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年轻大麻使用者改变的动机和治疗的障碍。

Motivation for change and barriers to treatment among young cannabis users.

机构信息

Addictive Behaviors Research Group, Department of Psychology, University of Oviedo, Oviedo, Spain.

出版信息

Eur Addict Res. 2013;19(1):29-41. doi: 10.1159/000339582. Epub 2012 Aug 28.

DOI:10.1159/000339582
PMID:22948385
Abstract

BACKGROUND/AIMS: Despite cannabis use among adolescents has shown to be related to psychosocial and mental health problems, the demand from adolescents for professional help is very low, and determinants of motivation for change among nonclinical populations remain unknown. The purpose of this study was to assess motivation for change among young cannabis users and to identify determinants of intention to change and self-change, as well as perceived barriers to seeking professional help.

METHODS

261 cannabis users aged 16-21 participated in a computerized survey in Spain.

RESULTS

Data from this cross-sectional study indicated that few users intend to stop taking the drug. Determining factors of intention to change were the following: having more drug-related problems, paranoid symptomatology and greater concern about the consequences of use. Self-change was facilitated by lower use of cannabis, and could be hindered by tobacco smoking and cannabis dependence. Lack of awareness of the problems and the desire to solve one's problems alone constitute the main barriers to seeking professional help.

CONCLUSIONS

Adolescent cannabis users show low motivation for change though experiencing more problems associated with its use emerges as a determinant of increased motivation. Several barriers impede this motivation from turning into treatment demand.

摘要

背景/目的:尽管青少年使用大麻与心理社会和心理健康问题有关,但青少年对专业帮助的需求非常低,非临床人群改变动机的决定因素仍不清楚。本研究的目的是评估年轻大麻使用者改变的动机,并确定改变意愿和自我改变的决定因素,以及寻求专业帮助的障碍。

方法

261 名年龄在 16-21 岁的大麻使用者在西班牙参与了一项计算机调查。

结果

这项横断面研究的数据表明,很少有使用者打算停止使用该药物。改变意愿的决定因素包括:有更多的与药物相关的问题、偏执症状和对使用后果的更大关注。减少大麻的使用有助于自我改变,而吸烟和大麻依赖可能会阻碍自我改变。缺乏对问题的认识和独自解决问题的愿望是寻求专业帮助的主要障碍。

结论

青少年大麻使用者改变的动机较低,尽管与使用大麻相关的问题增加被认为是增加动机的决定因素。一些障碍阻碍了这种动机转化为治疗需求。

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