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Affective reinforcement of simultaneous versus single use of alcohol and cannabis.

Drug and alcohol dependence
May 1, 2025
Andrea M Wycoff et al. (2 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to determine whether simultaneous cannabis and alcohol use alters the subjective effects of alcohol compared to single-substance use.

Results Summary

Simultaneous cannabis use during alcohol consumption attenuated the increase in negative affect linked to coping-motivated drinking and reduced the positive association between enhancement motives and drinking-contingent pleasure. Alcohol use did not alter the subjective effects of cannabis.

Population

88 adults aged 18-44 who reported simultaneous alcohol and cannabis use at least twice per week (60.2% female, mean age 25.22).

Effective Dosage

Not specified

Duration

14 days

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
simultaneously using cannabis during alcohol-use moments
decrease
anxious mood
adults ages 18-44 who reported simultaneous use at least twice per week
b = -0.11, 95% CI = [-0.19, -0.02], p = .016
attenuated the increase in negative affect that accompanied coping-motivated drinking
#1
simultaneously using cannabis during alcohol-use moments
decrease
depressed mood
adults ages 18-44 who reported simultaneous use at least twice per week
b = -0.14, 95% CI = [-0.23, -0.05], p = .003
attenuated the increase in negative affect that accompanied coping-motivated drinking
#2
simultaneously using cannabis during alcohol-use moments
decrease
subjective drinking-contingent pleasure
adults ages 18-44 who reported simultaneous use at least twice per week
b = -0.34, 95% CI = [-0.50, -0.18], p < .001
attenuated the positive association between enhancement drinking motives and subjective drinking-contingent pleasure
#3
simultaneously using cannabis during alcohol-use moments
neutral
subjective effects of alcohol
adults ages 18-44 who reported simultaneous use at least twice per week
-
altered the subjective effects of alcohol
#4
simultaneously consuming alcohol during cannabis-use moments
no change
subjective effects of cannabis
adults ages 18-44 who reported simultaneous use at least twice per week
-
did not alter the subjective effects of cannabis
#5
Abstract

BACKGROUND: Simultaneous alcohol and cannabis use is prevalent among adults who drink alcohol and is associated with more negative consequences than use of either substance alone. Understanding reinforcement processes that maintain simultaneous versus single-substance use will highlight intervention targets specific to this pattern of use. In individuals' daily lives, we tested whether simultaneous use moments are associated with more affectively reinforcing outcomes compared to single use moments. METHODS: We used ecological momentary assessment with 6 +  daily reports for 14 days. Participants were 88 adults ages 18-44 who reported simultaneous use at least twice per week. Mean age was 25.22 years and participants were 60.2 % female. At each momentary survey, participants reported alcohol and cannabis use, affect, momentary coping and enhancement motives, and subjective appraisals of use. RESULTS: Simultaneously using cannabis during alcohol-use moments attenuated the increase in negative affect that accompanied coping-motivated drinking (anxious mood b = -0.11, 95 % CI = [-0.19, -0.02], p = .016; depressed mood b = -0.14, 95 % CI = [-0.23, -0.05], p = .003). Simultaneously using cannabis during alcohol-use moments attenuated the positive association between enhancement drinking motives and subjective drinking-contingent pleasure (b = -0.34, 95 % CI = [-0.50, -0.18], p < .001). CONCLUSIONS: Simultaneously using cannabis during alcohol-use moments altered the subjective effects of alcohol, whereas simultaneously consuming alcohol during cannabis-use moments did not alter the subjective effects of cannabis. Individuals may perceive that simultaneous cannabis use mitigates undesirable effects of coping-motivated drinking, thereby driving simultaneous use of cannabis alongside alcohol.

Medical Subject Headings (MeSH)
HumansFemaleAdultMaleYoung AdultReinforcement, PsychologyAlcohol DrinkingAdolescentAffectAdaptation, PsychologicalMotivationEcological Momentary AssessmentMarijuana Use
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.61
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