OBJECTIVE Recent research suggests potential therapeutic benefits of cannabis-derived products, a lower risk profile than other illicit substances, and significant functional improvement from reduced use. Likewise, low abstinence rates and low motivation to achieve abstinence among those with cannabis use disorder (CUD) are the norm. As such, the harm reduction model has gained traction among substance use scientists and health care professionals as a viable alternative approach. Yet, to date no formal definition of cannabis harm reduction has been proposed. METHOD We reviewed the literature, including two recent empirical papers published in the Psychology of Addictive Behaviors, Sherman et al. (2022) and Borodovsky et al. (2022), which demonstrate that harm reduction is sufficient to achieve functional improvement. We then propose and define a harm reduction approach for cannabis use research and treatment, and argue why this approach is a timely, necessary discussion. RESULTS We suggest that a cannabis harm reduction approach includes treatment, research, and education initiatives that reduce the public health burden of cannabis use. This approach includes interventions that reduce functional impairment and risk from cannabis, reduced or managed use, and sometimes, but not necessarily, abstinence. Psychoeducation for treatment providers, legislative barriers, and research recommendations are also discussed. CONCLUSIONS Research and treatment for CUD has historically focused on cannabis abstinence. Treatment trials rarely yield durable abstinence rates, and reduction has recently been tied to functional improvement. We comment on Sherman et al. (2022) and Borodovsky et al. (2022) and propose a shift toward a cannabis harm reduction approach. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

---

是时候采取减少大麻危害的方法了吗？对谢尔曼等人的评论。（2022）和博罗多夫斯基等人。（2022）。

目标 最近的研究表明，大麻衍生产品具有潜在的治疗益处，比其他非法物质具有更低的风险，并且减少使用可显着改善功能。同样，大麻使用障碍（CUD）患者的戒断率低和戒断动机低也是常态。因此，减少危害模型作为一种可行的替代方法，受到了药物滥用科学家和医疗保健专业人员的青睐。然而，迄今为止，尚未提出减少大麻危害的正式定义。方法 我们回顾了文献，包括谢尔曼等人最近发表在《成瘾行为心理学》上的两篇实证论文。（2022）和博罗多夫斯基等人。（2022），这表明减少伤害足以实现功能改善。然后，我们提出并定义了大麻使用研究和治疗的减少危害方法，并论证了为什么这种方法是及时、必要的讨论。结果 我们建议减少大麻危害的方法包括治疗、研究和教育举措，以减轻大麻使用造成的公共卫生负担。这种方法包括减少功能障碍和大麻风险的干预措施、减少或管理大麻的使用，以及有时但不一定是禁欲。还讨论了治疗提供者的心理教育、立法障碍和研究建议。结论 CUD 的研究和治疗历来侧重于大麻戒断。治疗试验很少能产生持久的戒断率，而且最近已将戒断率的降低与功能改善联系起来。我们评论谢尔曼等人。（2022）和博罗多夫斯基等人。（2022）并提议转向减少大麻危害的方法。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。