Probability and predictors of cannabis use disorders relapse: results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).

Drug Alcohol Depend

Department of Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York, NY 10032, United States.

Published: September 2013

AI Article Synopsis

  • The study investigates the likelihood and identifying factors related to relapse in individuals who have recovered from Cannabis Use Disorders (CUD).
  • The research analyzed data from 2,350 individuals who were in full remission and found a 6.63% relapse rate over an average follow-up period of 3.6 years.
  • Key findings highlighted that longer time in remission reduced relapse risk, while having a history of conduct disorder or major depressive disorder increased it, suggesting targeted treatment could enhance sustained remission.

Article Abstract

Background: This study aims to estimate the odds and predictors of Cannabis Use Disorders (CUD) relapse among individuals in remission.

Methods: Analyses were done on the subsample of individuals with lifetime history of a CUD (abuse or dependence) who were in full remission at baseline (Wave 1) of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC) (n=2350). Univariate logistic regression models and hierarchical logistic regression model were implemented to estimate odds of relapse and identify predictors of relapse at 3 years follow up (Wave 2).

Results: The relapse rate of CUD was 6.63% over an average of 3.6 year follow-up period. In the multivariable model, the odds of relapse were inversely related to time in remission, whereas having a history of conduct disorder or a major depressive disorder after Wave 1 increased the risk of relapse.

Conclusions: Our findings suggest that maintenance of remission is the most common outcome for individuals in remission from a CUD. Treatment approaches may improve rates of sustained remission of individuals with CUD and conduct disorder or major depressive disorder.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4338368PMC
http://dx.doi.org/10.1016/j.drugalcdep.2013.01.013DOI Listing

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