Hasan Nadeem S, Babson Kimberly A, Banducci Anne N, Bonn-Miller Marcel O
Counseling and Psychological Services, University of California.
National Center for Posttraumatic Stress Disorder (PTSD), Veterans Affairs (VA) Palo Alto Health Care System.
Psychol Addict Behav. 2015 Dec;29(4):933-40. doi: 10.1037/adb0000132.
The majority of individuals who attempt to quit using cannabis do not seek formalized treatment. To better understand which malleable factors contribute to cannabis use following a self-guided quit attempt, we concurrently examined 2 measures of distress tolerance (DT) as prospective predictors of cannabis use post quit attempt. We hypothesized that veterans with higher in relation to lower levels of DT would be less likely to use cannabis following a self-guided quit attempt. In this study, we included 103 cannabis-dependent veterans (Mage = 50, 95% male, 37% White, 36% Black, 14% Hispanic, 14% other) who reported being motivated to quit using cannabis. Veterans completed 2 measures of DT, the Distress Tolerance Scale (perceived distress tolerance) and the Mirror-Tracing Persistence Task (laboratory analogue of distress tolerance). Findings indicated that veterans with greater perceived distress tolerance used less cannabis over the quit period than did veterans with less perceived distress tolerance. However, contrary to expectations, baseline performance on a laboratory analogue of distress tolerance was not related to cannabis use over the quit period. Results suggest that veterans' perceived ability to tolerate distress is an important predictor of cannabis use following a self-guided quit attempt. Thus, the Distress Tolerance Scale could serve as an important tool for helping to identify veterans at risk for cannabis use postquit.
大多数试图戒掉大麻的人并未寻求正规治疗。为了更好地了解在自我引导的戒烟尝试后，哪些可塑因素会导致大麻使用，我们同时考察了两种痛苦耐受力（DT）测量方法，作为戒烟尝试后大麻使用的前瞻性预测指标。我们假设，与较低水平的DT相比，DT水平较高的退伍军人在自我引导的戒烟尝试后使用大麻的可能性较小。在这项研究中，我们纳入了103名大麻依赖退伍军人（年龄中位数 = 50岁，95%为男性，37%为白人，36%为黑人，14%为西班牙裔，14%为其他），他们报告有戒掉大麻的动机。退伍军人完成了两种DT测量方法，即痛苦耐受力量表（感知痛苦耐受力）和镜像追踪持续性任务（痛苦耐受力的实验室模拟）。研究结果表明，在戒烟期间，感知痛苦耐受力较高的退伍军人比感知痛苦耐受力较低的退伍军人使用大麻的量更少。然而，与预期相反，痛苦耐受力实验室模拟的基线表现与戒烟期间的大麻使用无关。结果表明，退伍军人感知到的痛苦耐受能力是自我引导的戒烟尝试后大麻使用的重要预测指标。因此，痛苦耐受力量表可作为帮助识别退伍军人戒烟后有大麻使用风险的重要工具。
