Review Proposes a New Model of Adolescent Cannabis Use Disorder Based on Drug, Mindset, and Environment Interactions
A narrative review proposes that adolescent cannabis use disorder emerges from dynamic interactions between the drug itself, individual factors (mindset), and environmental factors (setting), with school performance acting as both cause and consequence.
Quick Facts
What This Study Found
The review adapts Zinberg's drug-set-setting framework to propose CUD in adolescents develops through multiple interacting feedback loops. Cannabis use impairs school performance and motivation, which increases risk of further use. The model identifies specific intervention points for parents, social workers, and addiction professionals.
Key Numbers
Cannabis is one of the most popular drugs among adolescents. Regular use predicts mental health problems, reduced motivation, and school dropout.
How They Did This
Hypothesis-based and model-generating narrative review searching PubMed and Web of Science.
Why This Research Matters
Most CUD prevention approaches target individual factors or drug availability separately. This model argues all three dimensions must be addressed simultaneously because they create feedback loops.
The Bigger Picture
This framework shifts CUD prevention from single-factor to systems-level perspective, addressing individual risk factors, environmental context, and drug-specific factors simultaneously.
What This Study Doesn't Tell Us
Theoretical model not empirically tested. Does not quantify the relative contribution of each dimension.
Questions This Raises
- ?Can interventions targeting all three dimensions outperform single-factor approaches?
- ?Which feedback loops are strongest?
Trust & Context
- Key Stat:
- School performance is both a cause and consequence of adolescent cannabis use
- Evidence Grade:
- Theoretical model from narrative review, lacking empirical validation.
- Study Age:
- Published 2023.
- Original Title:
- Towards a New Dynamic Interaction Model of Adolescent CUD Manifestation, Prevention, and Treatment: A Narrative Review.
- Published In:
- Psychoactives, 2(4), 294-316 (2023)
- Authors:
- Oosten, Wesley, Vos, Elena, Los, Leontien, Nelwan, Michel, Pieters, Toine
- Database ID:
- RTHC-04824
Evidence Hierarchy
Summarizes existing research without a strict systematic method.
What do these levels mean? →Frequently Asked Questions
Why do some adolescents develop cannabis use disorder?
This model suggests CUD develops through interacting cycles between the drug, individual factors, and environment. Poor school performance and cannabis use reinforce each other.
How can adolescent CUD be prevented?
The model recommends addressing drug factors, individual factors, and environmental factors simultaneously.
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Cite This Study
https://rethinkthc.com/research/RTHC-04824APA
Oosten, Wesley; Vos, Elena; Los, Leontien; Nelwan, Michel; Pieters, Toine. (2023). Towards a New Dynamic Interaction Model of Adolescent CUD Manifestation, Prevention, and Treatment: A Narrative Review.. Psychoactives, 2(4), 294-316. https://doi.org/10.3390/psychoactives2040019
MLA
Oosten, Wesley, et al. "Towards a New Dynamic Interaction Model of Adolescent CUD Manifestation, Prevention, and Treatment: A Narrative Review.." Psychoactives, 2023. https://doi.org/10.3390/psychoactives2040019
RethinkTHC
RethinkTHC Research Database. "Towards a New Dynamic Interaction Model of Adolescent CUD Ma..." RTHC-04824. Retrieved from https://rethinkthc.com/research/oosten-2023-towards-a-new-dynamic
Access the Original Study
Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.
This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.