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Goal commitment evolution in a Spanish adolescent sample with cannabis use disorder.

Josep L Matalí1, Ania Pérez-Racana2, Elena Flores2

  • 1Children and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu. Child and Adolescent Psychiatry Hospital Sant Joan de Déu of Barcelona, CIBERSAM, Spain.

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Summary

The Adolescent Substance Abuse Goal Commitment (ASAGC) questionnaire effectively measures treatment commitment in adolescents with Cannabis Use Disorder (CUD). Higher commitment to abstinence predicts better treatment outcomes, though harm reduction goals remain challenging.

Keywords:
ASAGCAddictive disordersAdolescentsCannabisGoal commitmentTreatment

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Area of Science:

  • Psychiatry
  • Adolescent Health
  • Substance Abuse Research

Background:

  • Cannabis Use Disorder (CUD) in adolescents presents unique treatment challenges.
  • Identifying patient treatment goals is crucial for effective intervention design and predicting outcomes.

Purpose of the Study:

  • To evaluate the psychometric properties of the Spanish version of the Adolescent Substance Abuse Goal Commitment (ASAGC) questionnaire.
  • To assess the association between goal commitment and treatment outcomes in adolescents with CUD.

Main Methods:

  • 115 adolescents (13-18 years) with CUD in outpatient treatment were assessed.
  • Psychometric properties analyzed included factor analysis, predictive validity, reliability, and stability.
  • The ASAGC questionnaire was administered to measure commitment to abstinence and harm reduction.

Main Results:

  • The ASAGC demonstrated excellent reliability (>0.95) and good stability over 6 months.
  • Higher commitment to abstinence at baseline correlated with reduced THC levels in urine at 3 and 6 months (p < .001).

Conclusions:

  • The ASAGC is a valuable tool for assessing treatment commitment in adolescents with CUD.
  • Commitment to abstinence is a reliable prognostic indicator for CUD treatment.
  • Adolescents pursuing harm reduction goals present ongoing therapeutic challenges.