Department of Medicine, Butler Hospital, Providence, RI 02906, USA.
J Subst Abuse Treat. 2011 Mar;40(2):189-98. doi: 10.1016/j.jsat.2010.11.001. Epub 2010 Dec 24.
We randomized 332 women, 18-24 years old, who were not explicitly seeking treatment for their marijuana use to either a two-session motivationally focused intervention or an assessment-only condition. Assessed by timeline follow-back methodology, participants reported using marijuana 57% of days in the 3 months prior to study entry. Intervention effects on the likelihood of marijuana use were not statistically significant at 1 month (odds ratio [OR] = 0.77, p = .17), significant at 3 months (OR = 0.53, p = .01), and no longer significant at 6 months (OR = 0.74, p = .20). Among the 61% of participants endorsing any desire to quit using marijuana at baseline, significant intervention effects on the likelihood of marijuana use days were observed at 1 month (OR = 0.42, p = .03), 3 months (OR = 0.31, p = .02), and 6 months (OR = 0.35, p = .03). A two-session brief motivational intervention reduced marijuana use among young women not seeking treatment. Women with a desire to quit showed a greater and more durable response.
我们将 332 名年龄在 18-24 岁之间、并非明确寻求大麻治疗的女性随机分配至两阶段以动机为焦点的干预组或仅评估组。通过时间线回溯法评估,参与者报告在研究入组前 3 个月内有 57%的天数使用大麻。在 1 个月时,干预对大麻使用可能性的影响无统计学意义(比值比[OR] = 0.77,p =.17),在 3 个月时具有统计学意义(OR = 0.53,p =.01),在 6 个月时不再具有统计学意义(OR = 0.74,p =.20)。在基线时表示有任何戒烟意愿的 61%参与者中,在 1 个月(OR = 0.42,p =.03)、3 个月(OR = 0.31,p =.02)和 6 个月(OR = 0.35,p =.03)时观察到干预对大麻使用天数的可能性有显著影响。两阶段简短动机干预可减少年轻女性对大麻的使用。有戒烟意愿的女性反应更大且更持久。