Soenksen Shayna, Stein L A R, Brown Joanna D, Stengel JoAnn R, Rossi Joseph S, Lebeau Rebecca
Social Sciences Research Center, University of Rhode Island, Kingston, RI 02881.
Social Sciences Research Center, University of Rhode Island, Kingston, RI 02881 ; The Rhode Island Training School, Cranston, RI 02920, USA ; Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02906, USA.
J Child Adolesc Subst Abuse. 2015 Apr 1;24(2):119-124. doi: 10.1080/1067828X.2013.770379.
Rates of marijuana use among detained youths are exceptionally high. Research suggests a cannabis withdrawal syndrome is valid and clinically significant; however, these studies have mostly been conducted in highly controlled laboratory settings with treatment-seeking, White adults. The present study analyzed archival data to explore the magnitude of cannabis withdrawal symptoms within a diverse sample of detained adolescents while controlling for tobacco use and investigating the impact of race on symptom reports. Adolescents recruited from a juvenile correctional facility (N=93) completed a background questionnaire and the Marijuana Withdrawal Checklist. Analyses revealed a significant main effect for level of tobacco use on severity of irritability, and for level of marijuana use on severity of craving to smoke marijuana and strange/wild dreams. Furthermore, a significant main effect for race was found with Black adolescents reporting lower withdrawal discomfort scores and experiencing less severe depressed mood, difficulty sleeping, nervousness/anxiety, and strange/wild dreams. Although exploratory, these findings may have significant clinical implications for providers in juvenile detention facilities, allowing the execution of proper medical and/or behavioral interventions to assist adolescents presenting with problematic cannabis and/or tobacco withdrawal.
被拘留青少年中使用大麻的比例极高。研究表明，大麻戒断综合征是真实存在且具有临床意义的；然而，这些研究大多是在高度受控的实验室环境中，针对寻求治疗的白人成年人进行的。本研究分析了存档数据，以探讨在不同的被拘留青少年样本中大麻戒断症状的严重程度，同时控制烟草使用情况，并调查种族对症状报告的影响。从一所青少年教养所招募的青少年（N = 93）完成了一份背景调查问卷和大麻戒断清单。分析显示，烟草使用水平对易怒程度有显著的主效应，大麻使用水平对渴望吸食大麻以及奇怪/荒诞梦境的严重程度有显著的主效应。此外，发现种族有显著的主效应，黑人青少年报告的戒断不适得分较低，且经历的抑郁情绪、睡眠困难、紧张/焦虑以及奇怪/荒诞梦境的严重程度较轻。尽管是探索性的，但这些发现可能对青少年拘留设施中的工作人员具有重要的临床意义，有助于实施适当的医疗和/或行为干预，以帮助出现大麻和/或烟草戒断问题的青少年。
