Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
François Beck
National Institute for Prevention and Health
Education (INPES).
Laboratory “Psychotrops, Mental Health and Society”
(CESAMES), National Scientific Research Center (CNRS) and
National Institute of Health and Medical Research (INSERM)
Plan
• Why measuring
problem cannabis use?
• What do we need to
measure?
• how to measure
Problem cannabis use?
Cannabis lifetime prevalence at age 16
European comparisons : 1995
1995
Source : ESPAD 1995, CAN
1-10 (13)
11-20 (6)
21-30 (1)
31-40 (2)
nc (23)
Cannabis lifetime prevalence at age 16
European comparisons : 1995 and 1999
1995 1999
Sources : ESPAD 1995 et 1999, CAN
100%
Autres
90%
Méthadone.,
80%
BHD
70% Méd
psychotropes
60% Amphét.,
41,4% 37,9%
43,1% ecstasy
48,2% 47,1% 47,4%
50% 54,6%
Cocaïne et
crack
40%
Opiacés
30%
28,5% Cannabis
25,0% 29,3%
20%
19,6% 21,8% 20,6%
16,1% Alcool
10%
7,9% 9,1% 8,3% 10,8%
6,1% 7,4% 6,8%
0%
1998 1999 2000 2001 2002 2003 2004
Rapports d'activité des CSST, DGS/OFDT
Concepts
• Have you ever had memory problems when you smoked cannabis?
– never (0) – rarely (0) – from time to time (0) – fairly often (1) – very often (1)
• Have friends or members of your family ever told you that you ought to reduce your
cannabis use?
– never (0) – rarely (0) – from time to time (0) – fairly often (1) – very often (1)
• Have you ever tried to reduce or stop your cannabis use without succeeding?
– never (0) – rarely (0) – from time to time (0) – fairly often (1) – very often (1)
• Have you ever had problems because of your use of cannabis (argument, fight,
accident, bad result at school, etc.) Precise : /_____________/?
– never (0) – rarely (0) – from time to time (0) – fairly often (1) – very often (1)
Existing screening tests for problematic cannabis
use
• NAME Number of items Authors
• CAGE-cannabis 4 Midanik et al, 1998
• SDS (Severity of Dependence Scale) 5 Gossop et al, 1995
• Ontario alcohol and other drug opinion survey 5 Ferris et al.., 1994
• CAST (Cannabis abuse screening test) 6 Beck and Legleye, 2003
• PUM (Problematic use of Marijuana) 8 Okulicz-Kozaryn, 2007
• CUDIT (Cannabis Use Disorders Identification Test) 11 Adamson and Sellman, 2003
• MINI-cannabis 11 Sheehan et al, 1997
• ALAC (Alcohol Advisory Council of New Zealand)11 ALAC, 1996
INPES
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