Cannabis Use Disorder as a disorder of motivational dysregulation: a systematic review of clinical, neurocognitive, and treatment evidence

This systematic review investigates whether Cannabis Use Disorder (CUD) can be reconceptualized as a disorder of motivational dysregulation by examining clinical, neurocognitive, and treatment evidence from the past decade. The findings suggest that motivational factors, such as ambivalence and diminished goal pursuit, play a critical role in CUD, and interventions targeting motivation yield better treatment outcomes than traditional abstinence-focused approaches. Ultimately, the authors advocate for a shift in understanding CUD to enhance assessment and treatment strategies.