National Cannabis Prevention and Information Centre, University of New South Wales, Australia.
Am J Addict. 2014 Jan-Feb;23(1):7-14. doi: 10.1111/j.1521-0391.2013.12054.x. Epub 2013 May 24.
Concurrent use of cannabis and tobacco is associated with poor tobacco cessation outcomes. As little research has examined why treatment-seeking tobacco users engage in cannabis use, the objective of this study was to discover if emotional vulnerability and cannabis use motives are associated with concurrent users' cannabis use.
One hundred thirty-eight (n = 138) daily cigarette smokers seeking smoking cessation treatment completed measures of anxiety sensitivity, cannabis use motives, and cannabis use.
Stronger coping, enhancement, social, and expansion motives were associated with using greater amounts of cannabis per use occasion. In a model accounting for all these motives, anxiety sensitivity moderated the relationship between enhancement motives and cannabis use.
Clinical interventions for concurrent tobacco-cannabis users may be advanced by targeting low anxiety sensitive individuals' use of cannabis to increase excitement and fun. Such an approach may consist of having clients identify and engage in healthier pleasurable activities and by teaching clients to accept the trade-off between perceived less pleasurable, but healthier activities and cannabis use.
大麻和烟草同时使用与较差的戒烟效果有关。由于很少有研究探讨为什么寻求治疗的烟草使用者会使用大麻，本研究的目的是发现情绪脆弱性和大麻使用动机是否与同时使用大麻者的大麻使用有关。
138 名（n=138）每天吸烟的吸烟者接受了吸烟戒断治疗，完成了焦虑敏感性、大麻使用动机和大麻使用的测量。
更强的应对、增强、社交和扩展动机与每次使用大麻的数量增加有关。在一个考虑到所有这些动机的模型中，焦虑敏感性调节了增强动机与大麻使用之间的关系。
针对同时使用烟草和大麻的患者，针对焦虑敏感性低的个体使用大麻来增加兴奋和乐趣，可能会推进针对同时使用烟草和大麻的患者的临床干预。这种方法可能包括让患者识别和参与更健康的愉悦活动，并教导患者接受在感知到不太愉悦但更健康的活动和大麻使用之间的权衡。
