Dean Kimberlye E, Ecker Anthony H, Buckner Julia D
Department of Psychology, Louisiana State University, Baton Rouge, Louisiana.
South Central Mental Illness Research and Clinical Center, Houston, Texas.
Am J Addict. 2017 Apr;26(3):209-214. doi: 10.1111/ajad.12511. Epub 2017 Mar 11.
Cannabis is the most widely used illicit substance among young adults. Anxiety sensitivity (AS; ie, fear of anxiety-related symptoms) is positively related to coping motives for cannabis use (which are robustly positively linked to cannabis-related problems). However, AS is unrelated to cannabis use-related problems. Yet, extant studies have been conducted on primarily White samples. It may be that among Black students, AS-physical concerns (ie, fear of physical anxiety-related sensations) are related to cannabis problems given that Black individuals are more likely than White individuals to report experiencing greater and more intense somatic symptoms when experiencing anxiety. Black individuals may rely on cannabis to cope with fear of these somatic symptoms, continuing to use despite cannabis-related problems.
The current study tested whether race moderated the relation between AS-physical concerns and cannabis problems among 102 (85.3% female) current cannabis using undergraduates who were either non-Hispanic Black (n = 51) or non-Hispanic White (n = 51).
After controlling for frequency of cannabis use, income, and gender, race significantly moderated the relation between AS-physical concerns and cannabis use-related problems such that AS-physical concerns significantly predicted cannabis-related problems among Black and not White individuals.
Findings highlight the importance of considering race in identifying psychosocial predictors of cannabis-related problems.
Intervention strategies for Black cannabis users may benefit from examining and targeting AS-physical concerns. (Am J Addict 2017;26:209-214).
大麻是年轻人中使用最广泛的非法物质。焦虑敏感性（即对焦虑相关症状的恐惧）与使用大麻的应对动机呈正相关（而应对动机又与大麻相关问题紧密正相关）。然而，焦虑敏感性与大麻使用相关问题并无关联。不过，现有研究主要是在白人样本中进行的。鉴于黑人个体在经历焦虑时比白人个体更有可能报告体验到更强烈、更严重的躯体症状，在黑人学生中，焦虑敏感性对身体的担忧（即对与身体焦虑相关感觉的恐惧）可能与大麻问题有关。黑人个体可能依赖大麻来应对对这些躯体症状的恐惧，尽管存在大麻相关问题仍继续使用。
本研究测试了种族是否调节了102名（85.3%为女性）目前正在使用大麻的本科生中焦虑敏感性对身体的担忧与大麻问题之间的关系，这些学生要么是非西班牙裔黑人（n = 51），要么是非西班牙裔白人（n = 51）。
在控制了大麻使用频率、收入和性别后，种族显著调节了焦虑敏感性对身体的担忧与大麻使用相关问题之间的关系，即焦虑敏感性对身体的担忧显著预测了黑人而非白人个体的大麻相关问题。
研究结果凸显了在确定大麻相关问题的社会心理预测因素时考虑种族的重要性。
针对黑人大麻使用者的干预策略可能受益于对焦虑敏感性对身体的担忧进行检查和靶向干预。（《美国成瘾杂志》2017年；26:209 - 214）
