Buckner Julia D, Schmidt Norman B
Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA 70803, USA.
Depress Anxiety. 2009;26(9):864-70. doi: 10.1002/da.20567.
Individuals with social anxiety disorder (SAD) appear particularly vulnerable to marijuana-related problems. Yet, mechanisms underlying this association are unclear.
This study examined the role of marijuana effect expectancies in the relation between SAD and marijuana problems among 107 marijuana users (43.0% female), 26.2% of whom met Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition criteria for SAD. Anxiety and mood disorders were determined during clinical interviews using the Anxiety Disorders Interview Schedule-IV-L (ADIS-IV).
Analyses (including sex, marijuana use frequency, major depressive disorder, and other anxiety disorders) suggest that SAD was the only disorder significantly associated with past 3-month marijuana problems. Compared to those without SAD, individuals with SAD were more likely to endorse the following marijuana expectancies: cognitive/behavioral impairment and global negative expectancies. Importantly, these expectancies mediated the relations between SAD status and marijuana problems.
These data support the contention that SAD is uniquely related to marijuana problems and provide insight into mechanisms underlying this vulnerability.
社交焦虑障碍（SAD）患者似乎特别容易出现与大麻相关的问题。然而，这种关联背后的机制尚不清楚。
本研究在107名大麻使用者（43.0%为女性）中考察了大麻效应预期在社交焦虑障碍与大麻问题关系中的作用，其中26.2%符合《精神障碍诊断与统计手册（第四版）》社交焦虑障碍的标准。焦虑和情绪障碍通过使用焦虑障碍访谈量表-IV-L（ADIS-IV）在临床访谈中确定。
分析（包括性别、大麻使用频率、重度抑郁症和其他焦虑障碍）表明，社交焦虑障碍是唯一与过去3个月大麻问题显著相关的障碍。与没有社交焦虑障碍的人相比，社交焦虑障碍患者更倾向于认同以下大麻预期：认知/行为损害和总体负面预期。重要的是，这些预期介导了社交焦虑障碍状态与大麻问题之间的关系。
这些数据支持社交焦虑障碍与大麻问题存在独特关联的观点，并为这种易感性背后的机制提供了见解。
