We sought whether college students who smoked marijuana heavily were d
istinguishable from students who had used the drug only occasionally.
We compared 45 long-term heavy marijuana smokers (individuals who had
smoked daily for at least 2 years) with 44 ''occasional'' smokers (ind
ividual who had never smoked more than 10 times in a month at any time
in their lives), drawn from the student populations at tow Boston-are
a colleges. Measures included a questionnaire covering a range of demo
graphic, drug use, and subjective items; the Rand Mental Health Invent
ory; and both the Axis I and Axis II sections of the Structured Clinic
al Interview for DSM-III-R. Heavy smokers reported higher rated of use
of other substances, especially hallucinogens and cocaine, and they d
escribed greater subjective impairment of memory and motivation than o
ccasional smokers; however, on a wide range of demographic, family bac
kground, and mental health measures, the heavy smokers proved almost i
ndistinguishable from occasional smokers. Even the heaviest college ma
rijuana smokers exhibit few demographic or psychiatric features that d
istinguish them from students who smoke only occasionally.