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Replicating the Dimensional Structure of Cannabis Problems: A Taxometric Analysis.
Mitch Earleywine1, Thomas F Denson2, Brianna R Altman1
1Department of Psychology, University at Albany, Albany, New York, USA.
Substance Use & Misuse
|November 4, 2020
Summary
Cannabis problems are dimensional, not categorical. This study confirms that cannabis use issues exist on a continuum, informing prevention and treatment strategies for cannabis use disorder.
Area of Science:
- Psychology
- Addiction Science
- Public Health
Background:
- Replication of previous findings on cannabis consumption problems is crucial due to legal changes.
- Understanding the structure of cannabis problems informs public health strategies.
- Existing models for psychopathological disorders often use categorical approaches.
Purpose of the Study:
- To replicate and confirm the dimensional structure of problems associated with cannabis consumption.
- To investigate whether cannabis problems represent a distinct category or a continuum.
- To provide evidence for the etiology, prevention, and treatment of cannabis use disorder.
Main Methods:
- Utilized taxometric procedures (MAMBAC, MAXEIG, L-Mode) on a large dataset of over 4,000 cannabis users.
- Assessed psychological, social, occupational, and physical harms using the Marijuana Problems Scale.
- Compared empirical data to simulations based on representative estimates of problematic cannabis use.
Main Results:
- All three taxometric procedures consistently supported a dimensional structure for cannabis problems.
- Evidence indicated no underlying taxon or distinct category for problematic cannabis use.
- The findings confirmed the continuous nature of harms related to cannabis consumption.
Conclusions:
- Cannabis problems exist on a continuum, similar to other substance use issues, rather than being a distinct category.
- This dimensional understanding is vital for developing effective harm reduction and intervention strategies.
- Future research and interventions should focus on incremental progress along the continuum, rather than categorical distinctions.

