed questionnaires regarding their use of SC and other substances. Those who used SC in the past 60days reported subjective effects of SC, consequences, and SC use disorder symptoms. Baseline characteristics, alcohol and other drug use, and treatment outcomes of SC users were compared to participants who never tried SC. Within this sample 29% had tried SC, and 6% used SC recently. Although most reported use at a relatively low rate, 43% of recent SC users reported SC use-disorder symptoms. Positive and negative subjective effects of SC were endorsed, with positive subjective effects reported more often. SC use was associated with more cannabis use, but not more alcohol or other (non-SC and non-cannabis) drug use. SC users did not differ from non-users on cannabis treatment outcomes. This exploratory study described SC use, and compared characteristics and treatment outcomes among SC users and non-users. Negative subjective effects of SC were reported as occurring less often, but SC use was associated with use disorder psychopathology. SC use was associated with more problematic cannabis use at baseline, but was not associated with use of other substances or differences in treatment outcome.
authors.affiliation: Virginia Tech, Department of Psychology, (0436) 109 Williams Hall, Blacksburg, VA 24061, United States. Electronic address: claireb9@vt.edu.
authors.forename: Claire E
authors.initials: CE
authors.lastname: Blevins
authors.affiliation: Virginia Tech, Department of Psychology, (0436) 109 Williams Hall, Blacksburg, VA 24061, United States.
authors.forename: Kelsey E
authors.initials: KE
authors.lastname: Banes
authors.affiliation: Virginia Tech, Department of Psychology, (0436) 109 Williams Hall, Blacksburg, VA 24061, United States.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Stephens
authors.affiliation: University of Washington, School of Social Work, Innovative Programs Research Group, 909 NE 43rd St #304, Seattle, WA 98105, United States.
authors.forename: Denise D
authors.initials: DD
authors.lastname: Walker
authors.affiliation: University of Washington, School of Social Work, Innovative Programs Research Group, 909 NE 43rd St #304, Seattle, WA 98105, United States.
authors.forename: Roger A
authors.initials: RA
authors.lastname: Roffman
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D002186:Cannabinoids; D055030:Drug Users / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology* / Q000628:therapy*; D012306:Risk; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014861:Washington / Q000453:epidemiology; D055815:Young Adult
chemical_list: D002186:Cannabinoids; D013287:Illicit Drugs
keywords: Adolescents; Cannabis treatment; Synthetic cannabinoids