Papinczak Zoe E, Connor Jason P, Feeney Gerald F X, Young Ross McD, Gullo Matthew J
Centre for Youth Substance Abuse Research, Faculty of Health Sciences, The University of Queensland, Brisbane, QLD 4029, Australia; School of Psychology, The University of Queensland, Brisbane, QLD 4029, Australia.
Centre for Youth Substance Abuse Research, Faculty of Health Sciences, The University of Queensland, Brisbane, QLD 4029, Australia; Discipline of Psychiatry, School of Medicine, The University of Queensland, Brisbane, QLD 4029, Australia; Alcohol and Drug Assessment Unit, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Drug Alcohol Depend. 2017 Jan 1;170:142-146. doi: 10.1016/j.drugalcdep.2016.11.005. Epub 2016 Nov 14.
Relatively few cannabis dependent individuals seek treatment and little is known about the determinants of treatment seeking. Social Cognitive Theory (SCT) provides a useful framework for examining human behaviour and motivation which may be helpful in explaining treatment seeking. This study examined the differences in cannabis outcome expectancies and cannabis refusal self-efficacy between treatment seekers and non-treatment seekers with cannabis dependence.
Non-treatment seekers were referred to an illicit drug diversion program. Treatment seekers commenced an outpatient cannabis treatment program and completed a comprehensive assessment that included measures of cannabis outcome expectancies and refusal self-efficacy.
A public hospital alcohol and drug outpatient clinic.
269 non-treatment seekers and 195 individuals commencing cannabis dependence treatment.
The Cannabis Expectancy Questionnaire (CEQ), Cannabis Refusal Self-Efficacy Questionnaire (CRSEQ), Severity of Dependence Scale - Cannabis (SDS-C), General Health Questionnaire (GHQ-28) and Readiness to Change Questionnaire (RTC) were completed.
Treatment seekers had significantly higher levels of negative cannabis outcome expectancies and significantly lower levels of emotional relief refusal self-efficacy (belief in ability to resist using cannabis when experiencing negative affect) (ps<0.001). Treatment seekers had significantly higher levels of psychological distress and self-perceived cannabis dependence compared to non-treatment seekers (ps<0.001).
High negative cannabis outcome expectancies and low emotional relief refusal self-efficacy may play a key role in motivation to seek treatment.
相对较少的大麻依赖者寻求治疗，且对于寻求治疗的决定因素知之甚少。社会认知理论（SCT）为研究人类行为和动机提供了一个有用的框架，这可能有助于解释寻求治疗的行为。本研究调查了寻求治疗的大麻依赖者与不寻求治疗的大麻依赖者在大麻结果预期和大麻拒绝自我效能方面的差异。
不寻求治疗者被转介至非法药物转移项目。寻求治疗者开始接受门诊大麻治疗项目，并完成了一项全面评估，其中包括大麻结果预期和拒绝自我效能的测量。
一家公立医院的酒精和药物门诊诊所。
269名不寻求治疗者和195名开始接受大麻依赖治疗的个体。
完成了大麻预期问卷（CEQ）、大麻拒绝自我效能量表（CRSEQ）、大麻依赖严重程度量表（SDS-C）、一般健康问卷（GHQ-28）和改变意愿问卷（RTC）。
寻求治疗者的负面大麻结果预期水平显著更高，而情绪缓解拒绝自我效能（即在经历负面影响时抵制使用大麻的能力信念）水平显著更低（p<0.001）。与不寻求治疗者相比，寻求治疗者的心理困扰和自我感知的大麻依赖水平显著更高（p<0.001）。
高负面大麻结果预期和低情绪缓解拒绝自我效能可能在寻求治疗的动机中起关键作用。
