Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Psychology Department, University of Saint Joseph, West Hartford, CT, USA.
Subst Use Misuse. 2020;55(7):1146-1154. doi: 10.1080/10826084.2020.1729202. Epub 2020 Feb 28.
Assessing predictors of cannabis use following adolescent substance use treatment may inform essential treatment elements to be emphasized before discharge. Adolescents with low emotional awareness may have limited resources for identifying and overcoming negative emotions, and therefore, use cannabis to regulate emotions. The purpose of this study was to test the hypothesis that emotional awareness difficulties are associated with increased cannabis use across the transition out of substance use treatment. This hypothesis was investigated by applying an autoregressive random-intercept cross-lagged panel-modeling framework to test the fit of alternative models and inform hypotheses about directional associations between cannabis use and emotional awareness difficulties over time. Participants were 110 adolescents with co-occurring disorders and their families participating in an intensive home-based treatment trial. Adolescents reported on past 7-day cannabis use and difficulties in emotional awareness at baseline and three follow-up assessments across 12 months. At baseline, 54% of the sample reported past-week cannabis use. A directional effect was supported such that difficulties with emotional awareness at 3 months' post-baseline, which corresponded to the approximate end of the treatment program, were associated with increased cannabis use at 6 months' post-baseline, controlling for the stability of cannabis use, and emotional awareness over time. Cannabis use, however, was not associated with subsequent difficulties in emotional awareness (i.e., effects in the opposite direction were not supported). Emotional awareness difficulties toward the end of a course of intensive outpatient treatment may be associated with increased cannabis use after the completion of treatment.
评估青少年物质使用治疗后大麻使用的预测因素可以为出院前需要强调的基本治疗要素提供信息。情绪意识薄弱的青少年可能缺乏识别和克服负面情绪的资源，因此可能会使用大麻来调节情绪。本研究的目的是检验这样一种假设，即情绪意识困难与物质使用治疗结束后大麻使用增加有关。通过应用自回归随机截距交叉滞后面板模型框架来测试替代模型的拟合度，并为大麻使用和情绪意识困难之间随时间变化的方向关联提供假设，从而检验了这一假设。研究对象为 110 名患有共病的青少年及其家庭，他们参加了一项强化家庭治疗试验。青少年在基线和 12 个月的 3 次随访中报告过去 7 天的大麻使用情况和情绪意识困难情况。在基线时，有 54%的样本报告过去一周内使用过大麻。支持了一种定向效应，即基线后 3 个月的情绪意识困难与基线后 6 个月的大麻使用增加有关，控制了大麻使用和情绪意识随时间的稳定性。然而，大麻使用与随后的情绪意识困难之间没有关联（即不支持相反方向的影响）。在强化门诊治疗过程接近尾声时，情绪意识困难可能与治疗结束后大麻使用增加有关。
