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物质滥用者的大麻预期:大麻效应预期问卷的法语验证。

Cannabis expectancies in substance misusers: French validation of the Marijuana Effect Expectancy Questionnaire.

机构信息

Groupe hospitalier Lariboisière-Fernand Widal, service de Psychiatrie d'Adultes, Paris, France.

出版信息

Am J Addict. 2011 Nov-Dec;20(6):543-54. doi: 10.1111/j.1521-0391.2011.00171.x. Epub 2011 Sep 29.

Abstract

The aim of this study was to evaluate the psychometric properties of the French version of the Marijuana Effect Expectancy Questionnaire (48 items) and study the cannabis expectancies according to the patterns of substance use and psychiatric disorders (DSM-IV). A sample of 263 subjects (average age 33.1 years [SD = 8.7], 56% men) consisting of cannabis users (n = 64), psychiatric inpatients (n = 175, most of whom were hospitalized for withdrawal), and a control group (n = 24) completed the questionnaire. Internal reliability was good (α= .87) and temporal reliability was satisfactory, with 24 of 48 items having a significant κ ≥ .41. Factor analysis showed four main factors that explained 42.1% of the total variance. The women feared Cognitive Impairment and Negative Effects, and Negative Behavioral Effects more than the men. The onset age of cannabis use, onset age of abuse, abuse and dependence were associated with fewer negative expectancies. Cannabis dependents differed from abusers by more Relaxation and Social Facilitation expectancies. Patients with major depressive episodes, panic disorder, social anxiety disorder, or posttraumatic stress disorder feared negative effects the most. Schizophrenic patients expected more Perceptual Enhancement and Craving. The French version of the Marijuana Effect Expectancy Questionnaire has good psychometric properties and is valid to assess cannabis expectancies in adolescents and adults with substance use disorders.

摘要

本研究旨在评估法国版大麻效应预期问卷(48 项)的心理测量特性,并根据物质使用和精神障碍(DSM-IV)模式研究大麻预期。一个由 263 名受试者(平均年龄 33.1 岁[SD=8.7],56%为男性)组成的样本,包括大麻使用者(n=64)、精神科住院患者(n=175,其中大多数因戒断而住院)和对照组(n=24)完成了问卷。内部一致性良好(α=.87),时间可靠性令人满意,48 项中有 24 项κ≥.41。因子分析显示,四个主要因素解释了总方差的 42.1%。女性比男性更担心认知障碍和负性影响以及负性行为效应。大麻使用的起始年龄、滥用的起始年龄、滥用和依赖与较少的负性预期有关。依赖者与滥用者的放松和社交促进预期不同。有重性抑郁发作、惊恐障碍、社交焦虑障碍或创伤后应激障碍的患者最担心负性影响。精神分裂症患者则期望更多的感知增强和渴望。法国版大麻效应预期问卷具有良好的心理测量特性,可有效评估青少年和有物质使用障碍的成年人的大麻预期。

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