Teenagers and Cannabis Use: Why It's a Problem and What Can Be Done About It
Teenagers' use of cannabis is a significant problem due to the known detrimental effects it has on the developing brain. Cannabis use in the teenage years is associated with a disruption to the brain's reward system, impaired memory and cognition, and the potential for structural brain changes. Smoking cannabis can have a negative impact on the pulmonary system because it is a respiratory irritant. Teenagers are increasingly using electronic cigarettes, or vaping, to administer cannabis, which delivers a higher concentration of its psychoactive properties. Teenagers are not recognizing the health or other risks of using cannabis, such as motor vehicle accidents. All teenagers should be screened for cannabis use, and education about cannabis use should be age-specific and start in elementary education and continue through high school. Nurses are in a prime position to provide up-to-date, evidence-based education to teenagers, parents, and other health care professionals about teenagers' use of cannabis. Additional measures that can affect cannabis use in teenagers are screening for other underlying mental health disorders; improving quality of life, self-efficacy, and spirituality; and providing teenagers with opportunities to naturally stimulate the brain's reward center. [Journal of Psychosocial Nursing and Mental Health Services, 57(3), 11–15.]
- American Academy of Child and Adolescent Psychiatry. (2018). Marijuana and teens. Retrieved from https://www.aacap.org/aacap/families_and_youth/facts_for_families/fff-guide/Marijuana-and-Teens-106.aspx Google Scholar
- American Academy of Pediatrics. (2016). Substance use screening, brief intervention, and referral to treatment. Retrieved from https://pediatrics.aappublications.org/content/138/1/e20161210 Google Scholar
- Bobzean S.A., DeNobrega A.K., Perrotti L.I. (2014). Sex differences in the neurobiology of drug addiction. Experimental Neurology, 259, 64–74.
10.1016/j.expneurol.2014.01.022Crossref MedlineGoogle Scholar
- Botvin Life Skills Training. (n.d.). LST overview. Retrieved from https://www.lifeskillstraining.com/lst-overview Google Scholar
- Budney A.J., Sargent J.D., Lee D.C. (2015). Vaping cannabis (marijuana): Parallel concerns to e-cigs?Addiction, 110, 1699–1704.
10.1111/add.13036Crossref MedlineGoogle Scholar
- Centers for Disease Control and Prevention. (2016). CDC HRQOL-14 “Healthy days measure.”. Retrieved from https://www.cdc.gov/hrqol/hrqol14_measure.htm Google Scholar
- Centers for Disease Control and Prevention. (2017). What you need to know about marijuana use in teens. Retrieved from https://www.cdc.gov/marijuana/factsheets/teens.htm Google Scholar
- Centers for Disease Control and Prevention. (2018). Marijuana and public health: Adolescents and young adults. Retrieved from https://www.cdc.gov/marijuana/nas/adolescents.html Google Scholar
- Colorado Department of Transportation. (2018). Drugged driving. Retrieved from https://www.codot.gov/safety/alcohol-and-impaired-driving/druggeddriving Google Scholar
- Crowley D.M., Jones D.E., Coffman D.L., Greenberg M.T. (2014). Can we build an efficient response to the prescription drug abuse epidemic? Assessing the cost effectiveness of universal prevention in the PROSPER trial. Preventive Medicine, 62, 71–77.
10.1016/j.ypmed.2014.01.029Crossref MedlineGoogle Scholar
- Dow S.J., Kelly J.F. (2013). Listening to youth: Adolescents' reasons for substance use as a unique predictor of treatment response and outcome. Psychology of Addictive Behaviors, 27, 1122–1131.
10.1037/a0031065Crossref MedlineGoogle Scholar
- Durkin A. (2014). Legalization of marijuana for non-medical use: Health, policy, socioeconomic, and nursing implications. Journal of Psychosocial Nursing and Mental Health Services, 52(9), 22–26.
- Gage S.H., Jones H.J., Burgess S., Bowden J., Smith G.D., Zammit S., Munafò M.R. (2017). Assessing causality in associations between cannabis use and schizophrenia risk: A two-sample Mendelian randomization study. Psychological Medicine, 47, 971–980.
10.1017/S0033291716003172Crossref MedlineGoogle Scholar
- International Nurses Society on Addictions. (n.d.). Welcome to IntNSA. Retrieved from https://www.intnsa.org Google Scholar
- Keyes K.M., Rutherford C., Miech R. (2019). Historical trends in the grade of onset and sequence of cigarette, alcohol, and marijuana use among adolescents from 1976–2016: Implications for “gateway” patterns in adolescence. Drug and Alcohol Dependence, 194, 51–58.
10.1016/j.drugalcdep.2018.09.015Crossref MedlineGoogle Scholar
- Knight J.R., Sherritt L., Shrier L.A., Harris S.K., Chang G. (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatrics & Adolescent Medicine, 156, 607–614.
10.1001/archpedi.156.6.607Crossref MedlineGoogle Scholar
- Learning Theories. (2014). Erikson's stages of development. Retrieved from https://www.learning-theories.com/eriksons-stages-of-development.html Google Scholar
- Levy S.J., Williams J.F. (2016). Substance use screening, brief intervention, and referral to treatment. Pediatrics, 138, e20161211.
10.1542/peds.2016-1211Crossref MedlineGoogle Scholar
- Loflin M., Earleywine M. (2015). No smoke, no fire: What the initial literature suggests regarding vapourized cannabis and respiratory risk. Canadian Journal of Respiratory Therapy, 51, 7–9. MedlineGoogle Scholar
- Marschall-Lévesque S., Castellanos-Ryan N., Vitaro F., Séguin J.R. (2014). Moderators of the association between peer and target adolescent substance use. Addictive Behaviors, 39, 48–70.
10.1016/j.addbeh.2013.09.025Crossref MedlineGoogle Scholar
- Martin G.W., Wilkinson D.A., Poulos C.X. (1995). The drug avoidance self-efficacy scale. Journal of Substance Abuse, 7, 151–163.
10.1016/0899-3289(95)90001-2Crossref MedlineGoogle Scholar
- National Institute on Drug Abuse. (2014). Why do adolescents take drugs. Retrieved from https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/frequently-asked-questions/why-do-adolescents-take-drugs Google Scholar
- National Institute on Drug Abuse. (2016). The reward pathway. Retrieved from https://www.drugabuse.gov/publications/teaching-packets/understanding-drug-abuse-addiction/section-i/4-reward-pathway Google Scholar
- National Institute on Drug Abuse. (2017). NIDA launches two brief online validated adolescent substance use screening tools. Retrieved from https://www.drugabuse.gov/nidamed-medical-health-professionals/screening-tools-for-adolescent-substance-use Google Scholar
- National Institute on Drug Abuse. (2018a). Drugs, brains, and behavior: The science of addiction. Retrieved from https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain Google Scholar
- National Institute on Drug Abuse. (2018b). How does marijuana produce its effects. Retrieved from https://www.drugabuse.gov/publications/research-reports/marijuana/how-does-marijuana-produce-its-effects Google Scholar
- National Institute on Drug Abuse. (2018c). Is marijuana a gateway drug. Retrieved from https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-gateway-drug Google Scholar
- National Institute on Drug Abuse. (2018d). Monitoring the future survey: High school and youth trends. Retrieved from https://www.drugabuse.gov/publications/drugfacts/monitoring-future-survey-high-school-youth-trends Google Scholar
- National Institute on Drug Abuse. (2018e). Understanding drug use and addition. Retrieved from https://www.drugabuse.gov/publications/drugfacts/understanding-drug-use-addiction Google Scholar
- National Institute on Drug Abuse. (2018f). What are marijuana's long-term effects on the brain. Retrieved from https://www.drugabuse.gov/publications/research-reports/marijuana/what-are-marijuanas-long-term-effects-brain Google Scholar
- National Institute on Drug Abuse. (2018g). What is marijuana. Retrieved from https://www.drugabuse.gov/publications/research-reports/marijuana/what-marijuana Google Scholar
- Onrust S.A., Otten R., Lammers J., Smit F. (2016). School-based programmes to reduce and prevent substance use in different age groups: What works for whom? Systematic review and meta-regression analysis. Clinical Psychology Review, 44, 45–59.
10.1016/j.cpr.2015.11.002Crossref MedlineGoogle Scholar
- Puchalski C., Romer A.L. (2000). Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine, 3, 129–137.
10.1089/jpm.2000.3.129Crossref MedlineGoogle Scholar
- Schuster R.M., Gilman J., Schoenfeld D., Evenden J., Hareli M., Ulysse C., Evins A.E. (2018). One month of cannabis abstinence in adolescents and young adults is associated with improved memory. Journal of Clinical Psychiatry, 79(6).
- Spindle T.R., Cone E.J., Schlienz N.J., Mitchell J.M., Bigelow G.E., Flegel R., Vandrey R. (2018). Acute effects of smoked and vaporized cannabis in healthy adults who infrequently use cannabis: A crossover trial. JAMA Network Open, 1, e184841.
10.1001/jamanetworkopen.2018.4841Crossref MedlineGoogle Scholar
- Spoth R., Redmond C., Shin C., Greenberg M.T., Feinberg M.E., Trudeau L. (2017). PROSPER delivery of universal preventive interventions with young adolescents: Long-term effects on emerging adult substance misuse and associated risk behaviors. Psychological Medicine, 47, 2246–2259.
10.1017/S0033291717000691Crossref MedlineGoogle Scholar
- Trivers K.F., Phillips E., Gentzke A.S., Tynan M.A., Neff L.J. (2018). Prevalence of cannabis use in electronic cigarettes among US youth. JAMA Pediatrics, 172, 1097–1099.
10.1001/jamapediatrics.2018.1920Crossref MedlineGoogle Scholar
- Unicef. (2018, March6). The adolescent brain: A second window of opportunity. Retrieved from https://www.unicef-irc.org/article/1750-the-adolescent-brain-a-second-window-of-opportunity.html Google Scholar
- Worley J. (2017). Recovery in substance use disorders: What to know to inform practice. Issues in Mental Health Nursing, 38, 80–91.
10.1080/01612840.2016.1245375Crossref MedlineGoogle Scholar