Evidence map›Paper›PMID 35134074›Full record

ArticlePloS one2022

"I got a bunch of weed to help me through the withdrawals": Naturalistic cannabis use reported in online opioid and opioid recovery community discussion forums.

Meredith C Meacham, Alicia L Nobles, D Andrew Tompkins, Johannes Thrul

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Investigating Substance Use via Reddit: Systematic Scoping Review.Journal of medical Internet research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Meredith C MeachamDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, United States of America.ORCID 0000-0001-5752-767X
Alicia L NoblesDepartment of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, CA, United States of America.ORCID 0000-0003-0472-3671
D Andrew TompkinsDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, United States of America.ORCID 0000-0002-2112-2299
Johannes ThrulDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.ORCID 0000-0001-8929-9579

Funding

Using Digital Tools to Understand Contexts and Consequences of High-THC Cannabis UseK01DA046697 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEACHAM, MEREDITH · 2019 to 2023
$923k
The Effect of Chronic Pain on Delay Discounting in Methadone PatientsR21DA047520 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TOMPKINS, DAVID ANDREW · 2019 to 2020
$460k
Real Time Monitoring of Prescription Opioid and Cannabis Co-Use in Patients with Chronic PainR21DA048175 · NIDA · JOHNS HOPKINS UNIVERSITY · PI THRUL, JOHANNES · 2020 to 2021
$450k
Quantifying Treatment Help-Seeking Among Self-Identified Opioid Users on Social MediaK25DA049944 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NOBLES, ALICIA · 2020 to 2021
$339k
NIDA NIH HHS K01 DA046697NIDA NIH HHS K25 DA049944NIDA NIH HHS R21 DA047520NIDA NIH HHS R21 DA048175
6 · The paper itself

Abstract

A growing body of research has reported on the potential opioid-sparing effects of cannabis and cannabinoids, but less is known about specific mechanisms. The present research examines cannabis-related posts in two large online communities on the Reddit platform ("subreddits") to compare mentions of naturalistic cannabis use by persons self-identifying as actively using opioids versus persons in recovery. We extracted all posts mentioning cannabis-related keywords (e.g., "weed", "cannabis", "marijuana") from December 2015 through August 2019 from an opioid use subreddit and an opioid recovery subreddit. To investigate how cannabis is discussed at-scale, we identified and compared the most frequent phrases in cannabis-related posts in each subreddit using term-frequency-inverse document frequency (TF-IDF) weighting. To contextualize these findings, we also conducted a qualitative content analysis of 200 random posts (100 from each subreddit). Cannabis-related posts were about twice as prevalent in the recovery subreddit (n = 908; 5.4% of 16,791 posts) than in the active opioid use subreddit (n = 4,224; 2.6% of 159,994 posts, p < .001). The most frequent phrases from the recovery subreddit referred to time without using opioids and the possibility of using cannabis as a "treatment." The most frequent phrases from the opioid subreddit referred to concurrent use of cannabis and opioids. The most common motivations for using cannabis were to manage opioid withdrawal symptoms in the recovery subreddit, often in conjunction with anti-anxiety and GI-distress "comfort meds," and to enhance the "high" when used in combination with opioids in the opioid subreddit. Despite limitations in generalizability from pseudonymous online posts, this examination of reports of naturalistic cannabis use in relation to opioid use identified withdrawal symptom management as a common motivation. Future research is warranted with more structured assessments that examines the role of cannabis and cannabinoids in addressing both somatic and affective symptoms of opioid withdrawal.

Indexed as

Analgesics, OpioidCannabinoid Receptor AgonistsCannabinoidsCannabisHumansMarijuana AbuseMarijuana SmokingMedical MarijuanaNarcoticsOpioid-Related DisordersSocial MediaSocial SupportSubstance Withdrawal SyndromeAnalgesics, OpioidCannabinoid Receptor AgonistsCannabinoidsMedical MarijuanaNarcotics

Identifiers

PMID35134074
PMCPMC8824349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.