ArticleThe American journal of drug and alcohol abuse2018
The impact of PTSD clusters on cannabis use in a racially diverse trauma-exposed sample: An analysis from ecological momentary assessment.
Article in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between recreational cannabis use and posttraumatic stress disorder: A systematic review and methodological critique of the literature.Drug and alcohol dependence · 2022Pooled it
- Use of Medicinal Cannabis and Synthetic Cannabinoids in Post-Traumatic Stress Disorder (PTSD): A Systematic Review.Medicina (Kaunas, Lithuania) · 2019Pooled it
- PTSD Symptom Clusters and Craving Differs by Primary Drug of Choice.Journal of dual diagnosisTrial
- Associations between posttraumatic cognitions and cannabis cravings among trauma-exposed individuals using cannabis.The British journal of clinical psychology · 2026Article
- Ecological investigation of the co-occurrence of posttraumatic stress disorder symptoms and cannabis use among community women experiencing intimate partner violence.Drug and alcohol dependence · 2023Article
- Sleep and day-to-day PTSD symptom variability: an ecological momentary assessment and actigraphy monitored study in trauma-exposed young adults.European journal of psychotraumatology · 2023Article
- Post-traumatic stress disorder and drug use disorder: examination of aetiological models in a Swedish population-based cohort.European journal of psychotraumatology · 2023Article
- Effects of Cannabis on PTSD Recovery: Review of the Literature and Clinical Insights.Current addiction reports · 2022Article
- Cannabis use and posttraumatic stress disorder: prospective evidence from a longitudinal study of veterans.Psychological medicine · 2022Observational
- Medical cannabis for treatment-resistant combat PTSD.Frontiers in psychiatry · 2022Article
- Coping Motives Mediate the Association of Trauma History with Problematic Cannabis Use in Young Adult Medical Cannabis Patients and Non-Patient Cannabis Users.Substance use & misuse · 2022Article
- Intraindividual association of PTSD symptoms with binge drinking among trauma-exposed students.Journal of counseling psychology · 2021Article
- Problematic Use of the Internet in Subjects With Bipolar Disorder: Relationship With Posttraumatic Stress Symptoms.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAccumulating evidence indicates a link between post-traumatic stress disorder (PTSD) and cannabis use and suggests that this link may vary as a function of the PTSD symptom cluster type. Consistent with negative reinforcement models of substance use, individuals with elevated Cluster D (Hyperarousal) symptoms may be more likely to use cannabis in response to elevated state anxiety and experience decreases in state anxiety after using cannabis.
objectivesWe aimed to test hypotheses that the interaction of Cluster D and state anxiety would be related to subsequent cannabis use and that those with elevated Cluster D symptoms who used cannabis would report the greatest decreases in state anxiety. To test the specificity, we tested whether Clusters B (re-experiencing) and C (avoidance) showed similar relationships.
methodsThe present study used ecological momentary assessment to examine cannabis use among 87 cannabis-using individuals with PTSD symptoms (64.4% male, 56.3% non-Hispanic Caucasian). State anxiety and cannabis use were assessed over the two-week period via signal contingent (six random prompts per day), interval contingent (each bedtime), and event contingent (cannabis use episodes) assessments.
resultsConsistent with negative reinforcement models, participants with clinically significant Cluster D symptoms with elevated state anxiety had a greater likelihood of subsequent cannabis use and cannabis use resulted in less subsequent anxiety. The negative reinforcement hypothesis was only partially supported for those with Cluster B and C symptoms.
conclusionsThe results suggest that negative reinforcement models may be especially relevant to understanding cannabis use among those with clinically elevated Cluster D symptoms.
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