British Journal of Clinical Psychology最新文献_第4页

Associations between posttraumatic cognitions and cannabis cravings among trauma-exposed individuals using cannabis 在使用大麻的创伤暴露个体中，创伤后认知与大麻渴望之间的联系。

IF 3.1 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology

Pub Date : 2025-10-15 DOI: 10.1111/bjc.70016

Regine M. Deguzman-Lucero, Jennifer U. Le, Norman B. Schmidt, Nicole A. Short

Objective

Trauma-exposed individuals with posttraumatic stress disorder (PTSD) symptoms are at risk for problematic cannabis use. However, modifiable risk factors associated with cannabis use in this population are less clear. Posttraumatic cognitions (PTC; negative cognitions about the self, self-blame, and negative cognitions about the world) have recently been investigated as potential motivators for substance use, particularly to cope with distress, but extant research is limited. The current study tested whether PTC are associated with increased coping-oriented cannabis cravings using an experimental design (i.e., trauma script-driven imagery).

Method

Trauma-exposed cannabis users (N = 56; 58.9% female; M_age = 20.69 years; White: 73.2%, Black: 21.4%) self-reported PTC and cannabis use frequency and were assessed for PTSD diagnosis. State cravings to use cannabis to cope with negative emotions were assessed before and after trauma script-driven imagery.

Results

After covarying for cannabis use frequency and PTSD diagnosis, elevated PTC were significantly associated with increased state cravings to use cannabis to cope with negative emotions (β = .19, t(46) = 2.32, p = .025, sr² = .02). Of PTC subscales, only higher negative cognitions about the self were significantly associated with increased state cannabis cravings (β = .19, t(46) = 2.34, p = .024, sr² = .03), while self-blame and negative cognitions about the world were not.

Conclusion

Elevated PTC, particularly about the self, may enhance cannabis cravings in response to trauma cues. Future research may include investigating associations between PTC and cannabis use in naturalistic environments outside of the laboratory setting.

目的：具有创伤后应激障碍（PTSD）症状的创伤暴露个体有问题大麻使用的风险。然而，这一人群中与大麻使用相关的可改变的危险因素尚不清楚。创伤后认知（PTC，关于自我的消极认知，自责和对世界的消极认知）最近被调查为药物使用的潜在动机，特别是应对痛苦，但现有的研究是有限的。目前的研究使用实验设计（即创伤脚本驱动的图像）测试了PTC是否与应对导向的大麻渴望增加有关。方法：创伤暴露大麻使用者（N = 56，女性58.9%，男性20.69岁，白人73.2%，黑人21.4%）自我报告PTC和大麻使用频率，并评估PTSD诊断。在创伤之前和之后评估了使用大麻来应对负面情绪的状态渴望-剧本驱动的图像。结果：在大麻使用频率和PTSD诊断共变后，PTC升高与使用大麻应对负面情绪的状态渴望增加显著相关(β =。19, t(46) = 2.32, p =。025, sr2 = .02)。在PTC亚量表中，只有对自我的较高负面认知与状态大麻渴望的增加显著相关(β =。19, t(46) = 2.34, p =。024, sr2 =。03)，而自责和对世界的消极认知则没有。结论：PTC升高，特别是关于自我的PTC升高，可能会增加对创伤线索的大麻渴望。未来的研究可能包括在实验室环境之外的自然环境中调查PTC和大麻使用之间的关系。

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Echoes of ease: Tracing the course of obsessive-compulsive symptoms in the aftermath of a pandemic—Insights from a four-year panel study 安逸的回声：追踪流行病后强迫症症状的过程——来自一项为期四年的小组研究的见解。

IF 3.1 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology

Pub Date : 2025-10-15 DOI: 10.1111/bjc.70015

Lea Schuurmans, Anna Baumeister, Anja S. Göritz, Steffen Moritz, Franziska Miegel, Lena Jelinek

Objectives

The COVID-19 pandemic affected mental health worldwide, including obsessive-compulsive symptoms (OCS) and, specifically, contamination-related OCS (C-OCS). This study aimed to map these symptoms' trajectories over four years, thus providing the longest known observational timeline of OCS during and after a pandemic. Longitudinal data on OCS spanning this period offer the rare opportunity to examine how external crises intersect with symptom trajectories over time, offering insights into patterns of symptom fluctuation and remission.

Design

We conducted a longitudinal panel study with 1,214 participants from the German general population assessed at the onset of the pandemic (T1), three months later (T2) and 12 months after T1 (T3), followed by annual assessments (T4, T5, T6).