Center on Alcoholism, Substance Abuse, & Addictions.
Psychol Addict Behav. 2019 Jun;33(4):412-419. doi: 10.1037/adb0000445. Epub 2019 Mar 14.
Separately, research has identified use of marijuana protective behavioral strategies and marijuana refusal self-efficacy to be protective factors associated with less marijuana use and associated harms. To date, these factors have not been examined together. Using a large sample of college students recruited from 10 U.S. universities ( = 1,123), we examined the extent to which use of marijuana protective behavioral strategies and marijuana refusal self-efficacy have redundant, independent, or interactive effects on a wide range of marijuana-related outcomes using cross-sectional data. Across 9 marijuana-related outcomes, we found 1 significant buffering interaction (length of typical intoxication), 1 significant synergistic interaction (peak subjective intoxication), and 7 nonsignificant interactions (past month frequency, typical frequency, typical quantity, typical subjective intoxication, frequency of peak intoxication, negative consequences, and cannabis use disorder symptoms). Despite variability across distinct outcomes, on 8 of 9 of these outcomes, we found that individuals who reported high use of marijuana protective behavioral strategies and high levels of marijuana refusal self-efficacy demonstrated the lowest rates of marijuana use/harms. Our findings suggest that both of these factors are promising intervention targets, and future studies should examine distinct intervention strategies to modify use of marijuana protective behavioral strategies and marijuana refusal self-efficacy. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
此外，研究已经确定大麻保护性行为策略和大麻拒绝自我效能感是与较少大麻使用和相关危害相关的保护因素。迄今为止，这些因素尚未一起进行检查。使用从美国 10 所大学招募的大量大学生样本（n=1123），我们使用横截面数据检查了大麻保护性行为策略和大麻拒绝自我效能感对广泛的大麻相关结果的冗余、独立或交互作用的程度。在 9 种与大麻相关的结果中，我们发现了 1 个显著的缓冲交互作用（典型陶醉的持续时间），1 个显著的协同交互作用（峰值主观陶醉）和 7 个非显著交互作用（过去一个月的频率、典型频率、典型数量、典型主观陶醉、峰值陶醉频率、负面后果和大麻使用障碍症状）。尽管在不同的结果中存在差异，但在这 9 个结果中的 8 个中，我们发现报告大量使用大麻保护性行为策略和高水平大麻拒绝自我效能感的个体表现出最低的大麻使用/危害率。我们的研究结果表明，这两个因素都是有前途的干预目标，未来的研究应该检查不同的干预策略，以改变大麻保护性行为策略和大麻拒绝自我效能感。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
