Table 5.
Suggested Approaches to the Assessment of Cannabis Exposure According to Population and Setting
Setting | Population | Recommendation |
---|---|---|
Clinical | Psychosis, engaged with treatment | Further research is required to investigate the validity of different self-report measures, particularly for patients with severe cognitive or psychosis symptoms Qualitative immunoassays may aid honest disclosure of recent drug use |
Clinical | Psychosis, not engaged with treatment | Self-report measures should be interpreted with caution Quantitative biochemical tests |
Clinical | Psychosis, high-risk/forensic | Qualitative immunoassay tests may be subject to tampering; quantitative biochemical tests (plasma>urine) are indicated |
RCT | Psychosis with cannabis use disorder Cannabis use as a primary outcome |
In depth self-report measures such as TLFB or ecological momentary assessment may be worthwhile Quantitative biochemical tests |
RCT | Psychosis with cannabis use disorder Cannabis use as a secondary outcome |
Concise self-report measures may be sufficient Quantitative biochemical tests |
Epidemiological study | General population | Concise self-report measures alongside quantitative biochemical tests |
Epidemiological study | Psychosis populations | Concise self-report measures alongside quantitative biochemical tests |
RCT, randomised controlled trial.