Department of Human Development and Family Sciences, The University of Connecticut, 348 Mansfield Road, Unit 1058, Storrs, CT, 06269-1058, USA.
Department of Human Development and Family Sciences, The University of Connecticut, 348 Mansfield Road, Unit 1058, Storrs, CT, 06269-1058, USA.
Drug Alcohol Depend. 2020 Jul 1;212:108038. doi: 10.1016/j.drugalcdep.2020.108038. Epub 2020 May 12.
Young adults reporting combined alcohol and marijuana use indicate greater frequency of other substances, binge drinking rates, and alcohol-related negative consequences. Emotion regulation (ER) difficulties are linked to alcohol use and abuse, with effects commonly attributed to increased mindfulness and distress tolerance abilities. Evidence is mixed, however, regarding the interactive impact of substance use and mindfulness facets on mental health outcomes.
The current study utilized a cross-sectional design to examine mental health outcomes predicted by ER and mindfulness facets in 229 college students across three substance use categories (no use; alcohol/marijuana; illicit use with alcohol/marijuana).
For participants reporting no substance use, linear stepwise regressions found that Non-Judging was significantly related to reduced anxiety, while Acting with Awareness was related to greater anxiety; for those reporting alcohol/marijuana use only, Non-Judging significantly related to lower stress and anxiety; for those reporting illicit substance use with alcohol/marijuana, Acting with Awareness was related to lower stress. Describing was related to higher distress across groups, and Observing was not significantly related to any aspect of mental health across groups. ER difficulties were positively related to depression, anxiety and stress across substance use groups, with one exception: ER difficulty was not significantly associated with depression for no use.
Mindfulness interventions should focus on certain facets, such as Non-Judging, in order to improve psychological functioning across various groups of substance use. Additionally, ER difficulties are closely linked to alcohol, marijuana, and illicit drug use.
报告同时使用酒精和大麻的年轻人表明他们有更高的使用其他物质的频率、狂欢饮酒的比率和与酒精相关的负面后果。情绪调节（ER）困难与酒精使用和滥用有关，其影响通常归因于增加正念和对痛苦的容忍能力。然而，关于物质使用和正念特征对心理健康结果的相互影响的证据是混杂的。
本研究采用横断面设计，在三个物质使用类别（无使用；酒精/大麻；非法使用酒精/大麻）中检查 229 名大学生的 ER 和正念特征预测的心理健康结果。
对于报告无物质使用的参与者，线性逐步回归发现，非评判与焦虑降低显著相关，而觉察与更高的焦虑相关；对于仅报告酒精/大麻使用的参与者，非评判与较低的压力和焦虑显著相关；对于报告非法物质使用与酒精/大麻的参与者，觉察与较低的压力相关。描述与各组的痛苦相关更高，观察与各组的任何心理健康方面均无显著相关。在物质使用组中，ER 困难与抑郁、焦虑和压力呈正相关，除了一个例外：对于无使用，ER 困难与抑郁无显著相关性。
正念干预应侧重于某些特征，例如非评判，以改善各种物质使用群体的心理功能。此外，ER 困难与酒精、大麻和非法药物使用密切相关。
