Table 2.
Study | Population | Intervention | Self-report measures of cannabis exposure | Scales | Biochemical measures |
---|---|---|---|---|---|
CapOpus48 | Psychosis and cannabis use disorder, age 18–35, and managed by an early intervention team (n=103) | Motivational interviewing and cognitive behavioral therapy vs. treatment as usual | Number of days cannabis use in the past month, assessed using TLFB “Standard” joints per month. Defined as 0.17 g high-potency cannabis or 0.5 g of cannabis resin, assessed using TLFB |
None | Plasma THC, THC-OH, and THC-COOH concentration |
Rabin et al.49 | Schizophrenia or schizoaffective disorder and cannabis dependence (n=19) | Single-arm trial of contingency management and individual supportive therapy | Cannabis in grams/day over 4 weeks, assessed using TLFB | Marijuana Withdrawal Checklist | Qualitative urinalysis Creatinine-normalized urine THC-COOH concentration |
CIRCLE50 | Psychosis and cannabis use disorder, age 18–36, and managed by an early intervention team (n=551) | Contingency management (up to £240)+psychoeducation vs. psychoeducation alone | Number of days cannabis use in the past 3 months, assessed using TLFB | None | Qualitative urinalysis |
Smeerdijk et al.51 | Recent-onset schizophrenia (n=75) and their parents | Family motivational intervention vs. routine family support | Number of days cannabis use in the past 3 months, assessed using TLFB Cannabis in grams/day assessed using TLFB |
Obsessive Compulsive Drug Use Scale | Qualitative urinalysis |
Schnell et al.52 | Schizophrenia or schizoaffective disorder and cannabis abuse or dependence (n=30) | Clozapine vs. ziprasidone | Joints per month, assessed using a detailed interview | Stages of Change Readiness and Treatment Eagerness Scale | Qualitative urinalysis and toxicological hair analysis |
THC, delta-9-tetrahydrocannabinol; THC-COOH, 11-nor-9-carboxy-THC; THC-OH, 11-hydroxy-THC; TLFB, Timeline Followback.