Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway Hampton House, Baltimore, MD 21205, United States.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway Hampton House, Baltimore, MD 21205, United States.
Addict Behav. 2018 May;80:130-134. doi: 10.1016/j.addbeh.2018.01.025. Epub 2018 Feb 4.
Maladaptive coping strategies have been linked with substance use. Little is known, however, about associations between coping and marijuana use in the general U.S. adolescents. We used nationally representative data to examine associations between coping and marijuana use among U.S. adolescents. We hypothesized that marijuana use would be positively associated with both avoidance and distraction coping and negatively associated with problem solving. We calculated adjusted prevalence ratios and odds ratios to assess associations of three coping styles (avoidance, distraction, problem solving) and six coping profiles based on combinations of the styles (adaptive, low on all styles, distracted, high on all styles, avoidant, maladaptive) with lifetime marijuana use and past 12-month frequency of use using data from the National Comorbidity Survey: Adolescent Supplement (n=8476, ages 14-18years). Avoidance and distraction coping were positively and problem solving was negatively associated with lifetime marijuana use. Avoidance coping was positively associated, and problem solving negatively associated, with past 12-month frequency of use. Compared to the adaptive coping profile (low avoidance and distraction, high problem solving), maladaptive profile (high avoidance and distraction, low problem solving) and avoidance profile (high avoidance, low distraction and problem solving) were each positively associated with lifetime marijuana use and past 12-month frequency of use. Avoidance coping, especially in combination with limited problem solving, was positively associated with lifetime marijuana use and past 12-month frequency of use. Our findings have potential to inform interventions for reducing adolescent marijuana use.
适应不良的应对策略与物质使用有关。然而，关于应对方式与美国普通青少年大麻使用之间的关联，我们知之甚少。我们使用全国代表性数据来研究美国青少年应对方式与大麻使用之间的关联。我们假设大麻使用与回避和分心应对呈正相关，与解决问题呈负相关。我们计算了调整后的患病率比和优势比，以评估三种应对方式（回避、分心、解决问题）和基于这些方式组合的六种应对方式（适应、所有方式得分低、分心、所有方式得分高、回避、适应不良）与终身大麻使用和过去 12 个月使用频率的关联，使用全国共病调查：青少年补充调查的数据（n=8476，年龄 14-18 岁）。回避和分心应对与终身大麻使用呈正相关，而解决问题与终身大麻使用呈负相关。回避应对与过去 12 个月的使用频率呈正相关，而解决问题与过去 12 个月的使用频率呈负相关。与适应应对模式（低回避和分心，高解决问题）相比，适应不良模式（高回避和分心，低解决问题）和回避模式（高回避，低分心和解决问题）与终身大麻使用和过去 12 个月的使用频率均呈正相关。回避应对，尤其是与解决问题能力有限相结合，与终身大麻使用和过去 12 个月的使用频率呈正相关。我们的研究结果有可能为减少青少年大麻使用的干预措施提供信息。
