AI Article Synopsis
- The paper explores the challenges in treating adolescents with Cannabis Use Disorder (CUD) and emphasizes the significance of understanding a patient’s treatment goals as a predictor of cannabis use.
- A study involving 115 adolescents aged 13-18 evaluated the Spanish version of the Adolescent Substance Abuse Goal Commitment (ASAGC) questionnaire, analyzing its psychometric properties and its link to treatment outcomes.
- Results indicate that the ASAGC has strong reliability and stability over time, with a commitment to abstinence correlating to lower THC levels in urine, while those focused on harm reduction present ongoing treatment challenges.
Article Abstract
Introduction: The treatment of adolescents with Cannabis Use Disorder (CUD) presents a variety of challenges. The identification of a patient's treatment goal might be an important predictor of cannabis consumption and a key factor when designing the intervention. This paper aims to present the psychometric properties of the Spanish version of the Adolescent Substance Abuse Goal Commitment (ASAGC) questionnaire in adolescent consumers of cannabis and to report the association of goal commitment with the treatment outcome.
Method: A sample of 115 adolescents between 13 and 18 years old with CUD in outpatient treatment were evaluated. Psychometric properties including exploratory and confirmatory factor analysis, predictive validity, reliability and stability over time were analyzed.
Results: ASAGC shows good psychometric properties, with excellent reliability (Cronbach's α of >0.95 for both subscales, Abstinence and Harm Reduction) at baseline and 3 and 6 months (>0.95 for both subscales) and good stability at 3 and 6 months (K = 0.572 and 0.659). Higher scores in Commitment to abstinence at baseline are associated with lower scores of THC in urine at 3 and 6 months (p < .001).
Conclusion: The ASAGC is a useful tool to study treatment commitment in adolescents that present a CUD. Abstinence commitment is a reliable prognostic factor. However, adolescents committed to HR remain a therapeutic challenge.
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| http://dx.doi.org/10.1016/j.addbeh.2020.106388 | DOI Listing |
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