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Affect dysregulation in cannabis abusers

A study in adolescents and young adults

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Abstract

Psychiatric comorbidity and impaired emotional functioning have been previously reported in adult substance abusers but have been less well documented in adolescents. Thus, we investigated mental health problems and emotion regulation abilities in adolescents and young adults with cannabis dependence. Moreover, we explored the relationships between consumption modalities and affective style. Therefore, 32 cannabis abusers (CA) and 30 healthy controls completed a battery of self-reports measuring depression (BDI-13), anxiety (STAI-Y), alexithymia (TAS20; BVAQ-B), anhedonia (PAS; SAS), and sensation seeking (SSS). The MINI was administered to evaluate cannabis dependence and axis I DSM-IV comorbid diagnoses. A semi-structured clinical interview was given to determine psychoactive substance use. Statistical analyses revealed that more than half of the CA reported at least one other non-drug or alcohol comorbid diagnosis. The most common were mood and anxiety disorders. CA subjects scored significantly higher on all affective dimensions except alexithymia total scores; however, they had greater scores for the two subscales measuring the difficulties in identifying feelings. Logistic regressions demonstrated that CA subjects were more likely to experience high levels of trait anxiety, physical anhedonia and sensation seeking than the controls. Various correlations were observed between the affective scores and the substance considered. The amount of substance use and, particularly, the prevalence of polydrug use we observed are alarming. This study demonstrates that cannabis dependence in adolescents and young adults is related to a great psychological distress and specific emotional dimensions and puts emphasis on the importance of substance use prevention as early as middle school.

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References

  1. Adlaf EM, Paglia A (2001) Drug Use Among Ontario Students, 1977–2001: Findings from the OSDUS. In: CAMH Research Document N°10. Centre for Addiction and Mental Health, Toronto

  2. Beck F (2005) Les usages en population adolescente. In: Angel P, Richard D, Valleur M (eds) Toxicomanies. Masson, Paris, pp 268–281

    Google Scholar 

  3. Bender R, Lange S (2001) Adjusting for multiple testing—when and how? J Clin Epidemiol 54:343–349

    Article  PubMed  CAS  Google Scholar 

  4. Best D, Gross S, Manning V, Gossop M, Witton J, Strang J (2005) Cannabis use in adolescents: the impact of risk and protective factors and social functioning. Drug Alcohol Rev 24:483–488

    Article  PubMed  Google Scholar 

  5. Bruchon Schweitzer M, Paulhan I (1990) Manuel de l’Inventaire d’Anxiété Etat - Trait, Forme I. Editions ECPA, Paris

    Google Scholar 

  6. Carton S, Jouvent R, Widlöcher D (1992) Cross-cultural validity of the sensation seeking scale: development of a French abbreviated form. Eur Psychiat 7:225–234

    Google Scholar 

  7. Choquet M, Beck F, Hassler C, Spilka S, Morin D, Legleye S (2004) Les substances psychoactives chez les collégiens et lycéens : consommations en 2003 et évolutions depuis dix ans. Tendances 35:1–6

    Google Scholar 

  8. Collet L, Cottraux J (1986) Inventaire abrégé de la dépression de Beck (13 items). Etude de la validité concurrente avec les échelles de Hamilton et de ralentissement de Widlöcher. Encephale 12:77–79

    PubMed  CAS  Google Scholar 

  9. Corcos M, Speranza M (2003) Psychopathologie de l’alexithymie. Dunod, Paris

    Google Scholar 

  10. Del Boca F, Noll J (2000) Truth or consequences: the validity of self-report data in health services research on addictions. Addiction 95:347–360

    Article  Google Scholar 

  11. Farges F, Corcos M, Speranza M, Loas G, Perez-Diaz F, Venisse JL, Lang F, Bizouard P, Halfon O, Flament M, Jeammet P (2004) Alexithymie et toxicomanie: lien avec la dépression. Encephale 33:201–211

    Article  Google Scholar 

  12. Fergusson D, Horwood L (1997) Early onset cannabis use and psychosocial adjustment in young adults. Addiction 92:279–296

    Article  PubMed  CAS  Google Scholar 

  13. Gignac M, Wilens T, Biederman J, Kwon A, Mick E, Swezey A (2005) Assessing cannabis use in adolescents and young adults: what do urine screen and parental report tell you? J Child Adol Psychopharmacol 15:742–750

    Article  Google Scholar 

  14. Haviland MG, Warren W, Riggs M, Nitch S (2002) Concurrent validity of two observer-rated alexithymia measures. Psychosomatics 43:472–477

    Article  PubMed  Google Scholar 

  15. Hibell B, Andersson B, Ahlstrom S, Balakireva O, Bjarnason T, Kokkevi A, Morgan M (2000) The 1999 ESPAD Report: Alcohol and Other Drug Use Among Students in 30 European Countries. Stockholm: Swedish Counsil for Information on Alcohol and Other Drugs and the Pompidou Group at the Council of Europe

  16. Hoddes E, Zarcone V, Smythe H, Philipps R, Dement WC (1973) Quantification of sleepiness: a new approach. Psychophysiology 10:431–436

    Article  PubMed  CAS  Google Scholar 

  17. Inserm (2001) Cannabis: quels effets sur le comportement et la santé? Les Editions Inserm, Paris

    Google Scholar 

  18. Johns A (2001) Psychiatric effects of cannabis. Brit J Psychiat 178:116–122

    Article  PubMed  CAS  Google Scholar 

  19. Johnston L, O’Malley P, Bachman J (2002) Monitoring the future national survey results on drug use, 1975–2001. Vol I: secondary school students. NIH Publication, Bethesda

    Google Scholar 

  20. Kalant H (2004) Adverse effects of cannabis on health: an update of the literature since 1996. Prog Neuro-Psychopharmacol Biol Psychiat 28:849–863

    Article  CAS  Google Scholar 

  21. Khantzian E (1997) The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harvard Rev Psychiat 4:231–244

    Article  CAS  Google Scholar 

  22. Kosmadakis C, Bungener C, Pierson A, Jouvent R, Widlöcher D (1995) Traduction et validation de l’Echelle Révisée d’Anhédonie Sociale (SAS Social Anhedonia Scale, M. L. Eckblad, L. J. Chapman et al, 1982), Etude des validités interne et concourante chez 126 sujets sains. Encephale 21:437–443

    PubMed  CAS  Google Scholar 

  23. Lane RD, Quinlan DM, Schwartz GE, Walker PA, Zeiltin SB (1990) The Levels of Emotional Awarness Scale: a cognitive-developmental measure of emotion. J Pers Assess 55:124–134

    Article  PubMed  CAS  Google Scholar 

  24. Lecrubier Y, Sheehan D, Weiller E, Amorin P, Bonora I, Harnett Sheehan K, Janavs J, Dunbar G (1999) The MINI International Neuropsychiatric Interview (MINI) a short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiat 5:224–231

    Google Scholar 

  25. Loas G (1993) Traduction et validation de l’échelle d’anhédonie physique de Chapman. Encephale 19:639–644

    PubMed  CAS  Google Scholar 

  26. Loas G (1995) Adaptation et traduction française des échelles d’anhédonie sociale et physique de Chapman. Encephale 21:484

    PubMed  CAS  Google Scholar 

  27. Loas G, Boyer P (1994) L’évaluation de l’anhédonie en psychopathologie: seconde étude de validation de la version française de l’échelle d’anhédonie physique de Chapman et Chapman (PAS). Etude portant sur 356 personnes. Ann Méd-Psychol 152:256–259

    CAS  Google Scholar 

  28. Loas G, Fremaux D, Marchand M (1995) Etude de la structure factorielle et de la cohérence interne de la version française de l’échelle d’alexithymie de Toronto à 20 items (TAS-20) chez un groupe de 185 sujets sains. Encephale 21:117–122

    PubMed  CAS  Google Scholar 

  29. Loas G, Otmani O, Fremaux D, Lecercle C, Duflot M, Delahousse J (1996) Etude de la validité externe, de la fidélité et détermination des notes seuil des échelles d’alexithymie de Toronto (TAS et TAS-20) chez un groupe de malades alcooliques. Encephale 22:35–40

    PubMed  CAS  Google Scholar 

  30. Macleod J, Oakes R, Copello A, Crome I, Egger M, Hickman M, Oppenkowski T, Stockes-Lampard H, Smith GD (2004) Psychological and social sequelae of cannabis and other illicit drug use by young people: a systematic review of longitudinal general population studies. Lancet 363:1579–1588

    Article  PubMed  Google Scholar 

  31. McGee R, Williams S, Poulton R, Moffitt T (2000) A longitudinal study of cannabis use and mental health from adolescence to early adulthood. Addiction 95:491–503

    Article  PubMed  CAS  Google Scholar 

  32. Mueser K, Drake R, Wallach M (1998) Dual Diagnosis: a review of etiological theories. Addict Behav 23:717–734

    Article  PubMed  CAS  Google Scholar 

  33. Pedersen W (1991) Mental health, sensation seeking and drug use patterns: a longitudinal study. Brit J Addict 86:195–204

    Article  CAS  Google Scholar 

  34. Ramo D, Anderson K, Tate S, Brown S (2005) Characteristics of relapse to substance use in comorbid adolescents. Addict Behav 30:1811–1823

    Article  PubMed  Google Scholar 

  35. Rey JM, Martin A, Krabman P (2004) Is the party over? Cannabis and juvenile psychiatric disorder: the past 10 years. J Am Acad Child Adol Psychiat 43:1194–1205

    Article  Google Scholar 

  36. Rey JM, Sawyer MG, Raphael B, Patton GC, Lynskey M (2002) Mental health of teenagers who use cannabis. Brit J Psychiat 180:216–221

    Article  PubMed  Google Scholar 

  37. Segal B, Huba G, Singer J (1980) Sensation-seeking and anxiety as factors in social drinking men. J Stud Alcohol 18:1108–1114

    Google Scholar 

  38. Steinberg L (2005) Cognitive and affective development in adolescence. Trends Cogn Sci 9:69–74

    Article  PubMed  Google Scholar 

  39. Stephens R, Babor T, Kadden R, Miller M (2002) The Marijuana Treatment Project: rationale, design and participant characteristics. Addiction 97:109–124

    Article  PubMed  Google Scholar 

  40. Taylor G, Bagby R, Parker J (1997) Disorders of affect regulation. Cambridge University Press, Cambridge

    Google Scholar 

  41. Troisi A, Pasini A, Saracco M, Spalletta G (1998) Psychiatric symptoms in male cannabis users not using other illicit drugs. Addiction 93:487–492

    Article  PubMed  CAS  Google Scholar 

  42. Zech E, Luminet O, Rimé B, Wagner H (1999) Alexithymia and its measurement: confirmatory factor analyses of the 20-item toronto alexithymia scale and the bermond-vorst alexithymia questionnaire. Eur J Personality 13:511–532

    Article  Google Scholar 

  43. Zuckerman M (1984) Sensation seeking: a comparative approach to a human trait. Behav Brain Sci 7:413–471

    Article  Google Scholar 

  44. Zuckerman M (1994) Behavioral expressions and biosocial bases of sensation seeking. Cambridge University Press, New York

    Google Scholar 

  45. Zuckerman M, Kolin E, Price L, Zoob I (1964) Development of a sensation-seeking scale. J Consult Clin Psych 28:477–482

    Google Scholar 

Download references

Acknowledgements

GD was founded by the French ministry of research. We are grateful to Pr Mark G. Haviland and Pr Boris Birmaher for their valuable comments on this manuscript, and to Pr Bruno Falissard for his statistical counselling.

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Authors and Affiliations

  1. Laboratory of Clinical Psychopathology and Neuropsychology, Paris Descartes University, Institut Henri Piéron, 71 Av Edouard Vaillant, 92100, Boulogne Billancourt, France

    Géraldine Dorard & Catherine Bungener

  2. Department of Psychiatry for Adolescents and Young Adults, Institut Mutualiste Montsouris, Univ. Paris-Sud and Paris Descartes Universities, Inserm U669, 42 Bud Jourdan, 75674, Paris Cdx 14, France

    Sylvie Berthoz, Olivier Phan & Maurice Corcos

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  1. Géraldine Dorard
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  2. Sylvie Berthoz
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  4. Maurice Corcos
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  5. Catherine Bungener
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Correspondence to Géraldine Dorard.

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Dorard, G., Berthoz, S., Phan, O. et al. Affect dysregulation in cannabis abusers. Eur Child Adolesc Psychiatry 17, 274–282 (2008). https://doi.org/10.1007/s00787-007-0663-7

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