大麻依赖成年人使用和治疗结果的情境决定因素。
Situational determinants of use and treatment outcomes in marijuana dependent adults.
机构信息
Virginia Polytechnic Institute and State University, Department of Psychology, Williams Hall (0436), Blacksburg, VA 24061, United States.
Virginia Polytechnic Institute and State University, Department of Psychology, Williams Hall (0436), Blacksburg, VA 24061, United States.
出版信息
Addict Behav. 2014 Mar;39(3):546-52. doi: 10.1016/j.addbeh.2013.10.031. Epub 2013 Nov 4.
Research and theory strongly support the importance of situational determinants of substance use as targets for intervention, but few studies have systematically examined situational use characteristics in marijuana dependent adults. The present study describes situational use of marijuana in a population of 87 marijuana dependent adults and reports relationships with outcomes of treatment. Use in negative affective situations was independently associated with psychological distress, maladaptive coping strategies, lower self-efficacy, and poorer outcomes post-treatment. The findings were consistent with research on using drugs to cope with negative affect providing evidence of convergence between two different methods of assessing high risk situations for substance use. The results support continued emphasis on coping with negative affect as a target in treatments for marijuana dependence.
研究和理论强烈支持将物质使用的情境决定因素作为干预目标的重要性，但很少有研究系统地检查大麻依赖成年人的情境使用特征。本研究描述了 87 名大麻依赖成年人的情境使用情况，并报告了与治疗结果的关系。在消极情绪情境下使用大麻与心理困扰、适应不良的应对策略、较低的自我效能感和治疗后较差的结果独立相关。这些发现与使用药物来应对消极情绪的研究结果一致，为评估物质使用高危情境的两种不同方法之间的一致性提供了证据。研究结果支持继续强调应对消极情绪作为大麻依赖治疗的目标。
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