Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review

Amongst individuals with a mental health disorder, a comorbid diagnosis of cannabis use disorder (CUD) is associated with numerous adverse consequences, including more severe symptom profiles, poorer treatment response, and reduced psychosocial functioning. Contingency management (CM), a method to s...

Full description

Bibliographic Details
Main Authors: Justyne D. Rodas, Maryam Sorkhou, Tony P. George
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/1/36
_version_ 1797445261438484480
author Justyne D. Rodas
Maryam Sorkhou
Tony P. George
author_facet Justyne D. Rodas
Maryam Sorkhou
Tony P. George
author_sort Justyne D. Rodas
collection DOAJ
description Amongst individuals with a mental health disorder, a comorbid diagnosis of cannabis use disorder (CUD) is associated with numerous adverse consequences, including more severe symptom profiles, poorer treatment response, and reduced psychosocial functioning. Contingency management (CM), a method to specifically reinforce target behavior attainment (e.g., substance use abstinence), may provide an effective intervention in treating cannabis use in patients with a dual diagnosis of CUD and a mental health disorder. A systematic search examining the effects of CM on cannabis use, clinical, cognitive, and psychosocial outcomes in patients with a mental health disorder on PubMed, PsycINFO, and EMBASE databases up to November 2022 was performed. Six studies met inclusion criteria for our review. We found CM to be efficacious in producing cannabis use reductions and abstinence amongst individuals with a psychotic-spectrum or major depressive disorder. Additional longitudinal studies with larger sample sizes, other psychiatric populations, and longer follow-up periods are needed to evaluate the sustained effects of CM.
first_indexed 2024-03-09T13:23:12Z
format Article
id doaj.art-48ee3ca768ae4b049649c01889bbf81b
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-09T13:23:12Z
publishDate 2022-12-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-48ee3ca768ae4b049649c01889bbf81b2023-11-30T21:26:41ZengMDPI AGBrain Sciences2076-34252022-12-011313610.3390/brainsci13010036Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic ReviewJustyne D. Rodas0Maryam Sorkhou1Tony P. George2Centre for Complex Interventions and Addictions Division, Centre for Addiction and Mental Health, Toronto, ON M6J 1H4, CanadaCentre for Complex Interventions and Addictions Division, Centre for Addiction and Mental Health, Toronto, ON M6J 1H4, CanadaCentre for Complex Interventions and Addictions Division, Centre for Addiction and Mental Health, Toronto, ON M6J 1H4, CanadaAmongst individuals with a mental health disorder, a comorbid diagnosis of cannabis use disorder (CUD) is associated with numerous adverse consequences, including more severe symptom profiles, poorer treatment response, and reduced psychosocial functioning. Contingency management (CM), a method to specifically reinforce target behavior attainment (e.g., substance use abstinence), may provide an effective intervention in treating cannabis use in patients with a dual diagnosis of CUD and a mental health disorder. A systematic search examining the effects of CM on cannabis use, clinical, cognitive, and psychosocial outcomes in patients with a mental health disorder on PubMed, PsycINFO, and EMBASE databases up to November 2022 was performed. Six studies met inclusion criteria for our review. We found CM to be efficacious in producing cannabis use reductions and abstinence amongst individuals with a psychotic-spectrum or major depressive disorder. Additional longitudinal studies with larger sample sizes, other psychiatric populations, and longer follow-up periods are needed to evaluate the sustained effects of CM.https://www.mdpi.com/2076-3425/13/1/36cannabiscontingency managementpsychiatric disordersmajor depressive disorderschizophrenia
spellingShingle Justyne D. Rodas
Maryam Sorkhou
Tony P. George
Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
Brain Sciences
cannabis
contingency management
psychiatric disorders
major depressive disorder
schizophrenia
title Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
title_full Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
title_fullStr Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
title_full_unstemmed Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
title_short Contingency Management for Treatment of Cannabis Use Disorder in Co-Occurring Mental Health Disorders: A Systematic Review
title_sort contingency management for treatment of cannabis use disorder in co occurring mental health disorders a systematic review
topic cannabis
contingency management
psychiatric disorders
major depressive disorder
schizophrenia
url https://www.mdpi.com/2076-3425/13/1/36
work_keys_str_mv AT justynedrodas contingencymanagementfortreatmentofcannabisusedisorderincooccurringmentalhealthdisordersasystematicreview
AT maryamsorkhou contingencymanagementfortreatmentofcannabisusedisorderincooccurringmentalhealthdisordersasystematicreview
AT tonypgeorge contingencymanagementfortreatmentofcannabisusedisorderincooccurringmentalhealthdisordersasystematicreview