Dartmouth College, Department of Psychiatry, Center for Technology and Behavioral Health, 46 Centerra Parkway, Lebanon, NH 03766, USA.
Dartmouth College, Department of Psychiatry, Center for Technology and Behavioral Health, 46 Centerra Parkway, Lebanon, NH 03766, USA.
Addict Behav. 2018 Apr;79:113-119. doi: 10.1016/j.addbeh.2017.12.013. Epub 2017 Dec 13.
Cannabis is one of the most commonly used psychoactive substances among adolescents in the United States. Adolescent cannabis use has multiple consequences including academic, health, and psychiatric problems. The Marijuana Adolescent Problem Inventory (MAPI) is a 23-item scale adapted from the Rutgers Alcohol Problem Index and used in the current literature to assess cannabis use problem severity. Psychometric testing for the MAPI has yet to be reported. The current investigation assessed the psychometric characteristics of the MAPI with cannabis-using adolescents (n=727) from school and outpatient settings who enrolled in five separate randomized clinical trials focused on treatment of substance use. Findings suggested that the MAPI is internally consistent and reliable. Factor structure analyses suggested that the MAPI measures one latent construct, with no differences in factor structure between the outpatient and school settings, supporting a one-factor model. External validity of the MAPI was also demonstrated as evidenced by significant relations with concurrent diagnosis of cannabis dependence and abuse, longitudinal frequency of cannabis use, and mean times used per day. Overall, this initial test of the psychometric characteristics of the MAPI suggests that it can be considered a reliable and valid measure of problems associated with cannabis use among adolescents. Future work is now needed to replicate these findings by testing the psychometric properties of the MAPI in more diverse samples and developing a short version to be used as a brief assessment tool.
大麻是美国青少年中最常使用的精神活性物质之一。青少年使用大麻会导致多种后果,包括学业、健康和精神问题。大麻青少年问题量表(MAPI)是从罗格斯酒精问题指数改编而来的 23 项量表,目前用于评估大麻使用问题的严重程度。MAPI 的心理测量测试尚未报道。本研究使用来自学校和门诊环境的 727 名使用大麻的青少年,对 MAPI 的心理测量特征进行了评估,他们参加了五个专门针对物质使用治疗的独立随机临床试验。研究结果表明,MAPI 具有内部一致性和可靠性。因子结构分析表明,MAPI 测量一个潜在结构,门诊和学校环境之间的因子结构没有差异,支持单因素模型。MAPI 的外部有效性也得到了证明,因为它与大麻依赖和滥用的同时诊断、纵向使用大麻的频率以及每天使用的平均时间有显著关系。总的来说,MAPI 的心理测量特征的初步测试表明,它可以被认为是评估青少年大麻使用相关问题的可靠和有效的工具。未来的工作需要通过在更多样化的样本中测试 MAPI 的心理测量特性并开发一个简短的版本作为简短评估工具来复制这些发现。