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纽约市近期退伍军人中的创伤后应激障碍与大麻相关应对方式

PTSD and Cannabis-Related Coping Among Recent Veterans in New York City.

作者信息

Elliott Luther, Golub Andrew, Bennett Alexander, Guarino Honoria

机构信息

National Development and Research Institutes, New York, NY, USA.

出版信息

Contemp Drug Probl. 2015 Mar;42(1):60-76. doi: 10.1177/0091450915570309. Epub 2015 Mar 2.

DOI:10.1177/0091450915570309
PMID:28638168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5475281/
Abstract

This article presents interview and focus group data from veterans of recent conflicts in Iraq and Afghanistan about their use of cannabis as a coping tool for dealing with posttraumatic stress disorder. Veterans' comparisons of cannabis, alcohol, and psychopharmaceuticals tended to highlight advantages to cannabis use as more effective and less complicated by side effects. Some participants suggested that cannabis can be part of an approach-based coping strategy that aids with introspection and direct confrontation of the sources of personal trauma. Others, however, held that cannabis use was part of a less productive, avoidant coping strategy. Some self-reports suggested the need for more nuanced theorizations of coping behaviors, as they indicated motivations for use that were grounded in symptom alleviation rather than any direct confrontation with (or avoidance of) sources of trauma.

摘要

本文展示了来自伊拉克和阿富汗近期冲突退伍军人的访谈及焦点小组数据,内容涉及他们将大麻作为应对创伤后应激障碍的一种应对工具的使用情况。退伍军人对大麻、酒精和精神药物的比较往往突出了使用大麻的优势,即更有效且副作用更少。一些参与者认为,大麻可以成为一种基于方法的应对策略的一部分,有助于内省和直接面对个人创伤的根源。然而,另一些人则认为,使用大麻是一种效率较低的回避应对策略的一部分。一些自我报告表明,需要对应对行为进行更细致入微的理论化,因为这些报告显示了使用大麻的动机是基于症状缓解,而不是与创伤源进行任何直接对抗(或回避)。

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本文引用的文献

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Substance use and other mental health disorders among veterans returning to the inner city: prevalence, correlates, and rates of unmet treatment need.返回市中心的退伍军人中的物质使用和其他心理健康障碍:流行率、相关性以及未满足治疗需求的比率。
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Posttraumatic stress and marijuana use coping motives: the mediating role of distress tolerance.创伤后应激与大麻使用应对动机:痛苦耐受力的中介作用。
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