This study examined associations among cannabis use disorder (CUD), 12-step program participation, and cannabis and other drug use at baseline and 3- and 6-month follow-ups. Participants were age 50 or older in a study of veterans receiving medical management of alcohol and/or opioid withdrawal (N = 171). Generalized estimating equations examined the extent to which time point, 12-step program participation, and CUD were associated with change in number of cannabis and non-cannabis drug use days. Also examined was whether having CUD was associated with 12-step program participation. From baseline through the 6-month follow-up, 12-step program participation increased, non-cannabis drug use decreased, and cannabis use remained stable. Twelve-step program participation at baseline was associated with better outcomes at follow-ups. Participants with CUD reported less 12-step program participation and more cannabis use days at follow-ups. Older adults with CUD may need other types of psychosocial treatments due to low participation in 12-step programs.

中文翻译：

---

患有大麻使用障碍的老年人参与 12 步计划和吸毒：六个月的结果

这项研究检查了大麻使用障碍 (CUD)、12 步计划参与以及基线和 3 个月和 6 个月随访时大麻和其他药物使用之间的关联。在接受酒精和/或阿片类药物戒断治疗的退伍军人研究中，参与者年龄在 50 岁或以上（N = 171）。广义估计方程检查了时间点、12 步计划参与和 CUD 与大麻和非大麻药物使用天数变化的相关程度。还检查了 CUD 是否与 12 步计划的参与有关。从基线到 6 个月的随访，12 步计划的参与增加，非大麻药物使用减少，大麻使用保持稳定。基线时参与十二步计划与更好的随访结果相关。患有 CUD 的参与者报告说，在后续行动中，参与 12 步计划的人数较少，大麻使用天数较多。由于 12 步计划的参与率较低，患有 CUD 的老年人可能需要其他类型的社会心理治疗。