Department of Psychology, Louisiana State University.
Department of Psychology, University of Houston.
Exp Clin Psychopharmacol. 2021 Feb;29(1):14-22. doi: 10.1037/pha0000361. Epub 2020 Mar 5.
Despite experiencing problems related to using cannabis, very few undergraduate cannabis users are interested in treatment for cannabis-related problems or benefit from cannabis-focused online personalized feedback interventions (PFIs). Thus, it may be important to determine whether individuals perceive their problems as distressing, as only those who are distressed by their problems may be motivated to change their cannabis use or benefit from cannabis-related interventions. The current study examined cannabis-related problem distress, its relation to motivation to change cannabis use, and whether problem distress impacted outcomes of a problem-focused online PFI. Past-month cannabis-using undergraduates who endorsed experiencing at least one cannabis-related problem in the past 3 months were randomized to a PFI ( = 102) or a personalized normative feedback (PNF)-only condition ( = 102). Problem distress was robustly related to readiness, importance, and confidence to change cannabis use at baseline. Among those with high levels of problem distress at baseline, those in the PFI condition reported a greater decrease in problems than those in the PNF-only condition. This was not the case among those with lower levels of problem distress. Further, the number of cannabis-related problems did not moderate intervention outcomes. Cannabis users who perceive their problems as more distressing may be more motivated to change their cannabis use and more likely to benefit from a problem-focused PFI relative to a PNF-only intervention. Results have implications for the personalization of cannabis-focused interventions to maximize the impacts of interventions and decrease cannabis-related problems. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
尽管存在与使用大麻相关的问题，但很少有大学生大麻使用者对治疗大麻相关问题或从以大麻为重点的在线个性化反馈干预（PFIs）中受益感兴趣。因此，确定个人是否认为自己的问题令人痛苦可能很重要，因为只有那些对自己的问题感到痛苦的人，才可能有动力改变他们的大麻使用习惯，或从与大麻相关的干预措施中受益。本研究考察了与大麻相关的问题困扰、其与改变大麻使用的动机的关系，以及问题困扰是否会影响以问题为中心的在线 PFI 的结果。过去一个月使用过大麻的本科生，如果在过去 3 个月内至少有一个与大麻相关的问题，他们被随机分配到 PFI（n = 102）或仅个性化规范反馈（PNF）条件（n = 102）。在基线时，问题困扰与改变大麻使用的准备、重要性和信心密切相关。在基线时问题困扰程度较高的人群中，与仅接受 PNF 的人群相比，接受 PFI 的人群报告大麻相关问题的减少幅度更大。在问题困扰程度较低的人群中则不是这样。此外，大麻相关问题的数量并没有调节干预结果。与仅接受 PNF 的干预相比，那些认为自己的问题更困扰的大麻使用者可能更有动力改变他们的大麻使用习惯，并且更有可能从以问题为中心的 PFI 中受益。研究结果对以大麻为重点的干预措施的个性化具有启示意义，这可以最大限度地提高干预措施的效果，减少与大麻相关的问题。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
