What Are Tolerance Breaks and Why Do Young Adults Take Them? A Qualitative Investigation of Temporary Abstinence Breaks from Cannabis.

Cannabis (Albuquerque, N.M.) Pub Date : 2025-02-01 eCollection Date: 2025-01-01 DOI:10.26828/cannabis/2025/000289
Katherine Walukevich-Dienst, Ella G DeVries, Thomas J K Fontana, Jessica A Blayney, Jason R Kilmer, Scott Graupensperger, Christine M Lee
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Abstract

Objective: This study investigated young adults' (YAs) experiences with tolerance breaks (temporary abstinence from cannabis; T-breaks).

Method: In Study 1, 15 YAs who used cannabis completed a qualitative interview. In Study 2, 66 YAs who used cannabis at least 2x/week completed online survey items assessing T-break familiarity, definitions, motivations, and experiences. Data were analyzed using qualitative thematic analysis.

Results: In Study 1, five themes were identified: (1) time frames for T-breaks were variable but brief and temporary, (2) T-breaks were motivated by tolerance reduction (3) and other motives, (4) withdrawal is an early barrier; positive outcomes occurred with longer breaks, (5) some YAs viewed T-breaks as unnecessary/unachievable. Study 2 findings demonstrated that YAs were familiar with T-breaks and most had attempted a T-break in the past year; greater variability in T-break motivations was apparent in Study 2.

Conclusions: Results suggest that YAs define T-breaks as an intentional and temporary period of abstinence from cannabis, regardless of motivation.

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