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Evidence Lacking for Cannabis Users Slacking: A Longitudinal Analysis of Escalating Cannabis Use and Motivation among Adolescents

Published online by Cambridge University Press:  15 July 2021

Ileana Pacheco-Colón Open the ORCID record for Ileana Pacheco-Colón [Opens in a new window] ,
Samuel W. Hawes ,
Jacqueline C. Duperrouzel  and
Raul Gonzalez
Ileana Pacheco-Colón*
Affiliation:
Department of Psychology, Center for Children and Families, Florida International University, Miami, FL33199, USA
Samuel W. Hawes
Affiliation:
Department of Psychology, Center for Children and Families, Florida International University, Miami, FL33199, USA
Jacqueline C. Duperrouzel
Affiliation:
Department of Psychology, Center for Children and Families, Florida International University, Miami, FL33199, USA
Raul Gonzalez
Affiliation:
Department of Psychology, Center for Children and Families, Florida International University, Miami, FL33199, USA
*
Correspondence and reprint requests to: Ileana Pacheco-Colón, Department of Psychology, Center for Children and Families, Florida International University, 11200 SW 8th Street, AHC1 Rm. 140, Miami, FL 33199, USA. Email: [email protected]
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Abstract

Objective:

Reduced motivation is often noted as a consequence of cannabis use. However, previous work has yielded mixed results and focused largely on adults. To address these limitations, this study examined longitudinal associations between cannabis use and self-reported motivation in a large adolescent sample.

Method:

Participants were 401 adolescents aged 14–17 at baseline who completed five bi-annual assessments. We assessed motivation at three timepoints using two self-report questionnaires: the Apathy Evaluation Scale and the Motivation and Engagement Scale (disengagement, persistence, planning, self-efficacy, and valuing school subscales). Controlling for relevant covariates, we used latent growth curve modeling to characterize patterns of cannabis use and motivation over time, examining bidirectional influences between these processes.

Results:

On average, adolescent cannabis use frequency increased significantly over time. The disengagement and planning facets of motivation also increased significantly over time, whereas other aspects of motivation remained stable. At baseline, greater cannabis use was associated with greater disengagement, lower planning, and lower valuing of school. Greater baseline cannabis use also predicted lesser increases in disengagement over time. After controlling for the effect of sex, age, depression, and use of alcohol and nicotine, only the baseline association between cannabis use and valuing school remained significant.

Conclusions:

Our results do not support a prospective link between cannabis use and reduced motivation among adolescents. Although most observed associations were accounted for by covariates, greater cannabis use was cross-sectionally associated with lower perceived value of school, which may contribute to poorer educational and later life outcomes.

Keywords

Cannabis useAdolescenceMotivationParallel processLatent growth curve modelApathy
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 27 , Special Issue 6: Clarifying the Complexities of Cannabis and Cognition , July 2021 , pp. 637 - 647
Copyright
Copyright © INS. Published by Cambridge University Press, 2021

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References

Assari, S., Mistry, R., Caldwell, C.H., & Zimmerman, M.A. (2018). Marijuana use and depressive symptoms; gender differences in African American adolescents. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.02135 CrossRefGoogle ScholarPubMed
Berridge, K.C. (2007). The debate over dopamine’s role in reward: The case for incentive salience. Psychopharmacology, 191(3), 391–431. https://doi.org/10.1007/s00213-006-0578-x CrossRefGoogle ScholarPubMed
Bloomfield, M.A.P., Morgan, C.J.A., Kapur, S., Curran, H.V., & Howes, O.D. (2014). The link between dopamine function and apathy in cannabis users: An [18F]-DOPA PET imaging study. Psychopharmacology, 231(11), 2251–2259. https://doi.org/10.1007/s00213-014-3523-4 CrossRefGoogle Scholar
Collins, L.M., Schafer, J.L., & Kam, C.M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6(4), 330–351.CrossRefGoogle ScholarPubMed
Crane, N.A., Schuster, R.M., Fusar-Poli, P., & Gonzalez, R. (2013). Effects of cannabis on neurocognitive functioning: Recent advances, neurodevelopmental influences, and sex differences. Neuropsychology Review, 23(2), 117–137. https://doi.org/10.1007/s11065-012-9222-1 CrossRefGoogle ScholarPubMed
Duperrouzel, J.C., Hawes, S.W., Lopez-Quintero, C., Pacheco-Colón, I., Coxe, S., Hayes, T., & Gonzalez, R. (2019). Adolescent cannabis use and its associations with decision-making and episodic memory: Preliminary results from a longitudinal study. Neuropsychology, 33(5), 701–710. https://doi.org/10.1037/neu0000538 CrossRefGoogle ScholarPubMed
Enders, C.K. & Bandalos, D.L. (2001). The Relative Performance of Full Information Maximum Likelihood Estimation for Missing Data in Structural Equation Models. Structural Equation Modeling: A Multidisciplinary Journal, 8(3), 430–457. https://doi.org/10.1207/S15328007SEM0803_5 CrossRefGoogle Scholar
Fergusson, D.M. & Boden, J.M. (2008). Cannabis use and later life outcomes. Addiction, 103(6), 969–976. https://doi.org/10.1111/j.1360-0443.2008.02221.x CrossRefGoogle ScholarPubMed
Glass, M., Faull, R.L.M., & Dragunow, M. (1997). Cannabinoid receptors in the human brain: A detailed anatomical and quantitative autoradiographic study in the fetal, neonatal and adult human brain. Neuroscience, 77(2), 299–318. https://doi.org/10.1016/S0306-4522(96)00428-9 CrossRefGoogle ScholarPubMed
Hawes, S.W., Trucco, E.M., Duperrouzel, J.C., Coxe, S., & Gonzalez, R. (2018). Developmental pathways of adolescent cannabis use: Risk factors, outcomes and sex-specific differences. Substance Use & Misuse, 0(0), 1–11. https://doi.org/10.1080/10826084.2018.1517177 Google Scholar
Henry, J.D. & Crawford, J.R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239. https://doi.org/10.1348/014466505X29657 CrossRefGoogle Scholar
Hirst, R.B., Young, K.R., Sodos, L.M., Wickham, R.E., & Earleywine, M. (2016). Trying to remember: Effort mediates the relationship between frequency of cannabis use and memory performance. Journal of Clinical and Experimental Neuropsychology, 1–11. https://doi.org/10.1080/13803395.2016.1237617 Google ScholarPubMed
Hirvonen, J., Goodwin, R., Li, C.-T., Terry, G., Zoghbi, S., Morse, C., … Innis, R. (2012). Reversible and regionally selective downregulation of brain cannabinoid CB1 receptors in chronic daily cannabis smokers. Molecular Psychiatry, 17(6), 642–649. https://doi.org/10.1038/mp.2011.82 CrossRefGoogle ScholarPubMed
Jager, G., Block, R.I., Luijten, M., & Ramsey, N.F. (2013). Tentative evidence for striatal hyperactivity in adolescent cannabis-using boys: A cross-sectional multicenter fMRI Study. Journal of Psychoactive Drugs, 45(2), 156–167. https://doi.org/10.1080/02791072.2013.785837 CrossRefGoogle ScholarPubMed
Kleinginna, P.R. & Kleinginna, A.M. (1981). A categorized list of motivation definitions, with a suggestion for a consensual definition. Motivation and Emotion, 5(3), 263–291. https://doi.org/10.1007/BF00993889 CrossRefGoogle Scholar
Lac, A. & Luk, J.W. (2018). Testing the amotivational syndrome: Marijuana use longitudinally predicts lower self-efficacy even after controlling for demographics, personality, and alcohol and cigarette use. Prevention Science, 19(2), 117–126. https://doi.org/10.1007/s11121-017-0811-3 CrossRefGoogle ScholarPubMed
Lane, S.D., Cherek, D.R., Pietras, C.J., & Steinberg, J.L. (2005). Performance of heavy marijuana-smoking adolescents on a laboratory measure of motivation. Addictive Behaviors, 30(4), 815–828. https://doi.org/10.1016/j.addbeh.2004.08.026 CrossRefGoogle ScholarPubMed
Leventhal, A.M., Cho, J., Stone, M.D., Barrington-Trimis, J.L., Chou, C.-P., Sussman, S.Y., … Strong, D.R. (2017). Associations between anhedonia and marijuana use escalation across mid-adolescence. Addiction, 112(12), 2182–2190. https://doi.org/10.1111/add.13912 CrossRefGoogle ScholarPubMed
Lev-Ran, S., Roerecke, M., Le Foll, B., George, T.P., McKenzie, K., & Rehm, J. (2014). The association between cannabis use and depression: A systematic review and meta-analysis of longitudinal studies. Psychological Medicine, 44(4), 797–810. https://doi.org/10.1017/S0033291713001438 CrossRefGoogle ScholarPubMed
Levy, S., Sherritt, L., Harris, S.K., Gates, E.C., Holder, D.W., Kulig, J.W., & Knight, J.R. (2004). Test-Retest Reliability of Adolescents’ Self-Report of Substance Use. Alcoholism: Clinical and Experimental Research, 28(8), 1236–1241. https://doi.org/10.1097/01.ALC.0000134216.22162.A5 CrossRefGoogle ScholarPubMed
Liem, G.A.D. & Martin, A.J. (2012). The Motivation and Engagement Scale: Theoretical Framework, Psychometric Properties, and Applied Yields. Australian Psychologist, 47(1), 3–13. https://doi.org/10.1111/j.1742-9544.2011.00049.x CrossRefGoogle Scholar
Little, T.D., Jorgensen, T.D., Lang, K.M., & Moore, E.W.G. (2014). On the joys of missing data. Journal of Pediatric Psychology, 39(2), 151–162. https://doi.org/10.1093/jpepsy/jst048 CrossRefGoogle ScholarPubMed
Lynskey, M. & Hall, W. (2000). The effects of adolescent cannabis use on educational attainment: A review. Addiction, 95(11), 1621–1630. https://doi.org/10.1046/j.1360-0443.2000.951116213.xCrossRefGoogle ScholarPubMed
Marin, R.S., Firinciogullari, S., & Biedrzycki, R.C. (1993). The sources of convergence between measures of apathy and depression. Journal of Affective Disorders, 28(1), 7–14.CrossRefGoogle ScholarPubMed
Marin, Robert S., Biedrzycki, R.C., & Firinciogullari, S. (1991). Reliability and validity of the apathy evaluation scale. Psychiatry Research, 38(2), 143–162. https://doi.org/10.1016/0165-1781(91)90040-V CrossRefGoogle ScholarPubMed
Martz, M.E., Trucco, E.M., Cope, L.M., Hardee, J.E., Jester, J.M., Zucker, R.A., & Heitzeg, M.M. (2016). Association of Marijuana Use With Blunted Nucleus Accumbens Response to Reward Anticipation. JAMA Psychiatry, 73(8), 838–844. https://doi.org/10.1001/jamapsychiatry.2016.1161 CrossRefGoogle ScholarPubMed
McDonald, R.P. & Ho, M.-H.R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7(1), 64–82. https://doi.org/10.1037/1082-989X.7.1.64 CrossRefGoogle ScholarPubMed
McGlothlin, W.H. & West, L.J. (1968). The Marihuana Problem: An Overview. American Journal of Psychiatry, 125(3), 370–378. https://doi.org/10.1176/ajp.125.3.370 CrossRefGoogle ScholarPubMed
Meier, M.H. & White, M. (2018). Do young-adult cannabis users show amotivation? An analysis of informant reports. Translational Issues in Psychological Science, 4(1), 99–107. https://doi.org/10.1037/tps0000150 CrossRefGoogle Scholar
Melis, M.P.D., Muntoni, A.L.M.D., & Pistis, M.M.D. (2012). Endocannabinoids and the Processing of Value-Related Signals. Frontiers in Pharmacology, 3. https://doi.org/10.3389/fphar.2012.00007 CrossRefGoogle ScholarPubMed
Miele, G.M., Carpenter, K.M., Smith Cockerham, M., Trautman, K.D., Blaine, J., & Hasin, D.S. (2000). Substance Dependence Severity Scale (SDSS): Reliability and validity of a clinician-administered interview for DSM-IV substance use disorders. Drug and Alcohol Dependence, 59(1), 63–75. https://doi.org/10.1016/S0376-8716(99)00111-8 CrossRefGoogle ScholarPubMed
Muthén, L.K. & Muthén, B.O. (1998). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén.Google Scholar
Pacheco-Colón, I., Coxe, S., Musser, E.D., Duperrouzel, J.C., Ross, J.M., & Gonzalez, R. (2017). Is Cannabis Use Associated with Various Indices of Motivation among Adolescents? Substance Use & Misuse, 53(7), 1158–1169. https://doi.org/10.1080/10826084.2017.1400566 CrossRefGoogle ScholarPubMed
Pacheco-Colón, I., Limia, J.M., & Gonzalez, R. (2018). Nonacute effects of cannabis use on motivation and reward sensitivity in humans: A systematic review. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 32(5), 497–507. https://doi.org/10.1037/adb0000380 CrossRefGoogle ScholarPubMed
Pacheco-Colón, I., Ramirez, A., & Gonzalez, R. (2019). Effects of adolescent cannabis use on motivation and depression: A systematic review. Current Addiction Reports. https://doi.org/10.1007/s40429-019-00274-y CrossRefGoogle ScholarPubMed
Patte, K.A., Qian, W., & Leatherdale, S.T. (2017). Marijuana and alcohol use as predictors of academic achievement: A longitudinal analysis among youth in the COMPASS study. The Journal of School Health, 87(5), 310–318. https://doi.org/10.1111/josh.12498 CrossRefGoogle ScholarPubMed
Pertwee, R.G. (2006). Cannabinoid pharmacology: The first 66 years. British Journal of Pharmacology, 147(S1), S163–S171. https://doi.org/10.1038/sj.bjp.0706406 CrossRefGoogle ScholarPubMed
Rippeth, J.D., Heaton, R.K., Carey, C.L., Marcotte, T.D., Moore, D.J., Gonzalez, R., … Group, T.H. (2004). Methamphetamine dependence increases risk of neuropsychological impairment in HIV infected persons. Journal of the International Neuropsychological Society, 10(1), 1–14. https://doi.org/10.1017/S1355617704101021 CrossRefGoogle ScholarPubMed
Substance Abuse and Mental Health Services Administration. (2019). Results from the 2018 National Survey on Drug Use and Health: Detailed tables. Retrieved from Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration website: https://www.samhsa.gov/data/ Google Scholar
van Hell, H.H., Vink, M., Ossewaarde, L., Jager, G., Kahn, R.S., & Ramsey, N.F. (2010). Chronic effects of cannabis use on the human reward system: An fMRI study. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 20(3), 153–163. https://doi.org/10.1016/j.euroneuro.2009.11.010 CrossRefGoogle Scholar
Volkow, N.D., Wang, G.-J., Newcorn, J.H., Kollins, S.H., Wigal, T.L., Telang, F., … Swanson, J.M. (2011). Motivation deficit in ADHD is associated with dysfunction of the dopamine reward pathway. Molecular Psychiatry, 16(11), 1147–1154. https://doi.org/10.1038/mp.2010.97 CrossRefGoogle ScholarPubMed
Volkow, Nora D., Swanson, J.M., Evins, A.E., DeLisi, L.E., Meier, M.H., Gonzalez, R., … Baler, R. (2016). Effects of Cannabis Use on Human Behavior, Including Cognition, Motivation, and Psychosis: A Review. JAMA Psychiatry, 73(3), 292–297. https://doi.org/10.1001/jamapsychiatry.2015.3278 CrossRefGoogle ScholarPubMed
Volkow, Nora D., Wang, G.-J., Telang, F., Fowler, J.S., Alexoff, D., Logan, J., … Tomasi, D. (2014). Decreased dopamine brain reactivity in marijuana abusers is associated with negative emotionality and addiction severity. Proceedings of the National Academy of Sciences, 111(30), E3149–E3156. https://doi.org/10.1073/pnas.1411228111 CrossRefGoogle ScholarPubMed
Wothke, W. (2000). Longitudinal and multigroup modeling with missing data. In Modeling longitudinal and multilevel data: Practical issues, applied approaches, and specific examples (pp. 219–240, 269–281). Mahwah, NJ: Lawrence Erlbaum Associates Publishers.Google Scholar
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