Situational determinants of use and treatment outcomes in marijuana dependent adults

Addict Behav. 2014 Mar;39(3):546-52. doi: 10.1016/j.addbeh.2013.10.031. Epub 2013 Nov 4.


Research and theory strongly support the importance of situational determinants of substance use as targets for intervention, but few studies have systematically examined situational use characteristics in marijuana dependent adults. The present study describes situational use of marijuana in a population of 87 marijuana dependent adults and reports relationships with outcomes of treatment. Use in negative affective situations was independently associated with psychological distress, maladaptive coping strategies, lower self-efficacy, and poorer outcomes post-treatment. The findings were consistent with research on using drugs to cope with negative affect providing evidence of convergence between two different methods of assessing high risk situations for substance use. The results support continued emphasis on coping with negative affect as a target in treatments for marijuana dependence.

Keywords: Addiction treatment; Marijuana; Situational determinants.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Cognitive Behavioral Therapy
  • Female
  • Humans
  • Male
  • Marijuana Abuse / psychology*
  • Marijuana Abuse / therapy
  • Motivation
  • Regression Analysis
  • Risk Factors
  • Self Efficacy
  • Treatment Outcome