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痛苦耐受力和与戒烟相关的大麻处理:大麻使用应对动机的作用。

Distress tolerance and cessation-related cannabis processes: The role of cannabis use coping motives.

机构信息

Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX 77204, United States.

Department of Psychology, Louisiana State University, Baton Rouge, LA, United States.

出版信息

Addict Behav. 2019 Mar;90:164-170. doi: 10.1016/j.addbeh.2018.10.047. Epub 2018 Nov 1.

Abstract

Robust evidence implicates perceived distress tolerance as a risk factor for maladaptive cannabis use and poorer cannabis cessation outcomes. Past work suggests that perceived distress tolerance may be related to an array of clinically-relevant cannabis processes and outcomes via cannabis coping motives. Although promising, the generalizability of this work to racially/ethnically diverse samples of adult cannabis users is unknown. Additionally, investigation into alternative cannabis processes has been limited and has not controlled for the effects of other cannabis motives. Thus, the present study investigated cannabis coping motives as an explanatory variable for the relation between perceived distress tolerance and cannabis use processes that may impede cessation (e.g., cannabis use cravings, perceived barriers to cannabis cessation, and withdrawal symptoms) among an ethnically diverse sample of current cannabis using adults. Participants included 131 adult cannabis users (M = 36.67 years; 29.8% female; 59.2% Black, 26.2% White, 16.0% Hispanic). Results indicated that perceived distress tolerance was indirectly associated with all criterion variables through cannabis coping motives after controlling for the variance attributable to four other motives. The current study builds upon previous theoretically-supported work by examining these models among an ethnically diverse sample of current cannabis using adults and testing alternative cessation-related cannabis processes while controlling for the independent effects of four other cannabis motives.

摘要

有强有力的证据表明,感知到的痛苦耐受力是导致适应不良的大麻使用和更差的大麻戒断结果的风险因素。过去的研究表明,感知到的痛苦耐受力可能通过大麻应对动机与一系列与临床相关的大麻过程和结果有关。尽管这很有希望,但这项工作对于种族/民族多样化的成年大麻使用者样本的普遍性尚不清楚。此外,对替代大麻过程的研究有限,并且没有控制其他大麻动机的影响。因此,本研究调查了大麻应对动机作为感知痛苦耐受力与可能阻碍戒断的大麻使用过程(例如,大麻使用渴望、大麻戒断的感知障碍和戒断症状)之间关系的解释变量,该研究对象为当前使用大麻的种族多样化的成年成年人样本。参与者包括 131 名成年大麻使用者(M=36.67 岁;29.8%为女性;59.2%为黑人,26.2%为白人,16.0%为西班牙裔)。结果表明,在控制其他四个动机的差异后,感知到的痛苦耐受力通过大麻应对动机与所有标准变量间接相关。本研究通过在当前使用大麻的种族多样化的成年成年人样本中检验这些模型,并在控制其他四个大麻动机的独立影响的同时测试替代与戒断相关的大麻过程,进一步发展了以前基于理论的工作。

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