PMID- 31361581 OWN - NLM STAT- MEDLINE DCOM- 20210920 LR - 20210920 IS - 1547-0164 (Electronic) IS - 0889-7077 (Print) IS - 0889-7077 (Linking) VI - 41 IP - 3 DP - 2020 TI - Post-traumatic stress and marijuana outcomes: The mediating role of marijuana protective behavioral strategies. PG - 375-381 LID - 10.1080/08897077.2019.1635965 [doi] AB - Background: The present study investigated the mediating role of protective behavioral strategies for marijuana (PBSM) on the relationship between posttraumatic stress disorder (PTSD) and marijuana outcomes (i.e. marijuana use frequency, marijuana use quantity, cannabis use disorder (CUD) symptoms, and marijuana-related problems). Methods: Participants were 1,107 traditional age college students (M(age) = 20.26, SD = 3.32; 66.5% White, non-Hispanic; 68.8% female), who reported consuming marijuana at least once in the last 30 days and completed measures of PTSD symptoms, PBSM, and marijuana-related outcomes. Results: PBSM significantly mediated the positive relationships between PTSD symptoms and both CUD symptoms and marijuana-related problems. More specifically, PTSD symptoms were negatively associated with PBSM, which in turn was negatively associated with marijuana use frequency and marijuana use quantity, which were in turn positively associated with CUD symptoms and marijuana-related problems. Conclusion: Taken together, the associations between higher PTSD symptoms and greater experience of CUD symptoms and marijuana-related problems may occur because students use fewer PBSM and thus engage in larger quantity and frequency of marijuana use. These findings lend support to the utility of targeting PBSM as a harm reduction effort for students with PTSD symptoms who use marijuana. FAU - Jordan, Hallie R AU - Jordan HR AD - School of Psychology, The University of Southern Mississippi, Hattiesburg, Mississippi, USA. FAU - Madson, Michael B AU - Madson MB AD - School of Psychology, The University of Southern Mississippi, Hattiesburg, Mississippi, USA. FAU - Bravo, Adrian J AU - Bravo AJ AUID- ORCID: 0000-0002-4630-6449 AD - Center on Alcoholism, Substance Abuse, and Addictions, University of New, Mexico, Albuquerque, New Mexico, USA. FAU - Pearson, Matthew R AU - Pearson MR AD - Center on Alcoholism, Substance Abuse, and Addictions, University of New, Mexico, Albuquerque, New Mexico, USA. CN - Protective Strategies Study Team LA - eng GR - K01 AA023233/AA/NIAAA NIH HHS/United States GR - P20 GM103476/GM/NIGMS NIH HHS/United States GR - T32 AA018108/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20190730 PL - United States TA - Subst Abus JT - Substance abuse JID - 8808537 SB - IM MH - Adolescent MH - Female MH - Humans MH - Male MH - Marijuana Abuse/epidemiology/*psychology MH - Marijuana Use/epidemiology/*psychology MH - Protective Factors MH - Stress Disorders, Post-Traumatic/epidemiology/*psychology MH - Young Adult PMC - PMC6989359 MID - NIHMS1536600 OTO - NOTNLM OT - College students OT - marijuana OT - marijuana protective behavioral strategies OT - posttraumatic stress disorder EDAT- 2019/07/31 06:00 MHDA- 2021/09/21 06:00 PMCR- 2021/01/01 CRDT- 2019/07/31 06:00 PHST- 2019/07/31 06:00 [pubmed] PHST- 2021/09/21 06:00 [medline] PHST- 2019/07/31 06:00 [entrez] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.1080/08897077.2019.1635965 [doi] PST - ppublish SO - Subst Abus. 2020;41(3):375-381. doi: 10.1080/08897077.2019.1635965. Epub 2019 Jul 30.