{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:46:40Z","timestamp":1782470800091,"version":"3.54.5"},"reference-count":49,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["R01 AT010742"],"award-info":[{"award-number":["R01 AT010742"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["R33AT009932"],"award-info":[{"award-number":["R33AT009932"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["R01 AT010742"],"award-info":[{"award-number":["R01 AT010742"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cannabis use is prevalent among patients receiving medication for opioid use disorder (MOUD). However, little is known about factors associated with frequent cannabis use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe correlates, patterns, and motivations for cannabis use among individuals treated with MOUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants from a randomized trial (n\u2009=\u2009303) investigating a mind-body intervention adjunct to MOUD were compared based on frequent cannabis use (\u22653\u2009days\/week) versus less frequent or no use, assessing demographic and clinical characteristics. Individuals with frequent cannabis use were invited to participate in a telephone survey exploring reasons for cannabis use, cannabis usage in treating symptoms\/conditions, route, tetrahydrocannabinol\/cannabidiol content, and cannabis use disorder screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      47.5% of participants (n\u2009=\u2009144) endorsed cannabis use, and 27% used cannabis frequently (\u22653\u2009days\/week). Frequent cannabis use was associated with anxiety (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.04), nausea\/vomiting (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and lower employment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03). Employment was associated with less frequent cannabis use (OR\u2009=\u20090.54, 95% CI\u2009=\u20090.29-0.99,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.049), and higher interoceptive awareness was associated with lower odds of frequent cannabis use (OR\u2009=\u20090.64, 95% CI\u2009=\u20090.43-0.96,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03). In a subsample (n\u2009=\u200927) of individuals with frequent cannabis use, 56% used cannabis for both recreation and symptom management, 30% for symptom management only, and 15% for recreation only. Participants who reported medical use of cannabis used it to manage a variety of conditions, including stress (100%), anxiety (83%), insomnia (79%), pain (75%), depression (75%), and posttraumatic stress disorder (n\u2009=\u200967%). Fifty-two percent wanted to cut down.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Frequent cannabis use among individuals on MOUD was associated with anxiety, nausea, and lower employment, with no significant differences in key MOUD outcomes including substance use and retention. Individuals with frequent cannabis use reported treating stress, pain, and mental health conditions with cannabis. More attention to screening and treatment of these conditions is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251401312","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T18:31:37Z","timestamp":1771093897000},"page":"690-698","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cannabis Use Among Individuals Treated with Medication for Opioid Use Disorder: Correlates, Patterns, and Motivations for Use"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7708-0972","authenticated-orcid":false,"given":"Sarah E.","family":"Leyde","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5585-9694","authenticated-orcid":false,"given":"Joseph O.","family":"Merrill","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna J.","family":"Treadway","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth C.","family":"Pike","sequence":"additional","affiliation":[{"name":"Department of Child, Family and Population Health Nursing, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia J.","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j1550"},{"key":"e_1_3_2_3_2","unstructured":"Platt L Sweeney S Ward Z et al. 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