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Dagens #fsvoversigt:
Assessment of cannabis use disorders: a systematic review of screening and
diagnostic instruments.
Psychol Med. 2015 Apr;45(6):1121-33
Authors: López-Pelayo H, Batalla A, Balcells MM, Colom J, Gual A
Abstract
BACKGROUND: Cannabis use and misuse have become a public health problem. There
is a need for reliable screening and assessment tools to identify harmful
cannabis use at an early stage. We conducted a systematic review of published
instruments used to screen and assess cannabis use disorders.
METHOD: We included papers published until January 2013 from seven different
databases, following the PRISMA guidelines and a predetermined set of criteria
for article selection. Only tools including a quantification of cannabis use
and/or a measurement of the severity of dependence were considered.
RESULTS: We identified 34 studies, of which 25 included instruments that met
our inclusion criteria: 10 scales to assess cannabis use disorders, seven
structured interviews, and eight tools to quantify cannabis use. Both cannabis
and substance use scales showed good reliability and were validated in specific
populations. Structured interviews were also reliable and showed good validity
parameters. Common limitations were inadequate time-frames for screening, lack
of brevity, undemonstrated validity for some populations (e.g., psychiatric
patients, female gender, adolescents), and lack of relevant information that
would enable routine use (e.g., risky use, regular users). Instruments to
quantify consumption did not measure grams of the psychoactive compounds, which
hampered comparability among different countries or regions where
tetrahydrocannabinol concentrations may differ.
CONCLUSIONS: Current instruments available for assessing cannabis use disorders
need to be further improved. A standard cannabis unit should be studied and
existing instruments should be adapted to this standard unit in order to
improve cannabis use assessment.
PMID: 25366671 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1PuoPyX
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