How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit

Aims and method Research regarding quitting cannabis use often excludes patients with severe mental illness (SMI). We investigated facilitating and impeding factors in SMI patients and their advice to others, using semi-structured interviews with 12 SMI-patients, who were daily cannabis users for ≥1...

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Main Authors: Jojanneke Bruins, Stijn Crutzen, Wim Veling, Stynke Castelein
Format: Article
Language:English
Published: Cambridge University Press
Series:BJPsych Bulletin
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056469423000694/type/journal_article
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author Jojanneke Bruins
Stijn Crutzen
Wim Veling
Stynke Castelein
author_facet Jojanneke Bruins
Stijn Crutzen
Wim Veling
Stynke Castelein
author_sort Jojanneke Bruins
collection DOAJ
description Aims and method Research regarding quitting cannabis use often excludes patients with severe mental illness (SMI). We investigated facilitating and impeding factors in SMI patients and their advice to others, using semi-structured interviews with 12 SMI-patients, who were daily cannabis users for ≥12 months and had fully stopped using for ≥6 months. Results Seeking distraction, social contacts in personal environment, avoiding temptation and support from professionals were facilitating factors in stopping. Impeding factors were withdrawal symptoms, user environment, experiencing stress and user's routine. Advice to other patients included to just do it, seek support from others, quit ‘cold turkey’ and acknowledge that cannabis use is a problem. Advice to mental health professionals is to discuss cannabis use from the start of treatment. Clinical implications It is important to inform patients that cannabis use has negative consequences and limits the effects of treatment. Do not judge cannabis use or force the patient to stop.
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spelling doaj.art-b1ad0064984f4fccaa176e71461535ec2023-10-17T12:42:21ZengCambridge University PressBJPsych Bulletin2056-46942056-47081710.1192/bjb.2023.69How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quitJojanneke Bruins0https://orcid.org/0000-0002-5345-0748Stijn Crutzen1Wim Veling2https://orcid.org/0000-0002-1364-9779Stynke Castelein3Lentis Psychiatric Institute, Groningen, The Netherlands University of Groningen, Groningen, The NetherlandsLentis Psychiatric Institute, Groningen, The Netherlands University of Groningen, Groningen, The NetherlandsUniversity of Groningen, Groningen, The NetherlandsLentis Psychiatric Institute, Groningen, The Netherlands University of Groningen, Groningen, The NetherlandsAims and method Research regarding quitting cannabis use often excludes patients with severe mental illness (SMI). We investigated facilitating and impeding factors in SMI patients and their advice to others, using semi-structured interviews with 12 SMI-patients, who were daily cannabis users for ≥12 months and had fully stopped using for ≥6 months. Results Seeking distraction, social contacts in personal environment, avoiding temptation and support from professionals were facilitating factors in stopping. Impeding factors were withdrawal symptoms, user environment, experiencing stress and user's routine. Advice to other patients included to just do it, seek support from others, quit ‘cold turkey’ and acknowledge that cannabis use is a problem. Advice to mental health professionals is to discuss cannabis use from the start of treatment. Clinical implications It is important to inform patients that cannabis use has negative consequences and limits the effects of treatment. Do not judge cannabis use or force the patient to stop. https://www.cambridge.org/core/product/identifier/S2056469423000694/type/journal_articleComorbiditysubstance use disordersqualitative researchsevere mental illnessmarijuana
spellingShingle Jojanneke Bruins
Stijn Crutzen
Wim Veling
Stynke Castelein
How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
BJPsych Bulletin
Comorbidity
substance use disorders
qualitative research
severe mental illness
marijuana
title How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
title_full How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
title_fullStr How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
title_full_unstemmed How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
title_short How to quit cannabis when you have a mental illness: study from the perspective of patients who have successfully quit
title_sort how to quit cannabis when you have a mental illness study from the perspective of patients who have successfully quit
topic Comorbidity
substance use disorders
qualitative research
severe mental illness
marijuana
url https://www.cambridge.org/core/product/identifier/S2056469423000694/type/journal_article
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