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大麻使用动机在儿童期虐待经历与成年初期大麻使用结果之间起中介作用。

Marijuana use motives mediate the association between experiences of childhood abuse and marijuana use outcomes among emerging adults.

机构信息

Warren Alpert School of Medicine of Brown University, Department of Psychiatry and Human Behavior, Providence, RI, USA.

Warren Alpert School of Medicine of Brown University, Department of Psychiatry and Human Behavior, Providence, RI, USA; Butler Hospital, General Medicine Research, 345 Blackstone Boulevard., Providence, RI 02906, USA.

出版信息

Addict Behav. 2019 Jun;93:166-172. doi: 10.1016/j.addbeh.2019.01.040. Epub 2019 Jan 28.

Abstract

INTRODUCTION

Experiences of childhood sexual abuse (CSA) and childhood physical abuse (CPA) are associated with poor mental health outcomes including substance use in subsequent years. Marijuana use motives (i.e., coping with negative affect, enhancing positive affect, or improving social interactions) may influence problematic substance use among young adults. Specifically, motives may be associated with severity of marijuana use outcomes among individuals who have experienced CSA or CPA. This study investigated the indirect effect of marijuana use motives between experiences of CSA or CPA and marijuana use and problems among emerging adults.

METHOD

Participants were 397 young adults (50.1% male, 66.2% White) between ages 18-25 years, who reported 15.85 (SD = 11.66) days of marijuana use in the past month. Participants reported on history of childhood abuse, marijuana use days, problems, and motives for use.

RESULTS

Findings suggest a significant indirect effect of coping motives in the association between CPA and marijuana use days and marijuana problems. Further, both coping motives and marijuana use days indicated a significant indirect effect between CPA and problems. Motives of socializing or enhancement did not have a significant indirect effect between CPA and marijuana use or problems. There were no significant findings with CSA and marijuana use outcomes.

DISCUSSION

Coping motives might be an important potential target for future marijuana interventions in persons with childhood physical abuse.

摘要

简介

童年期性虐待(CSA)和童年期身体虐待(CPA)的经历与心理健康不良后果有关,包括随后几年的物质使用。大麻使用动机(即应对负性情绪、增强正性情绪或改善社交互动)可能会影响年轻人的物质使用问题。具体来说,动机可能与经历 CSA 或 CPA 的个体中大麻使用的严重程度有关。本研究调查了大麻使用动机在 CSA 或 CPA 经历与成年早期大麻使用和问题之间的间接效应。

方法

参与者为 397 名年龄在 18-25 岁之间的年轻人(50.1%为男性,66.2%为白人),他们在过去一个月报告了 15.85(SD=11.66)天的大麻使用量。参与者报告了童年期虐待史、大麻使用天数、问题和使用动机。

结果

研究结果表明,在 CPA 与大麻使用天数和大麻问题之间,应对动机存在显著的间接效应。此外,应对动机和大麻使用天数都表明,CPA 与问题之间存在显著的间接效应。社交或增强动机在 CPA 与大麻使用或问题之间没有显著的间接效应。在 CSA 和大麻使用结果方面没有发现显著的结果。

讨论

应对动机可能是未来针对有童年期身体虐待的个体进行大麻干预的一个重要潜在目标。

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