Department of Psychology, Auckland University of Technology, Akoranga Campus, Auckland, New Zealand.
Population Health, Eastern Health Clinical School, Monash University and Turning Point, Melbourne, Victoria, Australia.
Am J Addict. 2019 Nov;28(6):473-479. doi: 10.1111/ajad.12960. Epub 2019 Sep 18.
Maladaptive decision-making strategies could contribute to cannabis-related problems, as some individuals may neither select safe patterns of cannabis use, nor seek treatment.
To explore decision-making styles and their relationship to cannabis-related harm, 153 respondents completed the Cannabis Use Disorders Identification Test-Revised (CUDIT-R), the Melbourne Decision Making Questionnaire (MDMQ), and answered questions about their willingness to seek online: (1) further information or (2) treatment for cannabis-related issues.
Multiple regression considered relationships between problematic cannabis use, decision-making style, and cannabis use within the past month. Subscales of the CUDIT-R revealed that: (1) hazardous use was associated with higher hypervigilance and higher decisional self-esteem; (2) dependence symptoms were associated with lower vigilance and higher procrastination; and (3) harmful use was associated with higher procrastination. People with symptoms of CUD were less likely to seek further help or support online if prone to procrastination or buckpasssing.
Decisional style influenced cannabis use and symptoms. Those people with cannabis-related problems that did not seek online assistance were defensively avoidant.
Procrastination is a feature of problematic cannabis use. Online offers of assistance may be ignored by defensively avoidant CUD clients. (Am J Addict 2019;00:1-7).
适应不良的决策策略可能导致与大麻相关的问题，因为一些人可能既无法选择安全的大麻使用模式，也无法寻求治疗。
为了探索决策风格及其与大麻相关危害的关系，153 名受访者完成了修订后的大麻使用障碍识别测试（CUDIT-R）、墨尔本决策问卷（MDMQ），并回答了关于他们是否愿意在网上寻求：（1）进一步的信息或（2）治疗大麻相关问题的问题。
多元回归考虑了有问题的大麻使用、决策风格以及过去一个月内的大麻使用之间的关系。CUDIT-R 的子量表显示：（1）危险使用与更高的警惕性和更高的决策自尊有关；（2）依赖症状与较低的警惕性和更高的拖延有关；（3）有害使用与更高的拖延有关。有 CUD 症状的人如果容易拖延或推卸责任，就不太可能在网上寻求进一步的帮助或支持。
决策风格影响大麻使用和症状。那些有大麻相关问题但没有寻求网上帮助的人是有防御性回避的。
拖延是大麻使用问题的一个特征。有防御性回避的 CUD 患者可能会忽略在线提供的帮助。
