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Using Smartphone Technology to Track Real-Time Changes in Anxiety/Depression Symptomatology Among Florida Cannabis Users 使用智能手机技术跟踪佛罗里达州大麻使用者焦虑/抑郁症状的实时变化
Pub Date : 2024-03-19 DOI: 10.26828/cannabis/2024/000223
R. N. Pipitone, Benjamin Banai, Jessica Walters, Tyler Dautrich, Kelly Schuller, Martha S. Rosenthal
Objective: Recent scientific attention has focused on the therapeutic effectiveness of cannabis use on a variety of physical and mental ailments. The present study uses smartphone technology to assess self-reported experiences of Florida cannabis users to understand how cannabis may impact anxiety and depression symptomatology. Method: Several hundred Releaf AppTM users from the state of Florida provided anonymous, real-time reports of their symptoms of anxiety and/or depression immediately before and after cannabis use sessions. Linear mixed-effects modeling was used to analyze the data at the symptom and user level. Results: Results showed that for the majority of users, cannabis use was associated with a significant decrease in depression and anxiety symptomatology. While symptom type, doses per session, consumption method, and CBD levels were significant predictors of relief change, their effect sizes were small and should be interpreted with caution. At the user level, those who had positive relief outcomes in anxiety reported more doses and sessions, and those in the depression group reported more sessions. Conclusions: Our results generally support the therapeutic effectiveness of cannabis against depression/anxiety symptomatology. Future work should include standardized statistics and effect size estimates for a better understanding of each variable’s practical contribution to this area of study.
目的:近期科学界关注使用大麻对各种身体和精神疾病的治疗效果。本研究使用智能手机技术评估佛罗里达州大麻使用者的自我报告体验,以了解大麻如何影响焦虑和抑郁症状。研究方法:来自佛罗里达州的数百名 Releaf AppTM 用户匿名、实时地报告了他们在使用大麻前后的焦虑和/或抑郁症状。线性混合效应模型用于分析症状和用户层面的数据。结果:结果显示,对于大多数使用者来说,使用大麻与抑郁和焦虑症状的显著减少有关。虽然症状类型、每次吸食的剂量、吸食方式和 CBD 含量对缓解变化有显著的预测作用,但其效应大小较小,应谨慎解释。在使用者层面上,焦虑症状有积极缓解结果的人报告了更多的剂量和疗程,抑郁组的人报告了更多的疗程。结论:我们的研究结果总体上支持大麻对抑郁/焦虑症状的治疗效果。今后的工作应包括标准化统计和效应大小估计,以便更好地了解每个变量对这一研究领域的实际贡献。
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引用次数: 0
Age-related Patterns of Medical Cannabis Use: A Survey of Authorized Patients in Canada 与年龄有关的医用大麻使用模式:加拿大授权患者调查
Pub Date : 2024-03-18 DOI: 10.26828/cannabis/2024/000208
Mariah Walker, Stephanie Lake, José Tempero, Kaye Ong, Philippe Lucas
Objective: An increasing number of Canadians are registering as authorized users of medical cannabis. Older patients comprise a growing subset of this population; however, relatively little information exists around age-related patterns of medical cannabis use. Methods: The Canadian Cannabis Patient Survey (CCPS) is a large cross-sectional survey of authorized medical cannabis patients in Canada. This publication summarizes the results of the CCPS 2021, with a focus on age-related outcomes and the elderly sub-population. Results: The survey was completed by 2,697 patients. The mean age of participants was 54.3 years of age and the proportion of female respondents was 49.1%. Among older patients, pain was the most common symptom, while anxiety was the most common symptom reported by younger patients. Older patients exhibited a significant preference for oral administration over inhalation of medical cannabis when compared to younger patients, respectively (p>0.05). Among patients taking prescription opioids, most of whom were older patients, 54% reported a decrease in use concurrent with medical cannabis. Conclusions: Older patients comprise a growing subset of medical cannabis patients, which is also reflected in CCPS participants over time. This patient population exhibits different patterns of use compared to their younger counterparts, preferring high CBD orally ingested formulations, which they use primarily to treat pain-related illnesses/symptoms. Overall, study participants reported that cannabis had a high degree of efficacy in alleviating their illness/symptoms, and many reported a reduction in their use of prescription opioids, alcohol, tobacco, and other substances.
目的:越来越多的加拿大人登记成为医用大麻的授权使用者。老年患者在这一人群中所占比例越来越大;然而,与年龄相关的医用大麻使用模式方面的信息却相对较少。方法:加拿大大麻患者调查 (Canadian Cannabis Patient Survey, CCPS) 是一项针对加拿大授权医用大麻患者的大型横断面调查。本出版物总结了 2021 年加拿大大麻患者调查的结果,重点关注与年龄相关的结果和老年人群。调查结果:2,697 名患者完成了调查。参与者的平均年龄为 54.3 岁,女性受访者占 49.1%。在老年患者中,疼痛是最常见的症状,而焦虑则是年轻患者最常见的症状。与年轻患者相比,老年患者更倾向于口服而非吸入医用大麻(P>0.05)。在服用处方阿片类药物的患者(其中大部分是老年患者)中,有 54% 的患者表示在服用医用大麻的同时减少了阿片类药物的使用。结论:老年患者在医用大麻患者中所占的比例越来越大,这也反映在 CCPS 参与者中。与年轻患者相比,这一患者群体表现出不同的使用模式,他们更喜欢口服高CBD配方,主要用于治疗与疼痛相关的疾病/症状。总体而言,研究参与者报告说,大麻对缓解他们的疾病/症状有很高的疗效,许多人报告说,他们减少了对处方类阿片、酒精、烟草和其他物质的使用。
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引用次数: 0
Expectations of How Acute Cannabis Use Affects Gambling Experiences and Behaviors 对急性吸食大麻如何影响赌博经历和行为的预期
Pub Date : 2024-03-18 DOI: 10.26828/cannabis/2024/000231
E. H. Smith, Abby McPhail, Marcos Lerma, Rory A. Pfund, James Whelan
Emerging research shows that many individuals commonly consume cannabis while gambling. However, individuals’ expectations for how cannabis consumption will impact their gambling behavior remain unknown. Participants who gambled weekly (N = 472) were recruited from Amazon Mechanical Turk and completed assessments of gambling behaviors, cannabis consumption, and expectations about the influence of cannabis on gambling. Almost all participants (94%) screened positive for problem gambling. Over half of participants (55%) reported lifetime cannabis consumption, and almost all those participants (99%) reported gambling under the influence of cannabis (GUIC) in the past month. Most participants agreed with positive expectations of gambling; they expected that they would feel calmer when under the influence of cannabis (61.4%), that gambling would be more enjoyable (61.0%), and that their gambling skills would increase when GUIC (60.6%). At the same time, most participants also agreed with negative expectations of GUIC. They expected cannabis use would make them more careless (56.4%), more anxious (54.8%), and less able to concentrate (53.7%) while gambling. Negative cannabis expectancies were significantly associated with the severity of cannabis consumption. Both positive and negative cannabis expectancies were significantly associated with gambling problems and time spent gambling under the influence of cannabis. These findings indicate that expectations may influence the decision to consume cannabis and gamble simultaneously. This study contributes to the need for addressing cannabis expectations during treatment of gambling problems.
新近的研究表明,许多人在赌博时通常会吸食大麻。然而,人们对吸食大麻将如何影响其赌博行为的预期仍然未知。我们从亚马逊 Mechanical Turk 网站上招募了每周赌博的参与者(N = 472),他们完成了对赌博行为、大麻消费和大麻对赌博影响的预期的评估。几乎所有参与者(94%)的问题赌博筛查结果都呈阳性。超过一半的参与者(55%)报告了终生大麻消费情况,几乎所有参与者(99%)都报告了过去一个月在大麻影响下赌博(GUIC)的情况。大多数参与者同意对赌博的积极预期;他们预期在大麻影响下会感觉更平静(61.4%),赌博会更愉快(61.0%),以及在大麻影响下赌博时他们的赌博技巧会提高(60.6%)。同时,大多数参与者也同意对 GUIC 的负面预期。他们预期吸食大麻会使他们在赌博时更加粗心大意(56.4%)、更加焦虑(54.8%)和无法集中注意力(53.7%)。消极的大麻预期与吸食大麻的严重程度有很大关系。积极和消极的大麻预期与赌博问题和在大麻影响下赌博的时间有很大关系。这些研究结果表明,预期可能会影响同时吸食大麻和赌博的决定。这项研究有助于说明在治疗赌博问题期间解决大麻预期问题的必要性。
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引用次数: 0
Changes in Parent-Student Text Message and Phone Call Communication During the Transition to College as Predictors of Cannabis and Simultaneous Use During the First Year 升入大学期间家长与学生短信和电话沟通的变化是第一年吸食大麻和同时吸食大麻的预测因素
Pub Date : 2024-03-08 DOI: 10.26828/cannabis/2024/000227
Reed Morgan, Bradley M. Trager, Sarah Boyle, Layla Rainosek, Joseph LaBrie
Parent communication can be protective against cannabis use among young adults. However, changes in parent-student communication frequency naturally occur during the transition from high school to college. Recent research suggests declines in parent-student communication frequency predict increased drinking and consequences during the first year of college, yet these effects on other risky behaviors are unknown. The current study investigated whether post-matriculation changes in frequency of texting/calling with parents predict cannabis use and simultaneous use of cannabis and alcohol, and whether pre-matriculation cannabis and simultaneous use predict changes in communication. First-year students (N = 287, 61.3% female, 50.9% White) reported cannabis and simultaneous use pre- and post-matriculation (T1 & T3) and changes in frequency of texting/calling their mother/father per day (T2). Negative binomial hurdle models examined whether T2 changes in communication frequency predicted T3 cannabis and simultaneous use, and logistic regression models examined whether T1 cannabis and simultaneous use predicted T2 changes in communication frequency. Results revealed that increasing (vs. decreasing) frequency of calling with mothers and texting with fathers was protective against cannabis use, whereas increasing frequency of calling with fathers was associated with greater risk of use. Changes in communication did not significantly predict simultaneous use, nor did pre-matriculation cannabis or simultaneous use predict changes in either mode of communication with parents during the college transition. These findings highlight that changes in mother and father communication may be both beneficial and detrimental to cannabis use depending on the parent and mode of communication. Implications for these findings are discussed.
父母之间的沟通可以防止青少年吸食大麻。然而,在从高中到大学的过渡时期,家长与学生之间的沟通频率自然会发生变化。最近的研究表明,父母与学生之间沟通频率的下降预示着大学第一年饮酒量的增加及其后果,但这些变化对其他危险行为的影响尚不清楚。本研究调查了入学后与父母发短信/打电话频率的变化是否会预测大麻使用情况以及同时使用大麻和酒精的情况,以及入学前大麻使用情况和同时使用大麻和酒精的情况是否会预测沟通的变化。一年级新生(人数 = 287,61.3% 为女性,50.9% 为白人)报告了入学前后(T1 和 T3)使用大麻和同时使用酒精的情况,以及每天给母亲/父亲发短信/打电话的频率变化(T2)。负二项式障碍模型检验了 T2 通讯频率的变化是否能预测 T3 大麻和同时使用大麻的情况,逻辑回归模型检验了 T1 大麻和同时使用大麻的情况是否能预测 T2 通讯频率的变化。结果显示,与母亲通话和与父亲发短信频率的增加(与减少)对吸食大麻具有保护作用,而与父亲通话频率的增加则与吸食大麻的更大风险相关。沟通方式的变化并不能显著预测同时吸食大麻的情况,入学前吸食大麻或同时吸食大麻也不能预测大学过渡期间与父母沟通方式的变化。这些研究结果突出表明,父母沟通方式的变化可能对吸食大麻有利也有弊,具体取决于父母和沟通方式。本文讨论了这些发现的意义。
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引用次数: 0
General and Domain-Specific Perceived Risk Demonstrate Unique Associations with Cannabis Use, Negative Outcomes, and Motivation to Change among Undergraduate Students 一般和特定领域的风险感知与大学生吸食大麻、负面结果和改变动机有独特的联系
Pub Date : 2024-02-22 DOI: 10.26828/cannabis/2024/000194
Kirstyn N Smith-LeCavalier, Paige Morris, Mary E Larimer, Julia Buckner, Katherine Walukevich-Dienst
College student cannabis use is at an all-time high. Although frequent heavy cannabis use is related to cannabis problems, perceived risk of cannabis use is rapidly decreasing. Yet, it is unknown whether specific domains of risk perceptions (general and domain-specific risk, risk to others and personal risk) are related to more cannabis use or related problems. Thus, among 130 undergraduates who reported past-month cannabis use, the present study conducted secondary analyses to test whether, for both perceived risk to others and perceived personal risk: (1) general perceived risk was associated with cannabis-related outcomes (i.e., use, negative consequences, cannabis use disorder (CUD) symptoms, motivation to change), (2) seven specific domains of perceived risk were related to cannabis outcomes, and (3) domain-specific perceived risk was related to cannabis use frequency. General perceived risk to others was negatively associated with cannabis use frequency whereas general perceived personal risk was positively associated with cannabis-related negative consequences, CUD symptoms, and importance and readiness to change. Greater legal and withdrawal/dependence risks were uniquely related to several outcomes (e.g., CUD symptoms). Participants who used cannabis frequently perceived more personal risk in most risk domains and less general risk to others than those who used infrequently. Findings suggest personal risk is an important component to consider when assessing perceived risk of cannabis use and focusing on both general and domain-specific risks may provide valuable insight for future prevention and intervention efforts.
大学生吸食大麻的人数达到了历史最高水平。虽然频繁大量吸食大麻与大麻问题有关,但吸食大麻的风险认知却在迅速下降。然而,风险感知的特定领域(一般风险和特定领域风险、对他人的风险和个人风险)是否与更多使用大麻或相关问题有关尚不得而知。因此,本研究对 130 名报告上月使用大麻的本科生进行了二次分析,以检验感知到的他人风险和个人风险是否:(1)一般感知到的风险与大麻相关结果(即使用、负面后果、大麻使用障碍(CUD)症状、改变动机)相关,(2)感知到的风险的七个特定领域与大麻结果相关,以及(3)特定领域感知到的风险与大麻使用频率相关。一般感知到的他人风险与大麻使用频率呈负相关,而一般感知到的个人风险与大麻相关负面后果、CUD 症状、改变的重要性和意愿呈正相关。更大的法律风险和戒断/依赖风险与若干结果(如 CUD 症状)独特相关。与不经常使用大麻的人相比,经常使用大麻的人在大多数风险领域感知到更多的个人风险,而对他人感知到的一般风险较小。研究结果表明,个人风险是评估感知到的大麻使用风险时需要考虑的一个重要组成部分,关注一般风险和特定领域风险可能会为未来的预防和干预工作提供有价值的见解。
{"title":"General and Domain-Specific Perceived Risk Demonstrate Unique Associations with Cannabis Use, Negative Outcomes, and Motivation to Change among Undergraduate Students","authors":"Kirstyn N Smith-LeCavalier, Paige Morris, Mary E Larimer, Julia Buckner, Katherine Walukevich-Dienst","doi":"10.26828/cannabis/2024/000194","DOIUrl":"https://doi.org/10.26828/cannabis/2024/000194","url":null,"abstract":"College student cannabis use is at an all-time high. Although frequent heavy cannabis use is related to cannabis problems, perceived risk of cannabis use is rapidly decreasing. Yet, it is unknown whether specific domains of risk perceptions (general and domain-specific risk, risk to others and personal risk) are related to more cannabis use or related problems. Thus, among 130 undergraduates who reported past-month cannabis use, the present study conducted secondary analyses to test whether, for both perceived risk to others and perceived personal risk: (1) general perceived risk was associated with cannabis-related outcomes (i.e., use, negative consequences, cannabis use disorder (CUD) symptoms, motivation to change), (2) seven specific domains of perceived risk were related to cannabis outcomes, and (3) domain-specific perceived risk was related to cannabis use frequency. General perceived risk to others was negatively associated with cannabis use frequency whereas general perceived personal risk was positively associated with cannabis-related negative consequences, CUD symptoms, and importance and readiness to change. Greater legal and withdrawal/dependence risks were uniquely related to several outcomes (e.g., CUD symptoms). Participants who used cannabis frequently perceived more personal risk in most risk domains and less general risk to others than those who used infrequently. Findings suggest personal risk is an important component to consider when assessing perceived risk of cannabis use and focusing on both general and domain-specific risks may provide valuable insight for future prevention and intervention efforts.","PeriodicalId":502578,"journal":{"name":"Cannabis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabis And College Students: Self-Perceived Mental Health Prior to, During, and After the Pandemic 大麻与大学生:大流行之前、期间和之后自我感觉良好的心理健康状况
Pub Date : 2024-02-07 DOI: 10.26828/cannabis/2024/000186
Sean Himebaugh, Deanna Romero, Thomas Clobes
Introduction: College students demonstrated changes in levels of mental wellbeing as they and the world experienced new levels of stress and anxiety due to the COVID-19 pandemic. As access to healthcare became limited, students turned to alternative methods of coping, which included cannabis use. Objective: To determine if an association between cannabis use and self-perceived mental wellbeing during the pandemic among college students exists. Method: A paired samples t-Test was used to compare self-reported mental wellbeing at different times during the pandemic, a one-way ANOVA to compare self-reported mental health between respondents' cannabis use status, and a Tukey-Kramer post-hoc analysis was used to determine between group significance. All data collected were from participants at a single time point (retrospective self-report during April 2022). Results: Of 103 self-reported college students, the most significant differences in mental wellbeing were reported prior to and during the pandemic. Consistent significant differences were observed between each of the college student groups derived from those students who entirely avoided cannabis use or cessation of use (highest rating), p = .018, as compared to those who initiated cannabis use prior to and during the pandemic (lowest rating) p = .045. Post pandemic mental wellbeing demonstrated a higher level of mental wellbeing among those who had some exposure to cannabis compared to those who avoided cannabis entirely. Conclusions: It cannot be concluded that mental wellbeing was lower due to cannabis use. However, it is possible those with lower self-perceived mental wellbeing turned to cannabis use.
简介由于 COVID-19 大流行,大学生和全世界都经历了新的压力和焦虑,他们的心理健康水平也随之发生了变化。由于获得医疗保健的途径变得有限,学生们转而采用其他方法来应对,其中包括吸食大麻。目的确定大流行期间大学生使用大麻与自我感觉精神健康之间是否存在关联。方法: 采用配对样本 t 检验:采用配对样本 t 检验来比较大流行期间不同时间的自我心理健康报告,采用单因素方差分析来比较受访者使用大麻状况之间的自我心理健康报告,并采用 Tukey-Kramer 事后分析来确定组间显著性。收集的所有数据均来自单一时间点的参与者(2022 年 4 月期间的回顾性自我报告)。结果在 103 名自我报告的大学生中,大流行之前和大流行期间的心理健康差异最大。完全避免使用或停止使用大麻的学生(评分最高)与大流行前和大流行期间开始使用大麻的学生(评分最低)相比,各大学生组之间存在一致的显著差异,p = .018,p = .045。与完全避免使用大麻的学生相比,在大流行后接触过一些大麻的学生的精神健康水平更高。结论:不能断定精神健康水平较低是因为吸食大麻。不过,自我感觉精神健康水平较低的人有可能转而使用大麻。
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引用次数: 0
Cannabis And College Students: Self-Perceived Mental Health Prior to, During, and After the Pandemic 大麻与大学生:大流行之前、期间和之后自我感觉良好的心理健康状况
Pub Date : 2024-02-07 DOI: 10.26828/cannabis/2024/000186
Sean Himebaugh, Deanna Romero, Thomas Clobes
Introduction: College students demonstrated changes in levels of mental wellbeing as they and the world experienced new levels of stress and anxiety due to the COVID-19 pandemic. As access to healthcare became limited, students turned to alternative methods of coping, which included cannabis use. Objective: To determine if an association between cannabis use and self-perceived mental wellbeing during the pandemic among college students exists. Method: A paired samples t-Test was used to compare self-reported mental wellbeing at different times during the pandemic, a one-way ANOVA to compare self-reported mental health between respondents' cannabis use status, and a Tukey-Kramer post-hoc analysis was used to determine between group significance. All data collected were from participants at a single time point (retrospective self-report during April 2022). Results: Of 103 self-reported college students, the most significant differences in mental wellbeing were reported prior to and during the pandemic. Consistent significant differences were observed between each of the college student groups derived from those students who entirely avoided cannabis use or cessation of use (highest rating), p = .018, as compared to those who initiated cannabis use prior to and during the pandemic (lowest rating) p = .045. Post pandemic mental wellbeing demonstrated a higher level of mental wellbeing among those who had some exposure to cannabis compared to those who avoided cannabis entirely. Conclusions: It cannot be concluded that mental wellbeing was lower due to cannabis use. However, it is possible those with lower self-perceived mental wellbeing turned to cannabis use.
简介由于 COVID-19 大流行,大学生和全世界都经历了新的压力和焦虑,他们的心理健康水平也随之发生了变化。由于获得医疗保健的途径变得有限,学生们转而采用其他方法来应对,其中包括吸食大麻。目的确定大流行期间大学生使用大麻与自我感觉精神健康之间是否存在关联。方法: 采用配对样本 t 检验:采用配对样本 t 检验来比较大流行期间不同时间的自我心理健康报告,采用单因素方差分析来比较受访者使用大麻状况之间的自我心理健康报告,并采用 Tukey-Kramer 事后分析来确定组间显著性。收集的所有数据均来自单一时间点的参与者(2022 年 4 月期间的回顾性自我报告)。结果在 103 名自我报告的大学生中,大流行之前和大流行期间的心理健康差异最大。完全避免使用或停止使用大麻的学生(评分最高)与大流行前和大流行期间开始使用大麻的学生(评分最低)相比,各大学生组之间存在一致的显著差异,p = .018,p = .045。与完全避免使用大麻的学生相比,在大流行后接触过一些大麻的学生的精神健康水平更高。结论:不能断定精神健康水平较低是因为吸食大麻。不过,自我感觉精神健康水平较低的人有可能转而使用大麻。
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引用次数: 0
Cannabis Use and Academic Performance in College Students: The Role of Procrastination 大学生吸食大麻与学习成绩:拖延症的作用
Pub Date : 2024-01-08 DOI: 10.26828/cannabis/2024/000215
Christopher Mullin, Anita Cservenka
Objective: The current study investigated procrastination as a potential moderator of the association between cannabis use and college grade point average (GPA). Participants: 220 college students (ages 18-24; 71.8% female) in the Northwestern U.S. who were registered for classes in Fall 2021. Methods: Demographic questions, substance use history, the Beck Anxiety Inventory, the Center for Epidemiologic Studies Depression scale, and a Procrastination scale were completed via an online survey. Official term and cumulative GPA records were also collected. Results: A regression model indicated that procrastination moderated the association between lifetime cannabis use and cumulative college GPA, whereas this moderation was not present when examining the relationship between past month cannabis use and term GPA. Conclusion: The current study identifies a putatively modifiable factor that may be related to academic performance for students who use cannabis. These results may help inform future interventions designed to help students using cannabis succeed academically.
研究目的本研究调查了拖延症作为使用大麻与大学平均学分绩点(GPA)之间关系的潜在调节因素。参与者:美国西北部地区 2021 年秋季注册入学的 220 名大学生(18-24 岁;71.8% 为女性)。研究方法通过在线调查完成人口统计学问题、药物使用史、贝克焦虑量表、流行病学研究中心抑郁量表和拖延症量表。此外,还收集了正式学期和累计 GPA 记录。研究结果回归模型表明,拖延会调节终生吸食大麻与大学累积 GPA 之间的关系,而在研究上个月吸食大麻与学期 GPA 之间的关系时,这种调节作用并不存在。结论:目前的研究确定了一个可能与吸食大麻学生的学习成绩有关的可调节因素。这些结果可能有助于为今后旨在帮助吸食大麻的学生在学业上取得成功的干预措施提供依据。
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引用次数: 0
Examining the Relation Between Social Anxiety and Cannabis Problems Among College Students Through Coping-Related Expectancies and Motives 通过与应对相关的期望和动机来研究大学生社交焦虑与大麻问题之间的关系
Pub Date : 2024-01-04 DOI: 10.26828/cannabis/2023/000189
Katherine Berry, Nicholas Livingston, EmmaJo Briles, Alison Looby
Objective: College students high in social anxiety are at increased risk for cannabis-related problems. This may be particularly true when they hold strong coping-related expectancies and motives for cannabis. However, few studies have examined these constructs together in accordance with the motivational model, which posits that substance use is proximally influenced by motives and more distally influenced by expectancies. Thus, the current study examined whether the relation between social anxiety and cannabis-related problems was indirectly explained through coping-related expectancies, motives, and cannabis use. Method: Past-month cannabis users (N = 660; 71.6% female, 47.3% white non-Hispanic) from seven U.S. universities completed an online survey assessing social anxiety, and cannabis use frequency, problems, expectancies, and motives. A saturated path model examined social anxiety as a predictor of cannabis problems via coping-related expectancies and motives, and cannabis frequency. Results: There was a positive indirect effect of social anxiety on cannabis problems through cognitive and behavioral impairment expectancies, depression coping motives, and cannabis use. Social anxiety also indirectly positively related to cannabis problems via social and sexual facilitation expectancies, social anxiety coping motives, and cannabis use. Further, social anxiety indirectly positively related to cannabis problems through relaxation and tension reduction expectancies, both depression and social anxiety coping motives, and cannabis use. These indirect effects were invariant by sex assigned at birth. Conclusions: Results support using a theory-informed model of coping-related cannabis cognitions to understand the relation between social anxiety and cannabis problems. Interventions that modify coping-related cognitions may reduce cannabis-related problems in college students high in social anxiety.
目的:社交焦虑高的大学生出现大麻相关问题的风险会增加。当他们对大麻抱有强烈的应对期望和动机时,情况可能尤其如此。然而,很少有研究根据动机模型将这些因素结合在一起进行研究,该模型认为药物使用在近端受动机影响,在远端受期望影响。因此,本研究探讨了社交焦虑与大麻相关问题之间的关系是否可以通过与应对相关的预期、动机和大麻使用情况来间接解释。研究方法来自美国七所大学的上月大麻使用者(N = 660;71.6% 为女性,47.3% 为非西班牙裔白人)完成了一项在线调查,对社交焦虑、大麻使用频率、问题、预期和动机进行了评估。一个饱和路径模型通过与应对相关的预期和动机以及吸食大麻的频率,对社交焦虑作为大麻问题的预测因素进行了研究。结果显示社交焦虑通过认知和行为障碍预期、抑郁应对动机和大麻使用对大麻问题有正向间接影响。社交焦虑还通过社交和性促进预期、社交焦虑应对动机和大麻使用间接与大麻问题产生正相关。此外,社交焦虑通过放松和减少紧张预期、抑郁和社交焦虑应对动机以及使用大麻间接与大麻问题呈正相关。这些间接影响与出生时的性别无关。结论:研究结果支持使用与大麻应对相关的认知理论模型来理解社交焦虑与大麻问题之间的关系。改变应对相关认知的干预措施可能会减少社交焦虑高的大学生的大麻相关问题。
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引用次数: 0
The Influence on Anxiety and Avoidant Coping on Probable Cannabis Use Disorder 焦虑和回避应对对可能的大麻使用障碍的影响
Pub Date : 2023-12-18 DOI: 10.26828/cannabis/2023/000192
Alexis Blessing, Patricia Russell, Madison Stout, Juan Barrera-Barker, Sandra Morissette
Objective: Individuals with anxiety frequently use cannabis to cope and are at greater risk for developing probable cannabis use disorder (CUD). Previous literature suggests avoidant coping styles are associated with higher anxiety levels and risk for problematic cannabis use, while action-oriented coping is associated with lower anxiety and problematic cannabis use. No studies have examined whether anxiety and action- oriented coping or avoidant coping interact to influence risk for CUD, which was the aim of the present study. Method: College students were recruited as part of a cross-sectional study on cannabis use. Participants (N = 371; 72.2% female) completed the Depression Anxiety and Stress Subscale (DASS-21), Cannabis Use Disorder Identification Test-Revised (CUDIT-R), and the Brief-COPE (B-COPE). Results: The data were analyzed using logistic moderation analysis. After controlling for gender, anxiety was a positive significant predictor of probable CUD, but action-oriented coping and avoidant coping were not. The interaction between anxiety and avoidant coping on probable CUD was significant, indicating that participants with high avoidant coping (regardless of high or low anxiety) and those with high anxiety (even with low avoidant coping) were more likely to have probable CUD than those with both low anxiety and low avoidant coping. No significant interaction was observed with action-oriented coping. Conclusions: Results suggest that avoidant coping, but not action-oriented coping, influences the relationship between anxiety and risk for probable CUD. Findings emphasize the importance of targeting both anxiety and avoidant coping when considering risk for probable CUD.
目的:焦虑症患者经常使用大麻来应对焦虑,患上可能的大麻使用障碍(CUD)的风险更大。以往的文献表明,回避型应对方式与较高的焦虑水平和问题性使用大麻的风险相关,而行动导向型应对方式与较低的焦虑水平和问题性使用大麻相关。目前还没有研究探讨焦虑与行动导向型应对方式或回避型应对方式是否相互作用,从而影响 CUD 的风险,这正是本研究的目的所在。研究方法:在一项关于大麻使用的横断面研究中招募了大学生。参与者(N = 371;72.2% 为女性)完成了抑郁、焦虑和压力分量表 (DASS-21)、大麻使用障碍识别测试修订版 (CUDIT-R) 和简明 COPE (B-COPE)。结果:采用逻辑调节分析法对数据进行了分析。在对性别进行控制后,焦虑是预测可能出现 CUD 的一个正向显著因子,但行动导向型应对和回避型应对则不是。焦虑和回避应对对可能的 CUD 的交互作用是显著的,这表明,与低焦虑和低回避应对的参与者相比,高回避应对(无论高或低焦虑)和高焦虑(即使低回避应对)的参与者更有可能出现可能的 CUD。与行动导向型应对方式之间没有观察到明显的交互作用。结论研究结果表明,逃避型应对方式(而非行动导向型应对方式)会影响焦虑与可能发生 CUD 的风险之间的关系。研究结果强调,在考虑可能发生 CUD 的风险时,同时针对焦虑和回避应对的重要性。
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