Motives For Cannabis Use Research Articles

Relación entre las motivaciones para consumir y el consumo problemático de cannabis

Systematic screening of problematic cannabis use does not include the motivations that lead to consumption, although from a person-centered perspective this is fundamental. The present study explores the motivations for cannabis use in adults and its relationship with cannabis use patterns and problematic use. Adult cannabis users (previous 60 days) were recruited in the province of Barcelona (n = 468). Information on their sociodemographic data, cannabis use pattern, Cannabis Abuse Screening Test (CAST) and the main motivation for use were collected. Motivations were categorized a posteriori according to the Marijuana Motives Measures (MMM). A descriptive and inferential analysis was carried out to link the motivations to sociodemographic variables, consumption pattern and probability of suffering problematic cannabis use (CAST). Using cannabis to heighten positive feelings (35%), out of habit (29%) and to cope with negative feelings (25%) were the most frequent motivations. In comparison to other motivations, coping is related to a greater quantity of cannabis used (4 vs 3 joints per day, p = 0.005), higher probability of problematic cannabis use (77% vs 64%, p = 0.05), and greater social vulnerability (unemployment 56% vs 37%, p = 0.001; and low educational level 14% vs 8%, p = 0.042). Coping as a motivation for cannabis use is present in one out of four users and is a marker of social vulnerability, greater quantity of cannabis used and higher risk of problematic use. Patient-centered care together with preventive (emotional and social education) and clinical strategies (psychotherapy) can be useful for this population at higher risk.

Driving After Cannabis Use Among Young Adults in Michigan.

Introduction: Driving after cannabis use is associated with a number of risks. Examination of driving after cannabis use among young adults is particularly important, as young adults have the highest rates of cannabis use and among the highest rates of traffic crashes. The current study examines rates and correlates of driving after cannabis use among young adults (aged 18-25) who reported past month cannabis use. Methods: Participants were from Michigan and recruited through paid Facebook and Instagram advertisements between February and March 2018 (n=461). Results: Nearly a third (31.9%) of the sample reported driving after cannabis use in the past month. Young adults who were employed (aOR=1.872, p=0.045), had medical cannabis cards (aOR=2.877, p<0.001), endorsed coping reasons for use (aOR=2.992, p=0.007), and endorsed social/recreational reasons for use (aOR=1.861, p=0.034) had greater odds of driving after cannabis use. Students had lower odds of driving after use (aOR=0.573, p=0.011). Conclusions: Employment and having a medical cannabis card may be important risk markers for identifying individuals more likely to drive after use of cannabis. Prevention efforts could provide psychoeducation at dispensaries to individuals with medical cannabis cards about the risks of driving after use. Coping motives for cannabis use may also be useful in identifying young adults at the greatest risk of driving after use of cannabis.

Cannabis as entheogen: survey and interview data on the spiritual use of cannabis

BackgroundWhile cannabis has a long history of spiritual use, its normalization in Western societies during the last decades has led to more recreational use. This study aimed to explore the characteristics of spiritual cannabis use as compared to recreational use and to the use of psychedelics such as LSD and psilocybin.MethodsThe study employed a mixed methods research design that involved both qualitative interviews and a quantitative survey. Participants in interviews (N = 29) were recruited at various online fora for individual interviews via private messaging, and were queried in depth about their use of entheogens such as psilocybin, LSD, and DMT in spiritual contexts. The Cannabis and Psychedelics User Survey (CPUS) was constructed on the basis of the reports from these interviews, and recruited 319 participants (median age 33; 81% male) from seven different online communities. The online survey consisted of three main sections, with the first asking about demographics, personality, current and past affiliation to spiritual or religious traditions, and non-psychedelic drug use, and the second and third sections containing questions about motivations for, experience with, and consequences of cannabis and psychedelics use. The main statistical analyses used were multivariate linear and logistic regression analysis, which identified the effect from having a spiritual motivation for cannabis use on various aspects of the cannabis experience while controlling for a range of demographic, personality, and drug use variables.ResultsRespondents differentiated clearly between the use of psychedelics and cannabis. Their use of the psychedelic drug they chose for the survey was restricted to a median of 1–10 use occasions per year, and 69% of participants endorsed having a spiritual motivation for use. Cannabis, on the other hand, was used a median of 51–100 times per year, and 25% of participants endorsed having a spiritual motivation for use. This minority of spiritual cannabis users differed significantly from non-spiritual users in how they approached cannabis use and in the type of experiences their use gave rise to. In multivariate logistic regression models, spiritual motivation was a significant predictor (p < .05) of experiences of insight, connectedness, joy, love, and unity with transcendent forces.ConclusionsThe study found evidence of a group of spiritual cannabis users who tended to regard cannabis as an entheogen. These spiritual cannabis users had a different mode of engagement with cannabis than recreational users, and reported cannabis experiences that in some aspects resembled experiences with psychedelics. Recent research has not given much attention to spiritual aspects of cannabis use, but the study indicates that spiritually motivated use remains prevalent and deserves further study.

Motives for Recreational Cannabis Use among Mental Health Professionals

ABSTRACT Background: Mental health professionals provide therapeutic services for cannabis users with psychosocial difficulties, though little is known about cannabis use among the professionals. This study investigated motivations for cannabis use among Canadian mental health professionals and addresses stigma toward cannabis users. Methods: A descriptive qualitative design informed by phenomenological analysis was utilized. Semi-structured interviews were conducted with a sample (n = 7) of registered social workers, nurses, and psychotherapists who provide mental health services with cannabis users. Results: The professionals reported using cannabis to enhance relaxation, sleep, enjoyment, social experiences, cognition, and alleviate specific health concerns. Some paradoxically described increased anxiety, sleep disturbance, and impaired cognition after use. All discussed the risks associated with use and individualized effects of the drug. Conclusions: Motivations for cannabis use among the professionals in this study were similar to those described by adult Canadians in previous research, though perceptions of risk were more expansive. Factors contributing to use differed from other studies examining substance use among health professionals. Should cannabis-consuming professionals seek mental health or addiction support, interventions focused on the identified themes may be beneficial.

Characterizing motivations for cannabis use in a cohort of people who use illicit drugs: A latent class analysis

BackgroundCannabis use is common among marginalized people who use illicit drugs (PWUD) but reasons for use remain poorly investigated. We sought to explore how different intentions for cannabis use relate to social, structural, and behavioural factors among PWUD in Vancouver, Canada.MethodsWe used data from cannabis-using participants in two community-recruited prospective cohort studies of PWUD. Using latent class analysis, we identified discrete cannabis-using groups based on self-reported intentions for use. Generalized estimating equations were used to examine correlates of class membership.ResultsBetween June 2016 and December 2018, 2,686 observations from 897 participants cannabis-using PWUD were analyzed. Four latent classes of cannabis use emerged: Class 1 (31.6%), characterized by non-medical purposes; Class 2 (37.5%), characterized by non-pain therapeutic use (e.g., stress, nausea/loss of appetite, and insomnia); characterized by Class 3 (21.9%) predominantly pain relief; and Class 4 (9.0%), characterized by a wide range of therapeutic uses in addition to pain management, including insomnia, stress, nausea/loss of appetite, and harm reduction. Class-specific structural, substance-, and health-related differences were observed, including indicators of better physical and mental health among the “recreational” class, despite evidence of more structural vulnerabilities (e.g., homelessness, incarceration).ConclusionsOur findings demonstrate a wide spectrum of motivations for cannabis use among PWUD. We observed important health-related differences between latent classes, demonstrating possible unmet healthcare needs among PWUD reporting therapeutic cannabis use. These findings inform ongoing policy surrounding access to cannabis for harm reduction purposes and applications of medical cannabis for PWUD.

Motives for cannabis use in a sample of portuguese users

ABSTRACT Cannabis is the most commonly used illicit substance worldwide. Given the increasing trends of its use and the impression of its harmlessness, it is important to understand the user’s motivation to adjust prevention and intervention strategies. Thus, the present study sought to explore the psychometric properties of the motives to use cannabis among Portuguese cannabis users, describing the main motives for cannabis use and their associated factors. A sample of Portuguese adolescent and youth users (N = 212) were administered a sociodemographic questionnaire; a set of questions from the European School Survey Project on Alcohol and Other Drugs regarding lifetime, annual, monthly and weekly use; the Cannabis Abuse Screening Test; and the Comprehensive Marijuana Motives Questionnaire. The results allowed us to identify an adequate structure and reliability of the measure, with internal consistency ranging from .719 to .907. The main motives for using cannabis were to celebrate, enjoy and experiment, with some gender and age differences. Moderate correlations were found between cannabis use and sleep, altered perception and experimentation, explaining 46.5% of the variance in cannabis use. The results are discussed, and future directions are presented.

R4 Motivations for Cannabis Use Among Adults Prescribed Opioids for Persistent Pain Versus Opioid Use Disorder

R4 Motivations for Cannabis Use Among Adults Prescribed Opioids for Persistent Pain Versus Opioid Use Disorder

Contribution of health motives to cannabis use among college students

Background: The Marijuana Motives Measure (MMM) is commonly used to explore the role of motives in cannabis use and related problems. A recent study suggested that a new Health motives subscale (using cannabis to improve sleep, form, energy, appetite, health) was the strongest motive associated with problematic use among high-school students. The aim of our study was to examine the predictive value of Health motives for cannabis use among college students.Method: Participants were 328 French college students who used cannabis at least once during the last six months and completed the Cannabis Use Disorder Identification Test-Revised (CUDIT-R) assessing the severity of symptoms related to cannabis use disorder (CUD) and the Marijuana Motives Mesure (MMM).Results: Twenty-two percent reached the cutoff score for likely moderate-severe DSM-5 CUD. Multiple regression analyses showed that Health motives were the strongest predictor for the severity of symptoms related to CUD relatively to all other motives. Enhancement and Expansion were also positively associated to symptoms of CUD, far more here than in previous studies among adolescents.Conclusions: This study replicates the findings of a previous study in high-school students. Health motives were found to be a strong predictor of CUD symptoms in college and high-school students which may have implication for both prevention and treatment of cannabis use problems.

Motives Matter: Cannabis use motives moderate the associations between stress and negative affect

Young adults in the U.S. report high levels of stress which are known to contribute to depression and anxiety. Regular cannabis users frequently cite coping with stress as their primary motivation for use. However, research indicates that coping motives are associated with potentially negative outcomes, including cannabis-related problems and negative affect. Therefore, the theoretical rationale for the present study is that using cannabis to cope with stress may be maladaptive as it may exacerbate the same problems users are trying to ameliorate. That is, using cannabis to cope may potentiate links between stress and negative affect. We therefore sought to investigate whether cannabis use motives moderate the associations between stress and negative affect. A sample of 988 cannabis using college students completed an anonymous online survey containing measures of cannabis use, cannabis use motives, stress, depression, and anxiety. Correlation analyses revealed significant positive relationships between these variables. Moderation analyses indicated that coping motives was a significant moderator of the relationship between stress and depression, controlling for anxiety. In contrast, expansion and conformity motives were significant moderators of the relationship between stress and anxiety, controlling for depression. While cannabis may provide temporary relief from symptoms of stress, depression, and anxiety, using cannabis to cope may be related to higher levels of depression, and use of cannabis for expansion and conformity may be related to higher levels of anxiety. These findings have practical implications and contribute to emerging evidence demonstrating that motives for cannabis use may predict differential mental health outcomes.

Cannabis Use Motivations among Adults Prescribed Opioids for Pain versus Opioid Addiction

BackgroundCannabis has been linked to reduced opioid use, although reasons for cannabis use among adults prescribed opioids are unclear. AimsThe purpose of this study was to determine whether motivations for cannabis use differ between adults prescribed opioids for persistent pain versus those receiving opioids as medication-assisted treatment for opioid use disorder. DesignA cross-sectional survey design was used. ParticipantsAdults prescribed opioids for persistent pain (n = 104) or opioid use disorder (n = 139) were recruited from outpatient settings. MethodsData were collected on surveys asking about cannabis use and compared the two populations. A series of regression models examined population characteristics and cannabis use motivations using validated measures of the Marijuana Motives Measure scale. ResultsMore than half the sample (n = 122) reported current, daily cannabis use and 63% reported pain as a motivation for use. Adults with persistent pain were more likely to be older, female, and have higher levels of education (p < .05). Adults with opioid use disorder were more likely to report “enhancement” (p < .01) and relief of drug withdrawal symptoms (p < .001) as motivations for cannabis use. The most common reasons for cannabis use in both populations were social and recreational use and pain relief. ConclusionsBoth studied populations have unmet health needs motivating them to use cannabis and commonly use cannabis for pain. Persistent pain participants were less likely to use cannabis for euphoric effects or withdrawal purposes. Nurses should assess for cannabis use, provide education on known risks and benefits, and offer options for holistic symptom management.

A Psychometric Evaluation of User-Generated Cannabis Use Motives in German University Students

Motives for cannabis use are hardly generated by users themselves nor are they validated for German users. We therefore aimed to replicate the motive structure of established questionnaires (e.g., MMM and CMMQ) in young German adults. In a cross-sectional internet survey, N = 1782 cannabis-using university students rated the importance of 18 cannabis use motives derived from at-risk cannabis user interviews. We used exploratory and confirmatory factor analyses, and tested associations with use and possible DSM-IV Cannabis Use Disorder (CUD) in a regression framework. The three-factor model (factors: Social, Expansion, Coping) had acceptable fit, sufficient factorial validity, and a relatively stable factor structure across subsamples. Sum scores were unrelated to gender, current age, and age at first use, but differentiated for consumption frequencies, CUD symptom, and possible CUD. The relatively short Cannabis Use Motives list (CANUM) replicated theory-driven motives, additionally covers medically oriented use, and can be employed in future cross-validation studies.

Longitudinal Associations Between Life Satisfaction and Cannabis Use Initiation, Cessation, and Disorder Symptom Severity in a Cohort of Young Swiss Men.

Motivations for cannabis use may include coping with negative well-being. Life satisfaction, a hallmark of subjective well-being, could play a role in cannabis use among young adults. This study aims to assess whether life satisfaction (SWLS) at age 21 is associated with cannabis initiation and cessation between the ages of 21 and 25, and with cannabis use severity (CUDIT) at age 25. Data were drawn from a cohort of young Swiss males. Associations of life satisfaction with initiation, cessation, and severity were assessed with logistic and zero-truncated negative binomial regressions. Age, family income, education, alcohol, and tobacco use at age 21 were used as adjustment variables. From a sample of 4778 males, 1477 (30.9%) reported cannabis use at age 21, 456 (9.5%) initiated use between age 21 and 25, and 515 (10.8%) ceased by age 25. Mean (SD) SWLS was significantly higher among non-users at age 21: 27.22 (5.35) vs. 26.28 (5.80), p < 0.001. Negative associations between life satisfaction at age 21 and cannabis use initiation (OR = 0.98, p = 0.029) and severity at age 25 (IRR = 0.97, p < 0.001) were no more significant in adjusted analyses (OR = 0.98, p = 0.059 and IRR = 0.99, p = 0.090). Life satisfaction at age 21 was not associated with cannabis cessation (OR = 0.99, p = 0.296). Results suggest that the predictive value of life satisfaction in cannabis use is questionable and may be accounted for by other behaviors, such as tobacco and alcohol use.

Pain Relief as a Motivation for Cannabis Use Among Young Adult Users With and Without Chronic Pain

This study aims to determine the rate of chronic pain in a community sample of young adult cannabis users, assess the extent to which pain relief is an important motivation for cannabis use, and explore differences in consumption patterns and problem behaviors between users with and without chronic pain. The study design was cross-sectional. Self-selected community-dwelling young adults (ages 18–29 years; n = 143) who regularly use cannabis completed an online survey. Results revealed that approximately 40% of the sample met the criteria for chronic pain, and pain relief was their primary motivation for use. There were no differences between groups with respect to frequency of use or estimated potency of their preferred strains; however, users with chronic pain reported using a wider variety of administration methods and a greater quantity of cannabis with each use. Users with chronic pain also reported more extensive histories of use, with younger age at initiation and longer duration of regular use. Despite riskier consumption patterns, there were no between-group differences in negative consequences owing to use after controlling for gender and educational status. On average, the total sample reported approximately 8 problems in the past 30 days owing to use. These findings suggest that chronic pain is commonly experienced among young adult cannabis users and pain relief is the primary motivation for users with pain. For some users, clinically significant chronic pain and pain-related interference persist despite heavy use. Cannabis users with and without chronic pain report experiencing several negative consequences owing to their use. PerspectiveThis article compares motivations for cannabis use and describes differences in consumption patterns among a community sample of young adult users with and without chronic pain. This information may be useful for providers who assess and treat pain in young adults, particularly in settings that have legalized recreational use.

Typology of cannabis use among adults: A latent class approach to risk and protective factors

BackgroundCannabis is among the most widely used substances worldwide. The United States has seen an increase in the number of adult daily cannabis users and in the number of adults diagnosed with cannabis use disorder. However, little work has examined patterns of use or unique subgroups of adult cannabis users, which may be useful in developing targeted treatment interventions for problematic cannabis users. Therefore, the current study used latent profile analysis to identify whether cannabis users can be categorized across distinct subgroups of adult users. MethodThe sample included 374 current cannabis using adults (64.2% Male; Mage = 32.6). Cannabis use frequency, quantity, and related problems were used to differentiate subgroups. Further, age, race, emotion dysregulation, affect, anxiety sensitivity, other substance use, and motives for cannabis use were examined as class correlates. ResultsResults supported five unique classes of cannabis users, generally ranging from light, infrequent users with few problems to heavy, frequent users with more problems. Additionally, race, negative affectivity, anxiety sensitivity, emotion regulation, cannabis use motives, and alcohol use emerged as unique predictors of class membership. The current findings substantiate past work for heterogeneous latent classes that underlie the larger cannabis using population, however, this study provides novel evidence for subgroups of adult users. ConclusionThe identification of different classes of cannabis users may inform future treatment interventions, and ultimately, lead to the development of personalized treatments for each class based on correlates of group membership.

Utility of the comprehensive marijuana motives questionnaire among medical cannabis patients

BackgroundLittle is known about motives for cannabis use among the population of adults using cannabis medically. Therefore, we evaluated the performance of the 12 factor, 36-item Comprehensive Marijuana Motives Questionnaire (CMMQ) among a sample of medical cannabis patients. MethodsStudy participants were adults ages 21years or older with scheduled appointments to obtain new or renewed medical cannabis certification from clinics in one Midwestern state (n=1116). Confirmatory factor analysis was used to evaluate properties of the CMMQ. Multiple regressions were used to estimate associations between motives and cannabis use, physical health functioning, and mental health functioning. ResultsFit indices were acceptable, and factor loadings ranged from 0.57 to 0.94. Based on regression analyses, motives accounted for 7% of the variance in recent cannabis use, and independent of cannabis use, accounted for 5% and 19% of physical and mental health functioning, respectively. Regression analyses also revealed that distinct motives were associated with cannabis use and physical and mental health functioning. ConclusionsAmong adults seeking medical cannabis certification, the factor structure of the CMMQ was supported, and consistent with prior studies of adolescents and young adults using cannabis recreationally. Thus, individuals who use cannabis medically may have diverse reasons for use that extend beyond the management of medical symptoms. In addition, coping and sleep-related motives may be particularly salient for this population. Findings support the utility of the CMMQ in future research on medical cannabis use; however, expansion of the scale may be needed to address medical motives for use.

Perceived injunctive norms and cannabis-related problems: The interactive influence of parental injunctive norms and race

ABSTRACTCannabis use among college students is associated with negative consequences, including those that can negatively affect academic functioning. Perceived descriptive and injunctive norms are among the strongest predictors of college cannabis use and related problems, and perceived norms differentially relate to cannabis outcomes depending on the reference group (e.g., close friends, family members). However, no known studies have examined the effect of race on these relationships. Yet, given that African American students are more strongly affected by parental influence than Caucasian students and that they endorse more social motives for cannabis use, African American students may be affected by perceived norms regarding parents and friends differentially from Caucasian students. The current study tested the moderational role of race on the relationship between perceived norms and cannabis use and related problems. Cannabis-using undergraduates (N = 103; 78.6% female) completed an online survey. Race moderated the relationship between injunctive norms regarding parents and cannabis-related problem severity such that among African American students (but not Caucasian students), endorsement of more permissive perceived parental injunctive norms was related to greater cannabis-related problem severity (but not cannabis use frequency). Interactions were not significant between race and descriptive norms or between race and peer injunctive norms. African American students who perceive that their parents are more accepting of cannabis use may be especially at risk for cannabis-related problems. Results underscore the importance of considering cultural factors in identification of vulnerability factors related to cannabis problems.

Daily associations between cannabis motives and consumption in emerging adults

BackgroundIncreasing rates of cannabis use among emerging adults is a growing public health problem. Intensive longitudinal data can provide information on proximal motives for cannabis use, which can inform interventions to reduce use among emerging adults. MethodAs part of a larger longitudinal study, patients aged 18–25 years (N=95) recruited from an urban Emergency Department completed daily text message assessments of risk behaviors for 28days, including daily cannabis quantity and motives. Using a mixed effects linear regression model, we examined the relationships between daily quantity of cannabis consumed and motives (i.e., enhancement, social, conformity, coping, and expansion). ResultsParticipants were, on average, 22.0 years old (SD=2.2); 48.4% were male, 45.3% were African American, and 56.8% received public assistance. Results from the multi-level analysis (clustering day within individual), controlling for gender, race, and receipt of public assistance, indicated daily use of cannabis use for enhancement (β=0.27), coping (β=0.15), and/or social motives (β=0.34) was significantly associated with higher quantities of daily cannabis use; whereas expansion and conformity motives were not. ConclusionsDaily data show that emerging adults who use cannabis for enhancement, social, and coping motives reported using greater quantities of cannabis. Future research should examine more comprehensive cannabis motives (e.g., boredom, social anxiety, sleep) and test tailored interventions focusing on alternative cognitive/behavioral strategies to address cannabis motives.

Anxiety sensitivity and cannabis use-related problems: The impact of race.

Cannabis is the most widely used illicit substance among young adults. Anxiety sensitivity (AS; ie, fear of anxiety-related symptoms) is positively related to coping motives for cannabis use (which are robustly positively linked to cannabis-related problems). However, AS is unrelated to cannabis use-related problems. Yet, extant studies have been conducted on primarily White samples. It may be that among Black students, AS-physical concerns (ie, fear of physical anxiety-related sensations) are related to cannabis problems given that Black individuals are more likely than White individuals to report experiencing greater and more intense somatic symptoms when experiencing anxiety. Black individuals may rely on cannabis to cope with fear of these somatic symptoms, continuing to use despite cannabis-related problems. The current study tested whether race moderated the relation between AS-physical concerns and cannabis problems among 102 (85.3% female) current cannabis using undergraduates who were either non-Hispanic Black (n = 51) or non-Hispanic White (n = 51). After controlling for frequency of cannabis use, income, and gender, race significantly moderated the relation between AS-physical concerns and cannabis use-related problems such that AS-physical concerns significantly predicted cannabis-related problems among Black and not White individuals. Findings highlight the importance of considering race in identifying psychosocial predictors of cannabis-related problems. Intervention strategies for Black cannabis users may benefit from examining and targeting AS-physical concerns. (Am J Addict 2017;26:209-214).

Anxiety Sensitivity and Distress Intolerance as Predictors of Cannabis Dependence Symptoms, Problems, and Craving: The Mediating Role of Coping Motives.

The tendency to react with fear to anxiety-related sensations (anxiety sensitivity) and the inability to tolerate distressing psychological or physiological states (distress intolerance) are implicated in the comorbidity between affective psychopathology and cannabis use disorders. Emotionally vulnerable cannabis users may be particularly apt to use cannabis to cope with distress, which may both lead to and maintain its problematic use (e.g., dependence, craving). The current study tested a comprehensive model of anxiety sensitivity and distress intolerance as predictors of the number of cannabis dependence symptoms and problems, and severity of cannabis craving following deprivation from cannabis, and the mediating role of cannabis coping motives. Participants (n = 103; mean age = 21.2 years, SD = 4.3; 35.9% female) were non-treatment-seeking frequent cannabis users. Data were cross-sectional in nature. Anxiety sensitivity was assessed via self-report, and distress intolerance was assessed via both self-report and breath-holding duration. Greater perceived distress intolerance, but not breath-holding duration or anxiety sensitivity, was associated with a greater number of cannabis dependence symptoms and problems and elevated cannabis craving. These relations were mediated by cannabis coping motives. Findings provide specificity for the etiologic mechanisms related to emotional vulnerability and maintenance of cannabis problems. Perceived distress intolerance appears to be uniquely related to maladaptive coping motives for cannabis use, which could be meaningfully targeted in interventions for emotionally vulnerable cannabis users.

Change in motives among frequent cannabis-using adolescents: Predicting treatment outcomes

BackgroundHeavy cannabis use has been associated with negative outcomes, particularly among individuals who begin use in adolescence. Motives for cannabis use can predict frequency of use and negative use-related problems. The purpose of the current study was to assess change in motives following a motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT) intervention for adolescent users and assess whether change in motives was associated with change in use and self-reported problems negative consequences. MethodsParticipants (n=252) were non-treatment seeking high school student cannabis users. All participants received two sessions of MET and had check-ins scheduled at 4, 7, and 10 months. Participants were randomized to either a motivational check-in condition or an assessment-only check-in. Participants in both conditions had the option of attending additional CBT sessions. Cannabis use frequency, negative consequences, and motives were assessed at baseline and at 6, 9, 12, and 15 month follow-ups. ResultsThere were significant reductions in motives for use following the intervention and reductions in a subset of motives significantly and uniquely predicted change in problematic outcomes beyond current cannabis use frequency. Change in motives was significantly higher among those who utilized the optional CBT sessions. ConclusionsThis study demonstrates that motives can change over the course of treatment and that this change in motives is associated with reductions in use and problematic outcomes. Targeting specific motives in future interventions may improve treatment outcomes.