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Home > Precision mental health care for cannabis use disorder: utility of a bioSocial Cognitive Theory to inform treatment.

Gullo, Matthew J and Papinczak, Zoë E and Feeney, Gerald F X and Young, Ross McD and Connor, Jason P (2021) Precision mental health care for cannabis use disorder: utility of a bioSocial Cognitive Theory to inform treatment. Frontiers in Psychiatry, 12, p. 643107. doi: 10.3389/fpsyt.2021.643107.

External website: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC82732...

Globally, cannabis is the most frequently used controlled substance after alcohol and tobacco. Rates of cannabis use are steadily increasing in many countries and there is emerging evidence that there is likely to be greater risk due to increased concentrations of delta-9-tetrahydrocannabinol (THC). Cannabis use and Cannabis Use Disorder (CUD) has been linked to a wide range of adverse health outcomes. Several biological, psychological, and social risk factors are potential targets for effective evidence-based treatments for CUD. There are no effective medications for CUD and psychological interventions are the main form of treatment. Psychological treatments based on Social Cognitive Theory (SCT) emphasize the importance of targeting 2 keys psychological mechanisms: drug outcome expectancies and low drug refusal self-efficacy.

This mini-review summarizes the evidence on the role of these mechanisms in the initiation, maintenance, and cessation of cannabis use. It also reviews recent evidence showing how these psychological mechanisms are affected by social and biologically-based risk factors. A new bioSocial Cognitive Theory (bSCT) is outlined that integrates these findings and implications for psychological cannabis interventions are discussed. Preliminary evidence supports the application of bSCT to improve intervention outcomes through better targeted treatment.


Item Type
Article
Publication Type
International, Open Access, Review, Article
Drug Type
Cannabis
Intervention Type
Treatment method, Psychosocial treatment method
Date
July 2021
Identification #
doi: 10.3389/fpsyt.2021.643107
Page Range
p. 643107
Publisher
Frontiers Research Foundation
Volume
12
EndNote

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