University of Houston, Department of Psychology, Houston, TX, USA; The University of Texas MD Anderson Cancer Center, Department of Behavioral Science, Houston, TX, USA.
University of Houston, Department of Psychology, Houston, TX, USA.
Psychiatry Res. 2018 May;263:115-120. doi: 10.1016/j.psychres.2018.03.006. Epub 2018 Mar 5.
Cannabis is among the most widely used psychoactive substances in the United States, and rates of cannabis use and cannabis-related problems are increasing. Anxiety sensitivity, or the fear of aversive interoceptive sensations, may be relevant to better understanding cannabis use problems and other significant cannabis use processes (e.g., beliefs about quitting). Previous research has primarily focused on the global anxiety sensitivity construct; however, anxiety sensitivity lower-order facets (Cognitive Concerns, Physical Concerns, and Social Concerns) tend to be differentially related to substance use processes in non-cannabis specific studies. The current study therefore explored anxiety sensitivity lower-order facets in relation to cannabis use problems, perceived barriers for cannabis cessation, and abstinence phobia (fear of not using cannabis) among a community sample of 203 cannabis-using adults. Results indicated that anxiety sensitivity Cognitive Concerns were significantly associated with each of the dependent measures and these effects were not explained by shared variance with the other lower-order factors or a range of other covariates (e.g., tobacco use). The present findings suggest future work may benefit from focusing on the role of anxiety sensitivity Cognitive Concerns in the maintenance of cannabis use.
大麻是美国使用最广泛的精神活性物质之一，大麻的使用和与大麻相关的问题的发生率正在上升。焦虑敏感，即对不愉快的内脏感觉的恐惧，可能与更好地理解大麻使用问题和其他重要的大麻使用过程（例如，关于戒烟的信念）有关。先前的研究主要集中在全球焦虑敏感结构上；然而，在非大麻特异性研究中，焦虑敏感的低阶因素（认知关注、身体关注和社会关注）往往与物质使用过程有不同的关系。因此，本研究在一个由 203 名大麻使用者组成的社区样本中，探讨了焦虑敏感的低阶因素与大麻使用问题、大麻戒断的感知障碍以及对停用大麻的恐惧（害怕不使用大麻）之间的关系。结果表明，焦虑敏感认知关注与每个因变量显著相关，这些影响不能用与其他低阶因素或一系列其他协变量（如吸烟）的共同方差来解释。本研究结果表明，未来的工作可能受益于关注焦虑敏感认知关注在大麻使用维持中的作用。
