There is rapidly growing evidence of natural recovery
from cannabis use in people with psychosis, but little is known about how it occurs.
This qualitative study explores what factors influence the decision to cease cannabis
use, maintain cessation and prevent relapse.
Ten people with early psychosis and lifetime cannabis
misuse, who had been abstinent for at least a month, were recruited from public
adult mental health services. These six men and four women participated in a semi-structured
qualitative interview assessing reasons for addressing cannabis use, effective change
strategies, lapse contexts, and methods used to regain control. Interpretative phenomenological
analysis was used to identify themes in their responses.
Participants had a mean age of 23 years (SD = 3.7),
started using cannabis at age 13.7 (SD = 1.6), began daily use at 17 (SD = 3.1),
and had abstained from cannabis for 7.9 months (SD = 5.4). Awareness of the negative
impact of substance use across multiple domains and the presence of social support
for cannabis cessation were seen as vital to sustained success, as was utilization
of a combination of coping strategies. The ability to address pressure from substance
using peers was commonly mentioned.
Maximally effective treatment may need to focus on
eliciting a range of benefits of cessation and control strategies, and on maximizing
both support for change and resistance to peer pressure. Further research might
focus on comparing perceived effective strategies between individuals who obtain
sustained cessation versus those who relapse.
Purchase full article at: http://goo.gl/60zNGM
By:
- a Institute of Health & Biomedical Innovation and School of Psychology & Counselling, Queensland University of Technology, Brisbane, QLD, Australia
- b Queensland Health, Metro North Hospital and Health Service, Redcliffe-Caboolture Mental Health Service, Queensland, Australia
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